Why is the leucorrhea yellow-green in color, odorless, and itchy?

Leucorrhea that is yellow-green, odorless and itchy may be related to factors such as vaginal flora imbalance, trichomonal vaginitis, bacterial vaginosis, cervicitis or chlamydial infection. It is recommended to seek medical examination promptly and follow the doctor's instructions for treatment after the cause is determined.

1. Vaginal flora imbalance

Long-term use of antibiotics or excessive cleansing may lead to a decrease in lactobacilli and an imbalance in the vaginal microenvironment. It manifests as abnormal color of leucorrhea but no typical symptoms of itching. It can be adjusted by supplementing probiotic preparations such as Bifidobacterium triple live bacteria capsules to avoid frequent use of vaginal douches in daily life.

2. Trichomonal vaginitis

Caused by Trichomonas vaginalis infection, the typical symptom is foamy yellow-green discharge, but some patients only show color change. Metronidazole vaginal effervescent tablets or tinidazole suppositories can be used as directed by your doctor. Sexual intercourse must be avoided during treatment.

3. Bacterial vaginosis

Leucorrhea may appear uniformly gray-green due to overgrowth of anaerobic bacteria such as Gardnerella. Clindamycin phosphate vaginal cream or metronidazole gel can be used topically, along with vitamin C tablets to enhance immunity.

4. Cervicitis

Cervical inflammation caused by Chlamydia trachomatis or Neisseria gonorrhoeae infection may only cause a change in the color of the discharge. Cervical secretions need to be tested. After diagnosis, azithromycin dispersible tablets or doxycycline capsules can be used for anti-infective treatment.

5. Chlamydia infection

Urogenital chlamydial infection may only present as abnormal leucorrhea in the early stages. The diagnosis needs to be confirmed through nucleic acid testing. Commonly used drugs include roxithromycin capsules or levofloxacin tablets. The spouse needs to be treated simultaneously to prevent cross-infection.

It is recommended to wash the vulva with warm water every day and change pure cotton underwear and avoid wearing tight chemical fiber clothing. Add probiotic-rich foods such as yogurt and natto to your diet, and reduce the intake of spicy and irritating foods. If symptoms last for more than a week or accompanying symptoms such as abdominal pain and fever occur, you must immediately go to the gynecologist for routine leucorrhea, pathogen culture and other tests. During the treatment period, bathing and swimming are prohibited, and a regular schedule is maintained to improve the body's resistance.