Abnormal Discharge: Causes and Concerns for Women - Obstetrics and Gynecology

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Abnormal secretion?


Doctor, after using the restroom, I notice yellowish discharge, sometimes with a hint of green, but there is no itching.
Could this be because I've been drinking very little water lately? I hardly drink any water throughout the day, and my urine is very yellow.
I also go to bed late at night, and my underwear often has yellow discharge on it, which has a sour smell.
Is this an infection?

Ruo Han, 10~19 year old female. Ask Date: 2015/12/24

Dr. Lin Manying reply Obstetrics and Gynecology


Yellow-green discharge is primarily inflammatory in nature, but whether it is infectious discharge can only be determined through a pelvic examination.
Dehydration and staying up late are the most common triggers for vaginitis.

Reply Date: 2015/12/24

More Info


Abnormal discharge can be a source of concern for many women, and understanding its causes and implications is essential for maintaining reproductive health. Based on your description, it seems that you are experiencing yellowish discharge, sometimes with a greenish tint, accompanied by dark yellow urine and a noticeable odor. While it is important to consult a healthcare professional for an accurate diagnosis, I can provide some insights into potential causes and considerations.

Firstly, the color and consistency of vaginal discharge can vary significantly throughout the menstrual cycle due to hormonal fluctuations. Normal discharge is typically clear or milky and may become thicker or more elastic around ovulation. However, changes in color, particularly to yellow or green, can indicate an infection or other underlying issues.

One common cause of yellowish discharge is a bacterial vaginosis (BV), which occurs when there is an imbalance in the normal bacteria present in the vagina. BV can lead to a fishy odor and changes in discharge but may not always cause itching or irritation. Another possibility is a sexually transmitted infection (STI) such as gonorrhea or chlamydia, which can also present with abnormal discharge and may require specific treatment.

The greenish tint you mentioned could suggest a more significant infection, such as trichomoniasis, which is caused by a parasite and often leads to a frothy, foul-smelling discharge. It is crucial to note that while some infections can be asymptomatic, they may still pose risks to your health and should be evaluated by a healthcare provider.

Your mention of dark yellow urine and reduced fluid intake is also noteworthy. Dehydration can concentrate urine, leading to a darker color and potentially affecting vaginal discharge. However, dehydration alone is unlikely to cause significant changes in discharge color. It is essential to maintain adequate hydration for overall health, as it can impact various bodily functions, including those of the reproductive system.

Given that you are experiencing these symptoms, it is advisable to seek medical attention. A healthcare provider can perform a pelvic examination, take a sample of the discharge for laboratory analysis, and conduct any necessary tests to determine the underlying cause. This is particularly important if you have any additional symptoms, such as pain, itching, or a persistent odor.

In the meantime, here are some general recommendations to consider:
1. Hydration: Increase your water intake to help dilute your urine and support overall bodily functions. Aim for at least 8 glasses of water a day, adjusting based on your activity level and climate.

2. Hygiene: Maintain good genital hygiene by washing the area with mild soap and water. Avoid using scented products, douches, or harsh soaps that can disrupt the natural balance of bacteria.

3. Diet: A balanced diet rich in fruits, vegetables, and whole grains can support your immune system and overall health.

4. Avoid Irritants: Limit exposure to potential irritants such as scented tampons, pads, or laundry detergents that may exacerbate any irritation.

5. Monitor Symptoms: Keep track of any changes in your discharge, including color, consistency, odor, and any accompanying symptoms like itching or discomfort.

In conclusion, while some changes in discharge can be normal, persistent or unusual symptoms warrant further investigation. By consulting a healthcare professional, you can receive appropriate guidance and treatment tailored to your specific situation. Remember, early intervention can help prevent complications and ensure your reproductive health remains a priority.

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