Yellow Discharge and Vaginal Sensitivity: A Guide for Women

The discharge resembles thick yellow mucus similar to that of a cold, and the entire genital area feels sensitive and uncomfortable?

Hello doctor, I am 38 years old, have no partner, and have never had sexual intercourse.
Since last winter (November 2016), I have experienced persistent itching in the genital area for several months after my menstrual period ends.
The itching becomes unbearable, and when I scratch, I start to feel heat and pain.
After the Lunar New Year (February 2017), I visited a gynecologist (A) and took antibiotics for three days along with a topical ointment.
Although the itching and pain have subsided, the discharge is still yellow (similar to the yellow mucus during a severe cold), and the vulva is very sensitive.
It feels like I am being electrocuted, causing a tingling pain, and occasionally I feel a burning sensation.
Even wearing underwear that presses against the pubic hair is uncomfortable and painful.
In April 2017, I visited another gynecologist (B).
Since I have no sexual experience, there was no internal examination.
The doctor said that everything looked fine externally and that the yellow discharge is normal.
Is that true? However, I feel very uncomfortable.
What should I do? Should I consult another gynecologist (C)? Thank you.

Jiu zuo OL, 30~39 year old female. Ask Date: 2017/04/28

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Due to a busy lifestyle, staying up late, decreased immunity, insufficient fluid intake, excessive consumption of cold foods, holding in urine, or wearing tight-fitting clothing such as non-breathable jeans or underwear, as well as the habitual use of sanitary pads, can lead to uncomfortable symptoms.
Regarding underwear, it is recommended to wear cotton for comfort, and it is essential to hand wash the key areas thoroughly, then sun dry to achieve a sterilizing effect.
Regularly changing underwear and maintaining personal hygiene habits can gradually improve these uncomfortable feelings!

Reply Date: 2017/04/28

More Info

Understanding yellow discharge and vaginal sensitivity is crucial for women's health, particularly when symptoms such as itching, burning, and discomfort arise. Based on your description, it seems you are experiencing a combination of yellow discharge, external genital sensitivity, and discomfort that has persisted despite previous medical consultations and treatments.

Yellow Discharge: What Does It Mean?
Yellow discharge can be caused by several factors, including infections, hormonal changes, or even normal physiological variations. In many cases, yellow discharge may indicate a bacterial infection, such as bacterial vaginosis or a sexually transmitted infection (STI) like gonorrhea or chlamydia. However, it can also be a sign of a yeast infection, especially if accompanied by itching and irritation. The texture and color of the discharge can provide clues; for instance, a thick, cottage cheese-like discharge is often associated with a yeast infection, while a more watery or foul-smelling discharge may suggest bacterial vaginosis.

Sensitivity and Discomfort
The sensitivity and discomfort you describe, particularly the burning sensation and pain when wearing underwear, could be due to several reasons:
1. Inflammation: Chronic inflammation of the vulva (vulvitis) can lead to heightened sensitivity. This may be due to an allergic reaction to soaps, detergents, or even the fabric of your underwear.

2. Infection: As mentioned earlier, infections can cause significant irritation and discomfort. Even if a doctor has stated that there is no visible infection, it may be worthwhile to seek a second opinion or further testing, especially if symptoms persist.

3. Hormonal Changes: Hormonal fluctuations, particularly around your menstrual cycle, can affect the vaginal environment, leading to changes in discharge and sensitivity.

Recommendations for Management
1. Seek a Second Opinion: Given that your symptoms persist despite treatment, it may be beneficial to consult another gynecologist (Gynecologist C) for a thorough evaluation. A fresh perspective may lead to new insights or treatment options.

2. Testing: Request specific tests, including a vaginal swab for cultures to check for bacterial infections or yeast infections. A pH test can also help determine the nature of the discharge.

3. Avoid Irritants: Pay attention to personal hygiene products, including soaps, detergents, and feminine hygiene products. Opt for unscented, hypoallergenic options to minimize irritation.

4. Wear Loose Clothing: To reduce friction and irritation, wear loose-fitting cotton underwear and avoid tight clothing. This can help alleviate some discomfort.

5. Topical Treatments: If inflammation is suspected, a topical corticosteroid cream may help reduce irritation and sensitivity. However, this should be discussed with a healthcare provider.

6. Maintain Hygiene: While it’s essential to keep the area clean, avoid over-washing or using harsh soaps, as this can disrupt the natural flora and lead to further irritation.

7. Monitor Symptoms: Keep a diary of your symptoms, noting any changes in discharge, itching, or discomfort. This information can be valuable for your healthcare provider in diagnosing the issue.

Conclusion
Persistent yellow discharge and vaginal sensitivity are not uncommon, but they warrant thorough investigation to rule out infections or other underlying conditions. Seeking a second opinion and advocating for comprehensive testing can lead to a more accurate diagnosis and effective treatment plan. Remember that your comfort and health are paramount, and it’s essential to address any concerns with a qualified healthcare professional.

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