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Green vaginal discharge

Wednesday, March 25th, 2009
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23/f have a white/ clear stretchy discharge sometimes if there is a lot its green. i had a baby 10 months ago and was having this after birth i asked the ob about it they told me it was normal but it hasn’t stopped. I know its not an STD cause i was tested while pregnant and haven’t been with anyone else nor has my husband. its not a yeast infection either. has anyone had this or know what it is or how to stop it?

Posted by: Maria/MD Health Forum.com Team

Normal vaginal discharge is usually clear or milky white, it does not have a foul odor. Its amount and consistency is largely influenced by hormonal changes in body. Change in vaginal fluid’s color, consistency and odor may indicate an infection. Unusual color of vaginal discharge should prompt you to seek medical consultation. The most common cause of vaginal infection is Bacterial Vaginosis, this is caused by the overgrowth of one of several microorganisms that are present in the vagina which in turn disrupts the natural balance of vaginal bacteria. Women with this infection may have white or grey discharge, but some also experience yellow or green discharge. Other symptoms of bacterial vaginosis include: vaginal itching, foul vaginal odor, pain during intercourse and painful urination. Change in odor or color of the discharge may not be present in all cases, some women may only experience itching. This condition can also present with minimal symptoms. The doctor will examine the vagina for signs of BV, laboratory tests on a sample of vaginal fluid will also be carried out to look for bacteria associated with bacterial vaginosis. The antibiotics metronidazole and clindamycin are the common drugs of choice for this infection.

Greenish vaginal discharge be due to Trichomoniasis, a condition caused by the parasite called trichomonas vaginalis which is transmitted through sexual intercourse. Women with trichomoniasis may experience vaginal itching, discomfort with sexual intercourse and swelling of the labia. The vaginal discharge may be thin, greenish-yellow in color, frothy or foamy in consistency and may have strong odor. In pelvic examination, red blotches on cervix or vaginal wall may be noted. The doctor may also request for the microscopic examination of the vaginal discharge to check for the presence of infection-causing germs in vaginal fluids. A pap smear may also be ordered to confirm diagnosis. Metronidazole, an anti-infective drug is commonly used to treat the infection. This condition responds quite well to drug therapy. If left untreated, however, the long-standing infection may alter the tissue of the cervical surface.

I’ve read that greenish vaginal discharge may also be a symptom of a skin disorder known as Lichen Sclerosus, this is characterized by skin changes that occurs on the vulva. During the early stage of lichen sclerosus, appearance of small white patches on the skin may be noted. Later on these spots grow and the skin on the patches changes its texture, it becomes wrinkled and thin, as a result, the skin tears easily, bright red or purple bruises are quite common. There are cases when scarring may occur. In mild cases, however, symptoms may not be present. Women with lichen sclerosus may also complain of vaginal itching and pain. Skin patch biopsy is usually done confirm diagnosis, this procedure involves taking a small piece of the skin and examining it under a microscope. Patients with this skin disorder may be prescribed with topical steroids to decrease swelling and relieve itchiness.

Changes in vaginal discharge is not limited to sexually transmitted diseases. You can only get the proper treatment for if you will consult your doctor. Your health history as well as findings in the physical examination will help your doctor determine if further testing must be done.

This blog entry general information only. I recommend that you discuss your symptoms with your own doctor.

Reference:

Van Vranken M. Prevention and treatment of sexually transmitted diseases: An update. American Family Physician. 2007 Dec;76(12).


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