How to solve the problem of yellow-green vaginal discharge before menstruation

Patient's question:

Patient Age:
Detailed Condition and Purpose of Consultation: Before menstruation, leukorrhea is yellow-green in color, sometimes abundant, but without itching. If there is a problem, how should it be resolved?
Duration of Current Illness: 10 days
Medical History: None

Doctor's answer:

The formation of normal vaginal discharge in women is related to the effects of estrogen. It appears as a white, paste-like or egg-white-like, odorless, non-irritating, slightly acidic viscous substance.
If there are changes in the quality and quantity, such as an increase in volume or changes in color and odor, it becomes pathological vaginal discharge. This is caused by certain factors that disrupt the normal vaginal environment or due to certain gynecological diseases (such as inflammation of the reproductive organs, etc.). Generally, pathological vaginal discharge can be classified into the following types:
1. Egg-white-like or white watery discharge. It may appear normal but with an increased volume. Attention should be paid to whether it is caused by endometrial hyperplasia, ovarian dysfunction, or vaginal adenosis. Additionally, systemic diseases such as anemia, diabetes, or weakened physical conditions in women may also lead to this type of discharge.
2. Yellow or yellow-green purulent discharge with a foul odor. This is mostly caused by vaginal infections, with trichomoniasis being the most common. It is often accompanied by itching and pain in the external genitalia and vagina.
3. Cheese-like or curd-like discharge. This is a typical symptom of candidiasis (yeast infection) of the vagina.
4. Watery discharge, resembling rice water. If it has an extremely foul odor, it should be a cause for concern.
5. Bloody discharge.
It is recommended to undergo a check-up.

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