Vaginal Discharge Colors: When to Seek Medical Advice

Color of secretions

I previously visited a doctor due to itching in my genital area.
The doctor diagnosed me with a fungal infection and prescribed medication, but I have not healed, and my discharge has consistently been white or yellow.
The doctor mentioned that I was still not healed and advised me to return if the discharge was not clear.
After about four months of this condition, I decided to see another doctor, who told me that having a white, mucus-like discharge is normal and that it would gradually turn yellow in a few days.
Which doctor should I believe? Occasionally, I still experience itching in the vulvar area, and there is some pain at the vaginal opening, although the internal area feels fine.
After taking medication for nearly four months, could I be developing drug resistance? Additionally, during my most recent visit, I had an ultrasound because I have been experiencing prolonged menstrual periods and severe menstrual cramps.
The doctor indicated that this is due to a congenital retroverted uterus, so aside from taking pain relievers, is it difficult to avoid menstrual pain?

1123, 20~29 year old female. Ask Date: 2019/09/04

Dr. Huang Jianzhong reply Obstetrics and Gynecology

I previously visited a doctor due to itching in my genital area, and the doctor diagnosed it as a fungal infection.
I was prescribed medication, but I have not healed, and my discharge has consistently been white or yellow.
The doctor mentioned that I was still not healed and advised me to return if the discharge was not clear.
After about four months of this, I decided to see another doctor, who told me that having a white, mucus-like discharge is normal and that it would gradually change to yellow in a few days.
Which doctor should I believe?
Answer: The latter.
Additionally, I occasionally experience itching in the vulva, and there is some pain at the vaginal opening, although the internal area feels fine.
After taking medication for almost four months, could I be developing drug resistance?
Answer: It's possible.
Recently, I also had an ultrasound because my menstrual periods have been prolonged, and I have been experiencing severe menstrual cramps.
The doctor said this is due to a congenital retroverted uterus.
Aside from taking painkillers, is it difficult to avoid menstrual pain?
Answer: It is difficult to avoid menstrual pain, but it can be alleviated.

Reply Date: 2019/09/04

More Info

When it comes to understanding vaginal discharge colors and when to seek medical advice, it is essential to recognize that vaginal discharge can vary significantly in color, consistency, and odor, and these variations can indicate different health conditions.
In your case, you have experienced persistent symptoms, including itching and abnormal discharge that has been described as white or yellow. Initially, you were diagnosed with a yeast infection and treated accordingly, but after four months of treatment without improvement, you sought a second opinion. The second doctor suggested that the white, mucus-like discharge was normal and would change to yellow over time. This conflicting advice can understandably lead to confusion.

Firstly, it is important to note that normal vaginal discharge can range from clear to white and may have a mild odor. However, if the discharge is accompanied by significant changes in color (such as a strong yellow or green hue), a foul odor, or other symptoms like itching, burning, or pain, it may indicate an underlying infection or condition that requires further evaluation.
In your situation, the ongoing symptoms of itching and pain, along with the persistent abnormal discharge, warrant further investigation. It is crucial to consider that prolonged use of antifungal medications can lead to resistance, which may complicate treatment. If you have been on antifungal medication for an extended period without improvement, it may be beneficial to consult a healthcare provider who can perform a thorough examination, including laboratory tests, to determine the exact cause of your symptoms. Conditions such as bacterial vaginosis, sexually transmitted infections (STIs), or other vaginal infections could be responsible for your symptoms and may require different treatment approaches.

Regarding your menstrual issues, the fact that you have been experiencing prolonged periods and severe cramps could be related to your anatomical condition of a retroverted uterus (tilted uterus). While this condition is common and often does not require treatment, it can sometimes contribute to menstrual irregularities and discomfort. Pain management strategies, including over-the-counter pain relievers, may help alleviate your symptoms, but if the pain is severe or if your menstrual cycle continues to be irregular, further evaluation by a gynecologist may be necessary.

In summary, it is essential to seek medical advice when experiencing persistent or worsening symptoms related to vaginal discharge, especially when accompanied by other symptoms such as itching, burning, or pain. A healthcare provider can perform the necessary examinations and tests to provide an accurate diagnosis and appropriate treatment. Additionally, keeping track of your symptoms, including any changes in discharge color, consistency, and associated discomfort, can be helpful information to share with your healthcare provider during your visit.

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