Bright Yellow Discharge: Causes and When to Seek Help

Bright yellow discharge?

Hello Doctor,
I would like to ask a question: A couple of days ago, after engaging in sexual intercourse (with a condom), I experienced slight pain (dull ache) near my right ovary.
When I went to the bathroom, I noticed a bright yellow discharge from my vagina (somewhat resembling the color of fluorescent curry, about the amount of half a fingertip).
Subsequently, I have had yellowish-white discharge.
A similar situation occurred last month (though I can't recall the exact timing).
I am unsure of the cause and whether I need to seek further medical attention.
1.
Age: 34
2.
Menstrual cycle: Day 18
3.
Other: Suspected chocolate cyst on the right ovary, measuring 1.5 x 1 cm (I had an ultrasound done two weeks ago, and I have follow-ups every six months with no other treatment options).
Recently, I have been taking a higher amount of lutein supplements (still within the recommended dosage on the packaging).
Thank you very much.

Niming, 30~39 year old female. Ask Date: 2021/07/24

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it could be inflammation.
It is recommended to visit a gynecologist for an examination.
Wishing you good health.

Reply Date: 2021/07/24

More Info

Bright yellow discharge from the vagina can be concerning, especially when accompanied by pain or discomfort. In your case, the symptoms you describe—pain near the right ovary and the presence of bright yellow discharge—could be indicative of several underlying conditions.
Firstly, the bright yellow color of the discharge may suggest an infection. Common infections that can cause abnormal vaginal discharge include bacterial vaginosis, yeast infections, and sexually transmitted infections (STIs) such as gonorrhea or chlamydia. The fact that you experienced similar symptoms last month raises the possibility of a recurring infection.
The pain you mentioned near the right ovary could also be related to your known condition of a chocolate cyst (endometrioma). While chocolate cysts are often benign, they can sometimes lead to complications such as rupture or inflammation, which could cause pain and abnormal discharge. It’s important to monitor any changes in your symptoms, especially if the pain worsens or if you experience additional symptoms such as fever, chills, or increased discharge.

Given your history and current symptoms, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination, including a pelvic exam and possibly additional imaging studies, to assess the condition of your ovaries and rule out any complications related to the chocolate cyst. They may also conduct tests to determine if there is an infection present, which could require treatment with antibiotics or antifungal medications.

In addition to the above, it’s important to consider other factors that could contribute to your symptoms. Hormonal changes during your menstrual cycle can affect the consistency and color of vaginal discharge. However, the bright yellow color, especially if it resembles "fluorescent curry," is not typical and warrants further investigation.

If you notice any of the following symptoms, you should seek medical attention promptly:
1. Severe or worsening pain in the lower abdomen or pelvis.

2. Fever or chills, which could indicate an infection.

3. Foul-smelling discharge.

4. Changes in your menstrual cycle or unusual bleeding.

5. Any other new or concerning symptoms.

In summary, while some changes in vaginal discharge can be normal, the combination of bright yellow discharge, pain near the ovary, and your medical history suggests that it would be prudent to consult with a healthcare provider. They can provide a proper diagnosis and appropriate treatment to address your symptoms and ensure your overall reproductive health.

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