[36F] With green vaginal discharge and recent mgen diagnosis

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• 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.

• 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.

• 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

1. 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.
2. 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.
3. Practice Safe Sex: Use condoms to reduce the risk of transmitting or contracting sexually transmitted infections.
4. 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.