White Discharge After Antibiotics: Causes and Concerns

Tofu-like/soap-like discharge

Hello.
Last week, the doctor prescribed me two antibiotics, Flagyl 200mg and Augmentin 1g, which I completed a 7-day course.
The yellow nasal discharge with an unusual odor has disappeared, but I noticed a thin layer of white discharge adhering to the vulva and around the urethra.
When I wipe it with my finger, it feels soapy, has no odor, is in small amounts, and does not stick or flow onto my underwear.
There is also no itching in the genital area.
Additionally, during the examination, a 0.7mm polyp was found in the uterus, and I am experiencing irregular bleeding.

- Is the discharge due to the medication, or does it indicate that the condition has not resolved and I need to return for a follow-up?
- Will anesthesia be required for the removal of the polyp? Will there be any discomfort or pain after the procedure? Thank you!

Niming, 20~29 year old female. Ask Date: 2020/06/29

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if there are still secretions, you should see a gynecologist.
A hysteroscopic polypectomy requires anesthesia.
Wishing you good health.

Reply Date: 2020/06/29

More Info

After completing a course of antibiotics, such as Flagyl (metronidazole) and Augmentin (amoxicillin and clavulanate), it is not uncommon to experience changes in vaginal discharge. The white discharge you are observing could be attributed to several factors, including the effects of the antibiotics on your body, particularly on your vaginal flora.

Antibiotics can disrupt the natural balance of bacteria in the vagina, leading to a decrease in beneficial bacteria like Lactobacillus. This disruption can result in an overgrowth of yeast, which may cause a condition known as yeast infection (candidiasis). However, the absence of odor and itchiness in your case suggests that it may not be a typical yeast infection. The white, soap-like discharge you describe could be a result of the antibiotics altering your normal vaginal flora, leading to a temporary imbalance.
It is essential to monitor the discharge over the next few days. If it changes in color, consistency, or odor, or if you develop symptoms such as itching or irritation, it would be prudent to follow up with your healthcare provider. They may want to perform a vaginal swab to rule out any infections, including yeast infections or bacterial vaginosis, which can occur after antibiotic use.

Regarding the uterine polyp you mentioned, the presence of a 0.7mm polyp is generally considered small. The decision to remove it often depends on factors such as your symptoms, age, and whether you are experiencing irregular bleeding. Polypectomy, the procedure to remove a polyp, is typically performed under local or general anesthesia, depending on the specific circumstances and your healthcare provider's recommendations.
Post-operative discomfort can vary from person to person. Some individuals may experience mild cramping or spotting after the procedure, which is generally manageable with over-the-counter pain relief. Your healthcare provider will give you specific instructions on what to expect and how to care for yourself after the procedure.

In summary, the white discharge you are experiencing is likely related to the antibiotics you took, but it is essential to keep an eye on it and consult your doctor if you have any concerns. As for the uterine polyp, discuss with your healthcare provider the best approach for removal and what to expect during recovery. Always prioritize open communication with your healthcare provider to address any concerns you may have regarding your health.

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