Abnormal Vaginal Discharge: Causes and Treatment Options

Excessive discharge with an unusual odor?

Hello, doctor.
I have noticed that my discharge after menstruation has blood streaks, and for the past three months, the discharge has been abundant, yellowish, resembling mucus.
I'm unsure if it's yellow-green or just yellow, and it has a fishy odor, sometimes with a foul smell.
I previously had cervical erosion and underwent cauterization about a year ago.
I haven't had sexual intercourse in the past year, but I have used vaginal suppositories.
I still experience itching in the genital area.
I would like to know if I have an infection, what type of infection it might be, and how I should proceed.
Thank you, doctor.

Miss Zhang, 30~39 year old female. Ask Date: 2017/03/12

Dr. Huang Jianzhong reply Obstetrics and Gynecology

After this discharge, there are blood streaks, and for the past three months, the discharge has been abundant, yellowish, resembling mucus.
It is uncertain whether it is yellow-green or yellow, with a fishy odor and sometimes a foul smell.
Previously, there was cervical erosion, and I underwent cauterization.
I have not had sexual intercourse in the past year, and I used a vaginal suppository a year ago.
I still experience itching in the genital area.
I would like to know if I have an infection and what type it might be, as well as how to proceed.

Answer: It could be a fungal or trichomonas infection.
You should go to a hospital for a wet mount and trichomonas testing.
A physician needs to examine and treat you personally; do not self-medicate.

Reply Date: 2017/03/12

More Info

Understanding abnormal vaginal discharge is crucial for identifying potential infections and underlying health issues. Based on your description, it seems you are experiencing a significant change in your vaginal discharge, which has been present for the past three months. The presence of blood-streaked discharge, along with a yellowish color and a foul odor, raises concerns about possible infections or other gynecological conditions.

Possible Causes of Abnormal Vaginal Discharge
1. Bacterial Vaginosis (BV): This is a common condition caused by an imbalance of bacteria in the vagina. Symptoms often include a fishy odor, especially after intercourse, and a thin, grayish-white discharge. The yellowish color you mentioned could also be indicative of BV.

2. Yeast Infection: While yeast infections typically present with thick, white, cottage cheese-like discharge, they can also cause changes in discharge consistency and color. Symptoms include intense itching and irritation.

3. Sexually Transmitted Infections (STIs): Infections such as chlamydia or gonorrhea can lead to abnormal discharge, often accompanied by other symptoms like pelvic pain, burning during urination, or bleeding between periods.

4. Cervical Issues: Given your history of cervical erosion (cervical ectropion), it is possible that the discharge is related to this condition. Cervical ectropion can cause increased discharge and may lead to bleeding, especially after intercourse.

5. Hormonal Changes: Fluctuations in hormones, whether due to menstrual cycles, contraceptive methods, or other factors, can also affect the nature of vaginal discharge.

Recommended Actions
1. Consult a Gynecologist: It is essential to see a healthcare provider for a thorough examination. A gynecologist can perform a pelvic exam, take samples for laboratory testing, and assess your symptoms in detail.

2. Laboratory Tests: Testing for STIs, BV, and yeast infections can provide clarity on the underlying cause of your symptoms. A Pap smear may also be recommended to check for any cervical abnormalities.

3. Treatment Options: Depending on the diagnosis, treatment may include:
- Antibiotics for bacterial infections.

- Antifungal medications for yeast infections.

- Topical treatments or hormonal therapies if hormonal imbalances are suspected.

4. Maintain Hygiene: While waiting for your appointment, maintain good vaginal hygiene. Avoid douching or using scented products, as these can irritate the vaginal area and exacerbate symptoms.

5. Monitor Symptoms: Keep track of any additional symptoms, such as pain during intercourse, changes in menstrual cycles, or any new symptoms that may arise. This information can be valuable for your healthcare provider.

Conclusion
In summary, the changes in your vaginal discharge, particularly the presence of blood, odor, and color changes, warrant a professional evaluation. While there are several potential causes, only a healthcare provider can accurately diagnose and recommend appropriate treatment. It is crucial to address these symptoms promptly to ensure your reproductive health and overall well-being. Please do not hesitate to seek medical attention, as early intervention can lead to better outcomes.

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