Unpleasant Vaginal Discharge: Causes and Solutions

The secretion has an unusual odor?

Since middle school, I have had a lot of discharge that has a rather unpleasant odor.
However, I have not engaged in sexual intercourse.
The discharge is somewhat yellowish and occasionally has a greenish tint, and sometimes I notice brown discharge.
I once consulted a nearby doctor who mentioned some inflammation in my uterus or ovaries and prescribed medication for me, but my concern is the discharge, and there has been no improvement.
I feel that the doctor did not respect me, as it took a lot of courage for me to seek medical help, and I am feeling a bit sad about it.

Da Nü Sheng, 10~19 year old female. Ask Date: 2004/12/17

Dr. Lin Zhaopei reply Obstetrics and Gynecology

Generally, the likelihood of uterine and ovarian inflammation without sexual intercourse is low.
If there is simply an excess of discharge without accompanying abdominal pain, it is likely bacterial vaginosis.
The normal vagina hosts a variety of bacteria, and the pH is maintained around 6.
If an individual's constitution leads to a decrease in lactobacilli, resulting in an alkaline vaginal environment, this can cause an increase in discharge.
This condition is related to fatigue and irregular lifestyle rather than sexual activity.
If inflammation persists, a physician can be requested to perform a bacterial culture, and one can also purchase vaginal care products (with a pH below 4.9) at a pharmacy.

Reply Date: 2004/12/17

More Info

Understanding unpleasant vaginal discharge can be a complex issue, as it may arise from various underlying causes. In your case, the presence of yellow or green discharge, especially if accompanied by an unpleasant odor, can indicate an infection or other medical condition that requires attention.

Firstly, it is essential to understand that vaginal discharge is a normal physiological process. However, changes in the color, consistency, or odor of the discharge can signal an underlying issue. Common causes of abnormal vaginal discharge include:
1. Bacterial Vaginosis (BV): This is one of the most common causes of abnormal discharge in women. It occurs when there is an imbalance in the normal bacteria present in the vagina. BV typically results in a thin, grayish discharge with a fishy odor, especially after sexual intercourse.

2. Yeast Infections: These infections are caused by an overgrowth of Candida, a type of fungus. Symptoms often include thick, white discharge resembling cottage cheese, itching, and irritation. While yeast infections typically do not cause a foul odor, they can lead to significant discomfort.

3. Sexually Transmitted Infections (STIs): Infections such as chlamydia and gonorrhea can cause yellow or green discharge and may be accompanied by other symptoms like pelvic pain or burning during urination. It is crucial to get tested for STIs if you suspect this might be the cause.

4. Cervicitis: Inflammation of the cervix can lead to abnormal discharge, often with a yellow or green tint. This condition can be caused by infections, including STIs, or irritants.

5. Hormonal Changes: Fluctuations in hormones, such as those occurring during menstruation, pregnancy, or menopause, can also affect the nature of vaginal discharge.

Given your history of experiencing unpleasant discharge and the previous diagnosis of inflammation in the uterus or ovaries, it is vital to follow up with a healthcare provider who can perform a thorough examination. This may include:
- Pelvic Examination: A physical examination can help identify any abnormalities in the vaginal walls, cervix, or surrounding tissues.

- Laboratory Tests: A sample of the discharge can be taken for analysis to identify any bacterial or fungal infections.

- Ultrasound or Imaging: If there is a suspicion of underlying issues with the ovaries or uterus, imaging studies may be warranted.

Regarding your feelings about the previous medical consultation, it is crucial to find a healthcare provider who listens to your concerns and respects your experiences. If you feel that your concerns were not adequately addressed, consider seeking a second opinion. A good doctor-patient relationship is essential for effective treatment, and you deserve to have your symptoms taken seriously.

In terms of treatment, addressing the underlying cause of the discharge is key. If an infection is diagnosed, appropriate antibiotics or antifungal medications will be prescribed. Additionally, maintaining good vaginal hygiene, avoiding irritants (such as scented products), and wearing breathable cotton underwear can help manage symptoms.

In conclusion, while abnormal vaginal discharge can be distressing, understanding its potential causes and seeking appropriate medical care can lead to effective treatment and relief. Don't hesitate to advocate for your health and seek the care you deserve.

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