Greenish Discharge: When to Seek Medical Advice

Greenish discharge without odor or itching?

Hello Doctor! Recently, I noticed that my vaginal discharge has turned slightly green, but I do not experience any itching, odor, or other discomfort in the genital area.
The only changes in my body are a sudden outbreak of acne on my face (which has not improved with the application of tretinoin) and unexpected weight gain (which has not improved with exercise and dietary control), along with increased fatigue.
Therefore, I have the following questions for you: (1) My last sexual encounter was four months ago; does my partner need to get tested as well? (2) If I wish to engage in sexual activity soon, is it safe to do so in this condition? (3) What could be the possible causes of this situation, and should I seek medical attention promptly? Thank you for your help and answers!

Guo, 20~29 year old female. Ask Date: 2021/07/14

Dr. Wu Xianghui reply Obstetrics and Gynecology

"Vaginal infections" can cause abnormal discharge, perineal itching, unusual odor, burning sensation during urination, frequent urination, and bleeding.
In more severe cases, it may lead to abdominal pain or fever.
"Treatment methods" vary depending on the symptoms and require proper health education.
It is recommended to visit an outpatient clinic for examination and evaluation by a specialist in obstetrics and gynecology.

Reply Date: 2021/07/14

More Info

When it comes to understanding greenish discharge, it’s essential to consider various factors that could indicate underlying health issues. The presence of greenish discharge can be a sign of an infection, particularly if it is accompanied by other symptoms such as itching, odor, or discomfort. However, in your case, you mentioned that there are no accompanying symptoms like itching or foul smell, which is a positive sign.
1. Regarding your first question about whether your partner needs to be checked: While it’s not always necessary for a partner to be tested if there are no symptoms on their end, it is advisable to have open communication about sexual health. If there is any suspicion of a sexually transmitted infection (STI) or if you have had unprotected sex, it would be prudent for both partners to get tested. This is especially important if you plan to resume sexual activity.

2. As for whether you can engage in sexual activity: It’s generally recommended to avoid sexual intercourse until you have a clear understanding of the cause of the discharge. Engaging in sexual activity could potentially exacerbate any underlying condition or lead to the transmission of an infection, should one be present. It’s best to consult with a healthcare provider before proceeding.

3. Regarding the potential causes of your symptoms: Greenish discharge can be associated with several conditions, including bacterial vaginosis, trichomoniasis, or other infections. The sudden appearance of acne and unexplained weight gain could suggest hormonal changes or other systemic issues that may need to be evaluated. Fatigue can also be a sign of various health concerns, including hormonal imbalances, stress, or even nutritional deficiencies.
Given your symptoms, it would be wise to seek medical advice. A healthcare provider can perform a thorough examination, possibly including a pelvic exam and laboratory tests to determine the cause of the discharge and any other symptoms you are experiencing. They may also check for hormonal levels, especially considering your sudden weight gain and fatigue, which could be linked to conditions such as polycystic ovary syndrome (PCOS) or thyroid issues.

In summary, while the absence of discomfort is a good sign, the change in discharge color and the other symptoms you are experiencing warrant a medical evaluation. It’s always better to err on the side of caution when it comes to reproductive health. Seeking timely medical advice can help ensure that any potential issues are addressed early, leading to better health outcomes.

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