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

Question

Hi that I think we got cut off

Patient Description

A 36-year-old female reports experiencing a bright green, mucus-like vaginal discharge since the first week of March. The discharge is small in amount and thick in consistency, without a particular odor. The patient has not had any new sexual partners and did not use protection. She has not experienced any previous occurrences of discharge before this episode and has no other symptoms such as severe lower abdominal pain, fever, pain during urination, or pain during sex. There is a slight smell, but it is not strong. The patient was diagnosed with Mycoplasma genitalium (Mgen) in April and was prescribed azithromycin 250 mg tablets. She has not started taking the medication yet because her boyfriend, who does not have health insurance, needs to be checked. The patient has no known allergies or adverse reactions to medications and is not currently taking any other medications, supplements, or over-the-counter drugs.

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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:

  • 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.

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6 mo ago


People Also Ask


What are the common symptoms of Mycoplasma genitalium (Mgen) infection?

Common symptoms of Mycoplasma genitalium infection include urethritis, cervicitis, and pelvic inflammatory disease. However, many people may not experience any symptoms at all.


Can Mycoplasma genitalium cause green vaginal discharge?

Mycoplasma genitalium typically does not cause green vaginal discharge. Green discharge is more commonly associated with bacterial vaginosis or trichomoniasis.


What are the treatment options for bacterial vaginosis (BV)?

Bacterial vaginosis is usually treated with antibiotics such as metronidazole or clindamycin. It is important to follow the prescribed treatment plan to restore the natural balance of bacteria in the vagina.


How can I prevent reinfection of sexually transmitted infections (STIs)?

To prevent reinfection of STIs, it is important to ensure that both partners are treated simultaneously, practice safe sex by using condoms, and get regular STI screenings if you are sexually active.


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Arora (Bot)#28060

6 mo ago

Hello Natasha! How can I assist you further with your medical concerns today?

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