Abnormal Discharge: When to Seek Medical Advice - Obstetrics and Gynecology

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Since the menstrual period last month, there has been a yellow discharge, which has now turned red?


Could you please tell me if this is normal? I'm worried about the underlying cause.
Should I see a doctor? Is this related to sexual activity? Thank you, doctor.

Jin Zhu, 20~29 year old female. Ask Date: 2017/05/30

Dr. Lin Wenbin reply Obstetrics and Gynecology


In-person examinations provide clearer insights, and face-to-face discussions are more accurate.

Reply Date: 2017/05/30

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Abnormal discharge can be a concerning symptom for many individuals, and understanding when to seek medical advice is crucial for maintaining reproductive health. Discharge can vary in color, consistency, and odor, and these variations can indicate different underlying conditions.
Firstly, it is important to recognize what constitutes "normal" discharge. Normal vaginal discharge is typically clear or milky, has a mild odor, and varies in consistency throughout the menstrual cycle due to hormonal changes. However, if you notice changes in your discharge that are accompanied by other symptoms, it may be time to consult a healthcare provider.

Here are some signs that indicate you should seek medical advice regarding abnormal discharge:
1. Change in Color: If your discharge changes to a yellow, green, or gray color, it may indicate an infection. For example, a yellow or green discharge can be associated with sexually transmitted infections (STIs) like gonorrhea or chlamydia, while a gray discharge may suggest bacterial vaginosis.

2. Unpleasant Odor: A strong, foul odor accompanying your discharge can be a sign of infection. Normal discharge should not have a strong smell. If you notice a fishy odor, it could be indicative of bacterial vaginosis, while a yeasty smell may suggest a yeast infection.

3. Accompanying Symptoms: If you experience itching, burning, or irritation in addition to abnormal discharge, it is advisable to seek medical attention. These symptoms can indicate infections such as yeast infections, trichomoniasis, or STIs.

4. Increased Volume: If you notice a significant increase in the volume of discharge, especially if it is accompanied by other symptoms, it may warrant a visit to a healthcare provider.

5. Bleeding: Any abnormal bleeding, especially if it occurs outside of your menstrual cycle, should be evaluated by a healthcare professional. This could be a sign of a more serious condition.

Regarding your question about whether abnormal discharge is related to sexual activity, the answer is yes. Sexual activity can influence the characteristics of vaginal discharge. For instance, sexual arousal can increase lubrication and discharge, which is normal. However, if sexual activity leads to discomfort, unusual discharge, or other symptoms, it is essential to consult a healthcare provider.

In terms of treatment, the approach will depend on the underlying cause of the abnormal discharge. If an infection is diagnosed, antibiotics or antifungal medications may be prescribed. Additionally, practicing safe sex and maintaining good hygiene can help prevent infections that lead to abnormal discharge.

In summary, while some variations in discharge can be normal, significant changes in color, odor, volume, or the presence of accompanying symptoms should prompt a visit to a healthcare provider. Early intervention can help address any potential issues and ensure your reproductive health is maintained. If you have concerns about your discharge or any related symptoms, do not hesitate to reach out to a medical professional for guidance.

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