Vaginal Inflammation: What Green Discharge Means - Obstetrics and Gynecology

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Vaginitis


The discharge is still green even after menstruation.
Should I be concerned about an abnormal condition? I noticed it was green before my period and thought it would return to normal after menstruation.

Bonwa, 10~19 year old female. Ask Date: 2019/11/17

Dr. Lin Manying reply Obstetrics and Gynecology


Ms.
Bonwa: Hello, regarding your inquiry, if you have engaged in sexual activity, it is advisable to visit an outpatient clinic for an examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2019/11/17

More Info


Green discharge from the vagina can be concerning and is often indicative of an underlying issue that requires medical attention. The presence of green discharge, especially when accompanied by symptoms such as itching, burning, or pain, suggests a possible infection or inflammation in the vaginal area.
One of the most common causes of green discharge is a condition known as bacterial vaginosis (BV) or a sexually transmitted infection (STI) such as trichomoniasis. Bacterial vaginosis occurs when there is an imbalance in the normal bacteria found in the vagina, leading to an overgrowth of certain bacteria. This condition can produce a fishy odor and a greenish discharge. Trichomoniasis, on the other hand, is caused by a parasite and can also result in green, frothy discharge, along with irritation and discomfort.

In your case, if you have been experiencing green discharge for an extended period, such as after your menstrual cycle, it is crucial to consult with a healthcare provider. The fact that the discharge persists even after menstruation suggests that it is not simply a result of menstrual blood mixing with vaginal secretions. Instead, it may indicate an ongoing infection that needs to be addressed.

It is also important to consider other factors that could contribute to your symptoms. For instance, hormonal changes, irritants such as soaps or detergents, or even tight clothing can exacerbate vaginal irritation and discharge. Additionally, if you have been experiencing pain during intercourse, this could be related to the inflammation or infection present in the vaginal area. Pain during intercourse, known as dyspareunia, can be a result of various factors, including infections, vaginal dryness, or even psychological factors.

Given the complexity of vaginal health, it is advisable to seek a thorough evaluation from a gynecologist. They may perform a pelvic examination, take samples of the discharge for laboratory analysis, and possibly conduct tests for STIs. This comprehensive approach will help identify the exact cause of your symptoms and guide appropriate treatment.

Treatment for green discharge will depend on the underlying cause. If it is due to bacterial vaginosis, antibiotics may be prescribed. For trichomoniasis, specific antiparasitic medications will be necessary. It is essential to complete the full course of any prescribed medication and to follow up with your healthcare provider to ensure that the infection has resolved.

In conclusion, persistent green discharge after menstruation is not normal and warrants medical evaluation. It is essential to address any underlying infections or conditions to restore vaginal health and alleviate discomfort. Regular gynecological check-ups and open communication with your healthcare provider can help manage and prevent recurrent issues, ensuring your overall reproductive health remains optimal.

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