Vaginal Discharge: When to Seek Gynecological Care

Vaginal discharge

Hello Doctor, I previously mentioned that I tested positive on the 24th and started home isolation on the 25th.
On the 25th, I noticed a small amount of yellow discharge, and on the 26th, I had a bowel movement that was quite forceful, resulting in a significant amount of yellow discharge.
After that, I didn't see much discharge.
Starting on the 26th, I began to feel itchy and also used a sitz bath, followed by inserting medication at night.
On the 27th, the yellow discharge was very minimal throughout the day, almost none, but the itching persisted until the 29th.
I felt itchy about three to four times a day, but it was brief.
I originally planned to use the medication for five days, but I was released from isolation on June 1st to see a gynecologist, and then my period started on the 30th, so I only used the medication for four days.
During my menstrual period from the 29th until today, the 1st, I sometimes feel itching at the vaginal opening.

1.
Doctor, now that my period has ended, do I need to see a doctor for an internal examination, or can I go to the gynecologist first to see if I need medication?
2.
Or is it sufficient to wait until my period is over, and if there is no yellow discharge and no itching, I can skip the gynecologist visit?
3.
Is it okay to wash the vulva during menstruation if it itches, and can I just use water? Is it okay to do this regularly? I find that after washing with clean water or using a specialized cleansing solution, the itching is reduced.
Can I do this multiple times a day?
4.
When bathing, should I use a pH 5.5 specialized product, such as a feminine wash?
5.
Is it possible that my recent COVID-19 infection has weakened my immune system, leading to inflammation in the genital area?

Wenwen, 40~49 year old female. Ask Date: 2022/06/01

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you need to manage it on your own before going to the hospital.
Yellow discharge is somewhat abnormal, and if you still have discharge after your period that is itchy, it is advisable to see a gynecologist.
Generally, washing with clean water is sufficient.
Wishing you good health.

Reply Date: 2022/06/01

More Info

When it comes to understanding vaginal discharge and determining when to seek gynecological care, it’s essential to consider various factors, including the characteristics of the discharge, accompanying symptoms, and your overall health history. Based on your description, it seems you have experienced some changes in your vaginal discharge, along with itching and discomfort, which can be concerning.

1. Characteristics of Discharge: You mentioned observing yellow discharge, which can sometimes indicate an infection, especially if accompanied by itching. Normal vaginal discharge can vary in color and consistency throughout the menstrual cycle, but a sudden change, particularly if it is accompanied by other symptoms like itching or a foul odor, may warrant further investigation.

2. Timing of Symptoms: Since you experienced itching and discharge before your menstrual cycle, it’s important to monitor these symptoms. If the itching persists after your period ends, or if you notice any unusual discharge (such as a strong odor, a change in color, or an increase in volume), it would be wise to consult a gynecologist.
3. When to Seek Care: If your symptoms continue after your menstrual cycle, or if you experience any additional symptoms such as pain during intercourse, burning during urination, or significant changes in your discharge, it is advisable to seek medical attention. A gynecologist can perform an examination to determine if there is an underlying infection or other condition that needs treatment.

4. Hygiene Practices: Regarding your hygiene practices during menstruation, it is generally safe to wash the external genital area with water. Using a gentle, pH-balanced cleanser can help maintain the natural flora of the vagina. However, avoid using harsh soaps or douching, as these can disrupt the natural balance and potentially lead to infections. It’s okay to wash multiple times a day, especially if it helps alleviate discomfort, but be cautious not to over-cleanse, as this can lead to irritation.

5. Impact of Illness on Immunity: You raised a valid point about the potential impact of COVID-19 on your immune system. Illness can indeed affect your immune response, making you more susceptible to infections. If you suspect that your recent illness may have contributed to your symptoms, it’s worth discussing this with your healthcare provider.

6. Consulting a Gynecologist: Given your symptoms and the recent changes in your discharge, it would be prudent to schedule an appointment with a gynecologist after your menstrual cycle. They can provide a thorough examination and may recommend tests to rule out infections such as bacterial vaginosis or yeast infections, which are common causes of abnormal discharge and itching.

In summary, while some changes in vaginal discharge can be normal, persistent symptoms, especially those accompanied by discomfort or unusual characteristics, should not be ignored. Maintaining good hygiene, being aware of your body’s signals, and seeking timely medical advice are key to ensuring your reproductive health. If you have any doubts or concerns, don’t hesitate to reach out to a healthcare professional for personalized guidance.

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