[36F] With green vaginal discharge and recent mgen diagnosis
Question
Patient Description
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Arora's Assessment
What might be happening
Based on the information you have provided, here are some possible explanations for your symptoms:
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Mycoplasma genitalium (Mgen): This is a sexually transmitted infection that can cause symptoms like discharge, although green discharge is not typically associated with Mgen. It is possible for Mgen to be asymptomatic for a long time and then suddenly cause symptoms. The standard treatment for Mgen is antibiotics, such as azithromycin.
- Treatment: You have been prescribed azithromycin, which is a common antibiotic used to treat Mgen. It is important to take the medication as prescribed and ensure that your partner is also treated to prevent reinfection.
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Bacterial Vaginosis (BV): This condition occurs when there is an imbalance of the natural bacteria in the vagina. It can cause a green or gray discharge with a fishy odor.
- Treatment: BV is usually treated with antibiotics like metronidazole or clindamycin. Your doctor can confirm this diagnosis with a vaginal swab test.
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Trichomoniasis: This is another sexually transmitted infection that can cause green, frothy discharge with a bad odor.
- Treatment: Trichomoniasis is treated with antibiotics such as metronidazole or tinidazole. Both partners should be treated to prevent reinfection.
What you can do
- Take the Prescribed Medication: Start taking the azithromycin as prescribed by your doctor. Even if your partner has not been tested yet, it is important to begin treatment to address the infection.
- Encourage Your Partner to Get Tested: Although your partner does not have health insurance, many clinics offer low-cost or free testing for sexually transmitted infections. It is important for both of you to be treated to prevent reinfection.
- Practice Safe Sex: Use condoms to reduce the risk of transmitting or contracting sexually transmitted infections.
- Monitor Your Symptoms: Keep an eye on your symptoms. If they do not improve after completing the antibiotic course, or if they worsen, contact your healthcare provider.
What you should look out for
- Worsening Symptoms: If you notice an increase in discharge, a change in its color or odor, or if you develop new symptoms such as pain, fever, or abdominal discomfort, seek medical attention promptly.
- Partner's Symptoms: If your partner develops any symptoms, such as discharge, pain during urination, or any other unusual signs, they should seek medical attention as well.
Remember, while I can provide information based on your symptoms, it is important to follow up with your healthcare provider for a formal diagnosis and appropriate treatment.
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6 mo ago