What's the matter with yellow discharge in underwear, but the check is normal?

Patient's question:

There are yellow secretions in the underwear, lasting for over two weeks. The child has seen a doctor twice and was told it's nothing serious, with the doctor recommending the use of erythromycin ointment. However, the child reported pain after using it, so it was rinsed off with water. The condition is mostly painless and itchy, with occasional flare-ups lasting for a few days. Today, a white discharge test was conducted, and everything came back normal. What could be the reason for this?

Doctor's answer:

This situation doesn't require any worry. As long as the vaginal discharge shows no obvious abnormalities, the child feels no discomfort, and there is no recurrence of redness or swelling in the external genitalia, simply pay attention to hygiene. There is no need for special measures. What you need to carefully observe is whether the child is developing secondary sexual characteristics, such as breast growth. This could indicate an increase in vaginal discharge before puberty, which might suggest an endocrine abnormality.

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