Patient's question:
There is some itching in the vagina, and I thought it was a recurrence of candidal vaginitis, so I have been observing the vaginal discharge daily for the past week to see if it becomes like cottage cheese. The past two days, the discharge was slightly greenish and came out in large amounts. Sometimes the vagina itches. However, the discharge was not severely like cottage cheese; it just occasionally flowed very thin and sometimes looked like a few pieces of cottage cheese.Doctor's answer:
The routine test of leukorrhea did not indicate mold or trichomoniasis, but under normal circumstances, leukorrhea should not be green and should not cause itching. Have you undergone a vaginal discharge culture and chlamydia culture to check for bacterial and other microbial infections?Cervicitis is divided into acute and chronic phases. In the acute phase, the cervix exhibits follicular inflammatory changes, while the chronic phase can cause diffuse hyperplasia of the cervix, commonly known as cervical hypertrophy, along with other manifestations such as Nabothian cysts. These can be visibly identified, and a colposcopy would be ideal for further evaluation, as it can also rule out cervical lesions.
Some cases of cervicitis can be cured with local medication. However, without seeing your colposcopy report, I cannot provide a definitive answer about your current cervical condition. Certain medications can be used locally during pregnancy without affecting the fetus. You can check the medication's instructions for use, as they will specify this information.
The vaginal environment in candidiasis is acidic, so it is best to treat it with alkaline substances. Lactobacillus is part of the normal vaginal flora and can only help improve some dysbiosis caused by vaginal infections, but it is not very effective against candidiasis.