[25F] With yellow-green vaginal discharge

Patient Description

A 25-year-old female reports experiencing a yellowish-green vaginal discharge for the past couple of weeks. The discharge appeared suddenly and is not associated with any odor. The patient denies any additional symptoms such as pelvic pain, itching, irritation, fever, or chills. She recently had a new sexual partner and did not use protection. The patient has not been tested for sexually transmitted infections (STIs) before. She is currently using an IUD for birth control, which has been in place since shortly after the birth of her daughter. There are no pre-existing conditions or medications reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Bacterial Vaginosis (BV): This is a common condition caused by an imbalance of bacteria in the vagina. It can lead to a yellow or greenish discharge. BV is usually treated with antibiotics prescribed by a doctor.

  • Sexually Transmitted Infections (STIs): Infections like gonorrhea or trichomoniasis can cause yellow or green discharge. Testing and treatment with antibiotics are important.

  • Vaginal Infections: Other infections, such as yeast infections, typically cause white discharge but can sometimes present differently.

It's important to see a healthcare provider for a proper diagnosis and treatment.

What you can do

  • Schedule a Visit: Make an appointment with your healthcare provider to discuss your symptoms and get tested for infections.

  • Avoid Douching: This can disrupt the natural balance of bacteria in your vagina.

  • Use Protection: Consider using condoms to reduce the risk of STIs in the future.

  • Track Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your provider.

What you should look out for

  • Seek Immediate Care: If you develop pelvic pain, fever, or a strong odor, see a doctor promptly.

  • Monitor Changes: Keep an eye on any new symptoms or changes in your discharge.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment.

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9 mo ago

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People Also Ask


What could cause a yellowish-green vaginal discharge without odor?

A yellowish-green vaginal discharge without odor could be caused by bacterial vaginosis or sexually transmitted infections like gonorrhea or trichomoniasis. It's important to get tested to determine the exact cause.


How can sexually transmitted infections (STIs) be prevented?

STIs can be prevented by using condoms during sexual intercourse, limiting the number of sexual partners, and getting regularly tested for STIs, especially when having a new partner.


What are the risks of not treating bacterial vaginosis (BV) or STIs?

Not treating bacterial vaginosis or STIs can lead to complications such as pelvic inflammatory disease, increased risk of acquiring other STIs, and potential fertility issues. It's important to seek treatment promptly.


Is it safe to use an IUD if I have a vaginal infection?

Using an IUD is generally safe, but if you suspect a vaginal infection, it's important to consult with a healthcare provider. They can assess whether the IUD is contributing to the symptoms and provide appropriate treatment.


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