Greenish Discharge: Causes and Concerns in Women's Health - Obstetrics and Gynecology

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Greenish vaginal discharge?


Hello, doctor.
I noticed greenish discharge starting two weeks ago, and I have no sexual experience.
I later went to a gynecologist for an examination, and the doctor said everything was fine.
I would like to know why the discharge is greenish.

Qiao, 10~19 year old female. Ask Date: 2022/04/17

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the amount of vaginal discharge typically varies among individuals and changes throughout the menstrual cycle.
For instance, after menstruation ends, the discharge is usually minimal and gradually increases.
During ovulation, the discharge becomes more abundant, characterized by a clear, stretchy, and viscous consistency with no odor.
After ovulation, the discharge decreases again but becomes thicker.
Just before menstruation, the discharge may increase once more, often appearing slightly yellow or blood-tinged and may have a faint fishy odor.

However, you should consult a physician if you experience any of the following conditions: 1.
An abnormal increase in discharge that is uncomfortable or requires the use of panty liners.
2.
Changes in the color and characteristics of the discharge.
3.
An unpleasant odor, as normal vaginal discharge is typically odorless; the presence of an odor usually indicates a disruption in the vaginal environment and potential pathogen growth.
4.
Accompanying symptoms such as itching or burning in the vulva or vagina, and lower abdominal pain, which may suggest vaginitis or pelvic inflammatory disease.

If symptoms persist, it is advisable to seek medical evaluation and treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2022/04/17

More Info


Greenish discharge can be a concerning symptom for many women, and understanding its potential causes is crucial for maintaining reproductive health. While the presence of greenish discharge may not always indicate a serious issue, it can often be associated with various infections or conditions that warrant further investigation.

One of the most common causes of greenish discharge is a vaginal infection, particularly bacterial vaginosis or trichomoniasis. Bacterial vaginosis is caused by an imbalance in the normal bacteria found in the vagina, leading to an overgrowth of certain bacteria. This condition can result in a discharge that is often described as thin, grayish, or greenish, and may have a fishy odor. Trichomoniasis, on the other hand, is a sexually transmitted infection caused by a parasite called Trichomonas vaginalis. It can lead to a frothy, greenish-yellow discharge, along with symptoms such as itching, burning, and discomfort during intercourse.

In your case, since you mentioned that you have no sexual experience, it is less likely that trichomoniasis is the cause. However, bacterial vaginosis can still occur in women who are not sexually active, as it is related to the natural flora of the vagina rather than sexual activity. Other factors that can contribute to bacterial vaginosis include douching, using scented soaps or hygiene products, and having multiple sexual partners.

Another possibility for greenish discharge could be a yeast infection, although these typically present with a thick, white discharge rather than a greenish hue. However, if there is a concurrent bacterial infection, it could lead to a mixed presentation of symptoms.

It is also important to consider that hormonal changes, such as those occurring during the menstrual cycle, can affect the color and consistency of vaginal discharge. For instance, during ovulation, women may notice an increase in clear or slightly cloudy discharge, but if there is an infection present, the discharge may take on a different color.

Given that you have already consulted with a gynecologist and were told that everything appears normal, it is possible that the greenish discharge may not be indicative of a serious issue. However, if the discharge persists, changes in color or odor, or if you experience any discomfort, it is essential to follow up with your healthcare provider for further evaluation. They may recommend tests such as a pelvic exam, swabs for culture, or other diagnostic procedures to rule out infections or other underlying conditions.

In summary, while greenish discharge can be alarming, it is not always a sign of a severe problem. It is essential to monitor your symptoms and maintain open communication with your healthcare provider. If you experience any additional symptoms such as itching, burning, or unusual odor, or if the discharge continues, do not hesitate to seek further medical advice. Regular gynecological check-ups are also important for maintaining reproductive health and addressing any concerns that may arise.

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