[28F] Experiencing green vaginal discharge and mild abdominal cramping

Patient Description

A 28-year-old female presents with a one-day history of green vaginal discharge and mild abdominal cramping. The discharge is described as creamy, foul-smelling, and green in color, and it is a small amount. The abdominal cramping is mild and is exacerbated by sitting down, moving, and standing up. The patient has had a new sexual partner recently. There is no past medical history of similar symptoms, chronic illnesses, or known drug allergies. The patient is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely diagnosis is:

  • Bacterial Vaginosis (BV): This is a common vaginal infection in women of reproductive age. It happens when the balance of bacteria in the vagina is disrupted. Symptoms can include a thin, gray, white or green vaginal discharge, a foul-smelling "fishy" vaginal odor, vaginal itching, and burning during urination.
    • Treatment typically involves antibiotics prescribed by a doctor.

Other possibilities include:

  • Sexually Transmitted Infections (STIs): Certain STIs, like gonorrhea or trichomoniasis, can cause greenish vaginal discharge. These infections can also cause abdominal pain or discomfort.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Pelvic Inflammatory Disease (PID): This is an infection of a woman's reproductive organs. It's often caused by a sexually transmitted infection. Symptoms can include pain in your lower abdomen, fever, an unusual discharge with a bad odor from your vagina, pain and/or bleeding when you have sex, burning sensation when you urinate, and bleeding between periods.

    • Treatment typically involves antibiotics prescribed by a doctor.

What you can do

Given your symptoms, it's important to seek medical attention as soon as possible. In the meantime, here are some things you can do:

  1. Avoid sexual intercourse until you have been evaluated by a healthcare provider.
  2. Avoid douching, as it can disrupt the balance of bacteria in your vagina and can mask the signs of an infection.
  3. Keep the area around your vagina clean and dry.

What you should look out for

Reasons to seek immediate medical attention:

  • If your symptoms worsen or do not improve within a few days
  • If you develop a fever (temperature over >100.4°F) or chills
  • If you experience severe abdominal pain
  • If you have difficulty or pain during urination

Please remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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People Also Ask


What causes green vaginal discharge?

Green vaginal discharge can be caused by infections such as bacterial vaginosis or sexually transmitted infections like trichomoniasis or gonorrhea. It is important to consult a healthcare provider for an accurate diagnosis and appropriate treatment.


How is bacterial vaginosis different from a sexually transmitted infection?

Bacterial vaginosis is caused by an imbalance of bacteria in the vagina, while sexually transmitted infections are caused by pathogens transmitted through sexual contact. Both can cause similar symptoms, but STIs often require different treatments and can have more serious health implications if left untreated.


What are the common symptoms of pelvic inflammatory disease?

Common symptoms of pelvic inflammatory disease include lower abdominal pain, fever, unusual vaginal discharge with a bad odor, pain during intercourse, painful urination, and irregular menstrual bleeding. It is important to seek medical attention if you suspect PID.


When should I seek immediate medical attention for vaginal discharge?

You should seek immediate medical attention if your symptoms worsen, do not improve within a few days, if you develop a fever or chills, experience severe abdominal pain, or have difficulty or pain during urination.


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