Physiological vaginal discharge is transparent and has no odor since it consists of exfoliated endothelial cells and bacteria, presenting normal vaginal microflora. In most cases, green vaginal discharge indicates the presence of a certain infectious disease. It can be located in various systems and have diverse etiology.
5 most common causes of purulent discharge:
- Vaginitis, particularly trichomoniasis type;
- Tubo-ovarian abscess.
Severity of the disease and therapeutic methods depend on the incitant agent, which should all be determined by a specialist.
Trichomoniasis as the first factor, causing yellow-green discharge
Trichomonal vaginitis (inflammation of the vagina) is provoked by Trichomonas vaginalis. Each year about 3 million of previously unknown cases of trichomoniasis are being discovered in the USA, which puts this disease in the third place among other types of vaginal pathologies (following candidiasis and gardnerellosis). This is a sexually transmitted disease with 75% of contagiousness rate.
Typical symptoms of trichomonal infection of lower sections of the genital tract include profuse liquid foamy discharge, which may be yellow, light green or gray with an unpleasant odor. Among other symptoms are itching, burning, reddening and swelling of external genitals. Normal microflora yields to actively regenerating trichomonads. Therefore, level of pH in the vagina rapidly increases, leading to the creation of the alkaline environment, which is fraught with joining of other infections. It is also important that symptoms of vaginitis become more acute immediately after periods since menstruation assumes a short-term natural increase of the pH level.
When consulting a specialist with the problem of greenish discharge, he/she may prescribe effective antibiotic therapy for the treatment of trichomoniasis.
Cervicitis, as the second factor, causing light green color of cervical mucus.
Physiological cervical mucus is usually white or almost transparent and has no odor. In the presence of any cervical infections, it acquires greenish coloring and foul odor. Microorganisms, which are most likely to provoke cervicitis, include gonococci (Neisseria gonorrhoeae) and chlamydia (Chlamydia trachomatis). Only these two bacteria are able to cause mucopurulent cervicitis.
In order to receive adequate treatment, one should not hesitate to consult a specialist, who will be able to tell cervical inflammation from other diseases. This can be done, in the first place, through thorough examination, during which reddening or painful sensations at touching may be revealed. This will also help the specialist to detect the presence of yellow-green purulent discharge from the cervical os. However, affection of higher organs (uterus or adnexa) won’t be detected during the examination.