Yellow-Green Discharge: Is It a Sign of Trichomoniasis?

Yellow-green discharge

Hello, I have been experiencing vaginitis since around August or September, characterized by yellow-green discharge.
I have visited two gynecologists who both diagnosed it as a yeast infection.
The first time I got infected, I had been swimming in the ocean, so I’m not sure if that contributed to the vaginitis.
However, I noticed that after having intercourse with my boyfriend, I experience green discharge and a burning sensation when urinating.
Could this be a trichomoniasis infection? We do not use condoms, but my boyfriend mentioned he had it a long time ago and has not had any symptoms like burning during urination recently.
It feels like it might be my issue, but since my last menstrual period, I haven’t had green discharge until today after having intercourse with my boyfriend.
Is it possible that this is a trichomoniasis infection? Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2023/12/13

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, if you experience any of the following conditions with vaginal discharge, it is advisable to consult a physician: 1.
An abnormal increase in quantity that causes discomfort, to the extent that you may need to use panty liners.
2.
Changes in the color and consistency of the discharge.
3.
An unpleasant odor.
4.
Accompanied by other discomforting symptoms, such as itching or burning in the vulva or vagina, lower abdominal pain, which may indicate vaginitis or pelvic inflammatory disease.
The physician will arrange relevant examinations and treatments based on your symptoms.
It is recommended to seek a physician's diagnosis to confirm the treatment.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2023/12/13

More Info

The symptoms you are experiencing, particularly the yellow-green discharge accompanied by itching and a burning sensation during urination, could indeed suggest a possible infection, including trichomoniasis. Trichomoniasis is a sexually transmitted infection (STI) caused by the parasite Trichomonas vaginalis. It is known to cause symptoms such as abnormal vaginal discharge, which can be yellow-green and frothy, as well as discomfort during urination and sexual intercourse.

Given your history of vaginal infections and the recent symptoms after sexual activity, it is essential to consider a few factors. First, while your previous visits to gynecologists indicated a yeast infection (candidiasis), the presence of yellow-green discharge and the timing of your symptoms after sexual intercourse raise the possibility of trichomoniasis or another type of infection, such as bacterial vaginosis or a sexually transmitted infection.

1. Infection Types: Yeast infections typically cause thick, white, and odorless discharge, while bacterial vaginosis can lead to a fishy odor and grayish discharge. Trichomoniasis, on the other hand, is characterized by yellow-green discharge and may have a foul smell. The burning sensation during urination is also a common symptom of trichomoniasis.

2. Transmission and Symptoms: Since you mentioned that your boyfriend had a history of an STI, it is crucial to communicate openly about sexual health. Even if he is not currently experiencing symptoms, he could still be a carrier of the infection. It is advisable for both partners to get tested to rule out any STIs.

3. Diagnosis and Treatment: The best course of action is to return to a healthcare provider for a thorough examination and testing. A wet mount or a nucleic acid amplification test (NAAT) can confirm the presence of Trichomonas vaginalis. If diagnosed, treatment typically involves a course of antibiotics, such as metronidazole or tinidazole, which are effective against trichomoniasis.

4. Preventive Measures: To prevent future infections, consider using condoms during sexual intercourse, as this can significantly reduce the risk of STIs. Additionally, maintaining good hygiene and avoiding irritants such as scented soaps or douches can help prevent recurrent infections.

5. Follow-Up: After treatment, it is essential to follow up with your healthcare provider to ensure the infection has cleared. If symptoms persist, further evaluation may be necessary to rule out other underlying conditions.

In summary, while your symptoms could indicate trichomoniasis, it is essential to get a proper diagnosis from a healthcare professional. Open communication with your partner about sexual health and safe practices can help prevent future infections and ensure both partners' well-being.

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