Unusual Vaginal Discharge and Skin Issues: A Women's Health Inquiry

Inquiry

I am 160 cm tall and weigh 50 kg, unmarried, and have been sexually active.
I have experienced long-term constipation for 20 years, which has led to the production of vaginal discharge during straining.
Initially, I thought it was normal because it would flow out of my body.
However, in the later stages, when I couldn't pass stool or was straining, I would squeeze out vaginal discharge.
Currently, the discharge is yellow-green, viscous, and somewhat resembles a yogurt-like consistency.
I have seen a doctor in the past, but the situation has not improved; why is that?
Additionally, I have a more troubling issue.
Due to my virginity complex, whenever the discharge volume is high, I struggle to sleep at night and often scratch my skin, leading to severe bleeding.
This has been ongoing for a long time.
I am reluctant to show my lower body to a doctor, and I have resorted to a method of applying talcum powder on the scratched and bleeding areas at night to prevent further scratching.
However, I am concerned about any long-term side effects of this practice.

Later, I noticed many protruding bumps on my body that are only visible when pressed down, even on my breast nipples.
Could this be related to the talcum powder seeping into my bloodstream? Is there a possibility that it could also penetrate to my head?

Xia, 40~49 year old female. Ask Date: 2007/06/20

Dr. Huang Jianxun reply Obstetrics and Gynecology

Dear Xia,
Women’s "hidden ailments" often come with difficulties that are hard to express.
Based on your description, it seems you may be suffering from vaginitis and vulvitis, which require appropriate treatment to prevent severe complications.
I recommend that you overcome any psychological barriers and seek medical attention promptly.
A pelvic examination is a process conducted by an obstetrician-gynecologist to identify the cause and understand the condition.
Sincerely,
Dr.
Huang Jianxun
Director of Obstetrics and Gynecology, Taoyuan Hospital, Department of Health

Reply Date: 2007/06/20

More Info

Understanding unusual vaginal discharge and skin issues can be quite complex, especially when compounded by other health concerns such as chronic constipation and skin irritation. Based on your description, it appears that you are experiencing a combination of symptoms that may include abnormal vaginal discharge, skin irritation, and possibly secondary infections due to scratching.

Firstly, the yellow-green, thick, and curd-like discharge you mentioned could indicate a vaginal infection, possibly a yeast infection or bacterial vaginosis. These conditions can lead to increased discharge and may also cause itching and irritation. It's important to note that self-diagnosing can be misleading, and the best course of action is to consult a healthcare professional who can perform the necessary examinations and tests to determine the exact cause of your symptoms.

Chronic constipation can exacerbate vaginal issues, as straining during bowel movements can lead to increased pressure in the pelvic area, potentially affecting the vaginal flora and leading to infections. Addressing your constipation is crucial. There are various methods to manage constipation, including dietary changes (increasing fiber intake), hydration, and possibly the use of over-the-counter laxatives or stool softeners. Consulting with a gastroenterologist or your primary care physician can help you find an effective treatment plan tailored to your needs.

Regarding the skin irritation and the habit of scratching, it’s essential to understand that repeated scratching can lead to skin damage, which may increase the risk of secondary infections. The fact that you are experiencing bleeding from scratching indicates that the skin barrier has been compromised. Using talcum powder or any powder on open wounds is not advisable, as it can lead to further irritation or infection. Instead, consider using a gentle, hypoallergenic moisturizer to soothe the skin and reduce the urge to scratch.
If you are experiencing persistent itching and irritation, it may be beneficial to use topical corticosteroids as prescribed by a healthcare provider to reduce inflammation and itching. However, these should be used cautiously and under medical supervision, as long-term use can lead to skin thinning.

As for the bumps you mentioned on your skin, including on your breasts, these could be a variety of things, ranging from benign skin conditions such as folliculitis (inflammation of hair follicles) to other dermatological issues. It is unlikely that talcum powder would penetrate the bloodstream or cause systemic issues, but if you have concerns about skin changes, it is vital to have them evaluated by a dermatologist.

In summary, your symptoms warrant a comprehensive evaluation by healthcare professionals. A gynecologist can address your vaginal discharge and any potential infections, while a dermatologist can assess your skin issues. Additionally, addressing your constipation with the help of a gastroenterologist can significantly improve your overall health and potentially alleviate some of the discomfort you are experiencing. Remember, it’s essential to prioritize your health and seek professional help rather than relying solely on home remedies or self-treatment.

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