What does it mean if a woman's discharge is yellowish-green?

Generally, the main causes of yellow-green female discharge include improper menstrual hygiene, failure to clean promptly after sexual activity, trichomonas vaginitis, bacterial vaginosis, cervicitis, and others. If discomfort occurs, it is recommended to seek timely treatment at a regular hospital. Detailed analysis is as follows:

1. Improper Menstrual Hygiene

Menstrual blood easily breeds bacteria during menstruation. If sanitary napkins are not changed for long periods or excessive wiping during cleaning damages the vulvar mucosa, bacterial infection may occur, causing the discharge to turn yellow-green. In daily life, one should frequently change sanitary napkins, replacing them every 2-3 hours. The external genitalia should be gently washed with warm water during menstruation; tub bathing and the use of irritating cleansers should be avoided, keeping the external genitalia dry to reduce bacterial growth.

2. Delayed Cleaning After Sexual Activity

If the external genitalia are not cleaned promptly after sexual activity, residual semen and secretions may provide conditions for bacterial proliferation, irritating the vaginal mucosa and causing abnormal yellow-green discharge. It is important to wash the external genitalia with warm water after sexual activity, change into clean underwear, avoid unhygienic sex, reduce the risk of infection, and improve abnormal discharge conditions.

3. Trichomonas Vaginitis

After infection with Trichomonas vaginalis, the trichomonads disrupt the vaginal environment and stimulate increased secretion from the vaginal mucosa, resulting in yellow-green, frothy discharge accompanied by a fishy odor and itching of the external genitalia. Under a doctor's guidance, metronidazole tablets or tinidazole tablets may be taken orally, along with topical use of metronidazole vaginal effervescent tablets. Sexual partners should receive simultaneous treatment, and sexual activity should be avoided during treatment to prevent cross-infection.

4. Bacterial Vaginosis

When lactobacilli decrease and anaerobic bacteria increase in the vagina, vaginal microecological imbalance occurs, causing increased discharge that appears yellow-green, thin, and accompanied by a fishy smell. Under a doctor's guidance, clindamycin phosphate gel may be applied topically, and clindamycin capsules or metronidazole tablets may be taken orally to inhibit the proliferation of anaerobic bacteria, regulate the vaginal flora, and alleviate abnormal discharge.

5. Cervicitis

Pathogen infection and mechanical irritation can cause cervicitis. The inflammation stimulates increased secretion from cervical glands, leading to yellow-green, purulent discharge, possibly accompanied by pain in the lower back. Under a doctor's guidance, azithromycin dispersible tablets or doxycycline tablets may be taken orally, and Baofukang suppository may be used externally. If cervical polyps are present, a cervical polypectomy should be performed to remove the lesion, control inflammation, and improve discharge symptoms.

In daily life, one should choose cotton, breathable underwear and change and wash it frequently; avoid the abuse of antibiotics and cleansers to prevent disruption of the vaginal flora; and undergo regular gynecological examinations to detect and treat gynecological diseases promptly, maintaining reproductive system health.