OB-GYN (Obstetrician-Gynecologist) Questions Vaginal Discharge

Vulva itching, what could be wrong?

I'm 32 and have very heavy and thick greenish, yellow discharge and vulva irritation, including itching and burning. What could it be?

7 Answers

Most likely without any other information this is probably a common yeast infection but only an examination and possibly a culture can determine the cause.
It could be yeast infection. Please see your OBGyn as soon as possible.
Take care!
Sounds like an infection. See your GYN and get some cultures done.
This could be a yeast infection. There are other problems that cause this but if it is a simple yeast infection over the counter miconazole works well.
You most likely have a yeast infection combined with bacterial infection. You need treatment with antibiotics and to keep area as clean and dry as possible

Monica Martinez Rivera, MD FACOG
This could be an STD called trichomonas or a bacterial infection. Go to a provider and get it checked out! You need a culture!
Vulvar itching or pruritis at age 32, esp with thick yellow or yellow-green discharge is usually bacterial vs yeast which is usually white runny or chunky. Most times the bacterial infection is an overgrowth of a bacteria that is typical and usual to the vaginal vault called Gardnerella. However, when there is an increase in sexual intercourse and higher incidence of semen which is basic pH (8.5-9.0) vs the acid pH of the vaginal vault (usually 5.5), then there is a stimulation and overgrowth of Gardnerella which smells like rotten fish when it reaches a large enough concentration. Abnormal bleeding, spotting or spotting with intercourse can also trigger Gardnerella caused by the breakdown of red blood cells which triggers the same overgrowth of Gardnerella. Many times it will take care of itself with having a menstrual bleed and it will ‘self-clean’. However, when it causes itching or the odor is notable to others, then treatment with either oral Flagyl as an antibiotic or Metrogel as a vaginal antibiotic gel for 1 or 3 nights is appropriate but does require a prescription from a healthcare provider. Occasionally this bacterial will also irritate the urethral opening and mimic a bladder infection but it rarely travels into the bladder. Wearing barrier protection protects you from this ‘dump’ of basic fluid into your vaginal vault so consider this as another option for treatment. If your issue is abnormal bleeding, then seek advice from your healthcare provider as checking hormone blood levels is appropriate, especially day 21 of your cycle or when your healthcare provider decides of your cycle is irregular.