Yellow-Green Discharge: Causes, Treatments, and Concerns

Yellow-green discharge

This issue with abnormal discharge has actually been ongoing for a long time.
For about seven months, I have seen many doctors, each treatment lasting about two weeks, but there has been no improvement, so I switched doctors.
Some said it was a bacterial infection, while others suggested a yeast infection.
My discharge has changed from green, resembling nasal mucus, to yellow, then back to green, and now it has become yellow-green and has a cottage cheese-like consistency.
Currently, I am seeing a gynecologist, and after a month of follow-up, the doctor said I have a fungal infection.
I am really struggling with this; every time I urinate and see this discharge, it makes me very anxious.
I feel like I am going crazy due to my body's condition.
The doctor advised me not to stay up late, but I am studying and it’s hard not to.
This period is very important for me as I have many books to read and reports to complete.
The doctor has prescribed me suppositories and medication, but sometimes only suppositories, and the type of suppository changes every few visits.
Should I seek another doctor or continue with this treatment? I found information online where many people say that taking cranberry and probiotics is helpful, or that I could take capsules combining these two with hibiscus.
Are these claims accurate? My boyfriend and I only engage in digital intercourse, using finger condoms, and we do not have actual genital contact.
During this infection period, should I stop all sexual activities with my boyfriend, or is it sufficient to just use finger condoms? I apologize for the many questions, and thank you in advance, doctor.

Xiao Fan, 10~19 year old female. Ask Date: 2015/12/21

Dr. Lü Lizheng reply Obstetrics and Gynecology

The persistent vaginal inflammation may have the following possible causes: 1.
It could be a fungal infection; however, there is already resistance to the current antifungal medication, necessitating the use of second-line drugs.
2.
There may be more than one infection present, possibly a combination of fungal and bacterial infections.
If only one type of pathogen is treated, the condition may not be fully resolved.
3.
There may be inadequate maintenance of dryness and ventilation in the genital area, possibly due to frequent use of sanitary pads or excessive washing.
Washing does not completely eliminate fungi; instead, it may create a moist environment that promotes fungal growth.
For other potential causes, please consult a major hospital for further evaluation.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/12/21

More Info

Yellow-green discharge can be a concerning symptom, and it’s understandable that you feel frustrated after experiencing this for several months without a clear resolution. The changes in the color and consistency of your discharge—from green to yellow-green and now to a more cottage cheese-like appearance—suggest that there may be an underlying infection, possibly fungal or bacterial in nature.

Causes of Yellow-Green Discharge
1. Bacterial Infections: Conditions like bacterial vaginosis can lead to abnormal discharge that may appear yellow or green. This is often accompanied by a fishy odor and can be caused by an imbalance in the normal flora of the vagina.

2. Fungal Infections: Yeast infections, often caused by Candida species, can also result in yellow-green discharge that has a thick, cottage cheese-like consistency. Symptoms typically include itching, burning, and irritation.

3. Sexually Transmitted Infections (STIs): Certain STIs, such as trichomoniasis, can cause yellow-green discharge along with other symptoms like itching and discomfort.
4. Hormonal Changes: Fluctuations in hormones, particularly during menstrual cycles or due to contraceptive methods, can also affect the discharge.

Treatment Options
Since you have already seen multiple doctors and have been prescribed various treatments, it may be beneficial to consider the following steps:
1. Follow-Up with Your Current Doctor: If your current treatment is not yielding results, it’s important to communicate this to your doctor. They may need to reassess your diagnosis or consider alternative treatments.
2. Consider a Second Opinion: If you feel that your concerns are not being adequately addressed, seeking a second opinion from another healthcare provider, preferably a specialist in gynecology or infectious diseases, may provide new insights.

3. Lifestyle Adjustments: While you mentioned the difficulty of avoiding late nights due to your studies, prioritizing sleep and reducing stress can significantly impact your immune system and overall health.
4. Dietary Considerations: Some anecdotal evidence suggests that cranberry supplements and probiotics (like lactobacillus) may help maintain vaginal health and prevent infections. However, these should not replace medical treatment. Always consult your doctor before starting any new supplements.

Sexual Activity During Treatment
Regarding sexual activity, it’s advisable to avoid any sexual contact until you have completed your treatment and your symptoms have resolved. Even with the use of protection, there is still a risk of transmitting infections. If you are experiencing symptoms of an infection, it’s best to refrain from any sexual activity until you have been evaluated and treated appropriately.

Conclusion
In summary, yellow-green discharge can be caused by various factors, including infections that may require specific treatments. It’s crucial to maintain open communication with your healthcare provider about your symptoms and treatment progress. If necessary, don’t hesitate to seek a second opinion to ensure you receive the best care possible. Additionally, consider lifestyle changes that can support your overall health, and prioritize your well-being during this challenging time.

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