What is the green substance discharged after using clotrimazole suppositories?

Green discharge after using clotrimazole vaginal suppositories may be a normal physiological phenomenon or could indicate a pathological condition, such as bacterial vaginosis or cervicitis. The details are as follows:

1. Physiological Phenomenon

Clotrimazole suppositories are administered vaginally. After use, small amounts of residual medication may mix with vaginal discharge and be expelled, resulting in greenish discharge. This is considered normal as long as there is no unpleasant odor or symptoms such as itching.

2. Pathological Phenomenon

1) Bacterial Vaginosis

Clotrimazole suppositories are primarily used to treat vulvovaginal candidiasis. However, if hygiene is not properly maintained during insertion, it may lead to secondary bacterial infections causing bacterial vaginosis. This condition can result in the aforementioned green discharge accompanied by malodorous discharge and itching. Treatment may include metronidazole vaginal suppositories, nifuratel-nystatin vaginal soft capsules, or tinidazole suppositories, under medical supervision.

2) Cervicitis

During treatment, if the cervix becomes infected by pathogens and develops inflammation, green vaginal discharge may also occur. In such cases, medications such as baofukang suppositories, xiaomi suppositories, or kungyan tablets may be used as directed by a physician.

In addition, acute pelvic inflammatory disease or concurrent trichomonas vaginal infection may also cause similar symptoms. It is recommended to maintain good hygiene, avoid sexual intercourse temporarily, and promptly seek gynecological evaluation and treatment if any discomfort occurs.