My leucorrhea is yellow but not painful or itchy. What's going on?

Yellow vaginal discharge but painless itching may be caused by vaginal flora imbalance, bacterial vaginosis, trichomonas vaginitis, cervicitis or endocrine changes, etc. It can be improved by adjusting living habits, drug treatment, etc.

1. Vaginal flora imbalance

The reduction of lactobacilli in the vagina may lead to the overproduction of other microorganisms, which is manifested as an increase in the amount of leucorrhea, yellow color but no itching. It may be related to frequent vaginal douching and long-term use of antibiotics. It is recommended to avoid excessive cleansing and follow your doctor’s advice to use vaginal live Lactobacillus capsules to regulate the flora, or use Lactobacillus vaginal suppositories to help restore the acidic environment.

2. Bacterial vaginosis

Infections by anaerobic bacteria such as Gardnerella can cause leucorrhea that is grayish-yellow and fishy-smelling, and some patients may experience no obvious discomfort. It is related to factors such as frequent sexual life and multiple sexual partners. Metronidazole vaginal effervescent tablets or clindamycin phosphate vaginal cream should be used as directed by your doctor, and sexual intercourse should be avoided during treatment.

3. Trichomonal vaginitis

Trichomonas vaginalis infection can cause yellow-green foamy leucorrhea, and a few patients may have no itching symptoms temporarily. It is mainly transmitted through sexual contact, so be vigilant when accompanied by frequent urination. After diagnosis, you need to take metronidazole tablets or tinidazole tablets orally as directed by your doctor, and your sexual partner needs to be treated simultaneously.

4. Chronic cervicitis

When the cervical columnar epithelium migrates out and is infected, the leucorrhea may appear mucopurulent yellow and may be accompanied by bleeding after intercourse. It needs to be identified through gynecological examination, and Baofukang suppository or compound Curcuma zedoary oil suppository can be used as directed by the doctor. Cervical physical therapy can be performed if necessary.

5. Fluctuations in hormone levels

The increase in estrogen before and after ovulation or during pregnancy will lead to excessive leucorrhea and darker color, which is a physiological change. No special treatment is required. It is recommended to choose cotton underwear and change it daily to avoid long-term suffocation with pads.

You should keep your vulva clean and dry every day and avoid wearing tight chemical fiber underwear. Reduce the intake of spicy and irritating foods and supplement yogurt with probiotics in moderation. If the leucorrhea continues to turn yellow for more than two weeks, has a peculiar smell, or is accompanied by other symptoms, you need to seek medical attention promptly for routine leucorrhea testing, HPV testing and other examinations. Avoid using lotion to rinse the vagina yourself to avoid damaging the normal microecological environment.