Yellow vaginal discharge with a fishy odor is abnormal—four gynecological conditions may cause it
 Encyclopedic 
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Yellow vaginal discharge is a common gynecological condition with multiple causes. The manifestations of yellow discharge also vary. Some women experience yellow discharge accompanied by a fishy odor. So, what causes yellow vaginal discharge with a fishy odor? Let's explore this below.Chronic Cervicitis: Vaginal discharge caused by chronic cervicitis is difficult to cure in the short term. Patients with cervical erosion often experience prolonged illness. Only by treating the cervical lesions can the discharge issue be resolved. This condition presents severe symptoms: yellow, pus-like, thick discharge with an odor and blood streaks. Patients suffer from chronic abdominal pain, lower back soreness, and fatigue, enduring significant discomfort.If long-term medication proves ineffective, surgical intervention may be considered for a definitive cure.
2. Candidal Vaginitis: Candidal vaginitis is often transmitted through contact and can be confirmed by detecting fungi in vaginal discharge. The hallmark symptoms of candidal vaginitis-induced discharge include intense, unbearable itching in the vulvar area and increased discharge containing noticeable white, curd-like clumps. Gynecological examination reveals severe vaginal wall hyperemia accompanied by a stinging sensation.
3. Trichomoniasis: Trichomoniasis has a high incidence rate, particularly in areas with relatively poor sanitation. Primary symptoms include vulvar itching, stinging pain, or a crawling sensation, accompanied by increased vaginal discharge with yellowish-white froth.
4. Endometritis: Yellowish, foul-smelling discharge or milky-white, purulent discharge, often accompanied by abdominal pain. Typically caused by chronic cervicitis or endocervicitis.
Treatment for Yellow, Fishy-Smelling Discharge
1. Western Medical Treatment: Under normal circumstances, women have a small amount of vaginal discharge. This discharge is primarily composed of secretions from the vaginal mucosa, cervical canal, endometrium, and fallopian tubes, collectively referred to as vaginal discharge. Normal discharge is egg-white-like or white and paste-like, odorless, and present in small amounts.Under the action of lactobacilli, this secretion breaks down into lactic acid, maintaining the vagina's normal acidic environment with a pH of 4.5 (typically ranging from 3.8 to 4.4). This natural defense mechanism inhibits pathogens that thrive in slightly alkaline conditions. This is known as the vaginal self-cleansing function.
1. Traditional Chinese Medicine Treatment: For spleen deficiency-type leukorrhea characterized by white discharge without odor, accompanied by chest tightness, fatigue, poor appetite, loose stools, and a white tongue coating. Use herbs that strengthen the spleen and transform dampness, such as Yudai Pills (15g twice daily) or Ginseng Guipi Pills (1 pill three times daily).
2. Dietary Therapy: 200g fresh purslane, 2 raw eggs. Mash purslane to extract juice. Separate egg whites from yolks, mix whites thoroughly with purslane juice, then pour boiling water over mixture. Consume once daily. Suitable for yeast-related vaginal discharge with odor or excessive discharge.
Prevention of Yellow Vaginal Discharge
1.Practice Self-Regulation
Women should learn to manage daily stressors such as high pressure, excessive tension, or low mood. Maintaining an open, optimistic mindset, a cheerful disposition, and emotional stability helps prevent abnormal vaginal discharge.
2. Boost Immunity
Ensure adequate sleep, balanced nutrition, and consume vitamin-rich foods. Engage in regular exercise to strengthen physical health.
3. Avoid Excessive Vaginal Cleansing
Under normal conditions, the vagina naturally maintains its pH balance. Refrain from using cleansers or disinfectants to clean the vagina, and avoid excessive scrubbing. This can disrupt the vaginal environment and potentially cause injury. Rinsing with warm water is sufficient for daily hygiene.
4. Pay attention to sexual practices
Women who are sexually active should maintain hygiene during intercourse and practice regular, monogamous relationships. Avoid unprotected sex, multiple partners, and intercourse during menstruation to help prevent abnormal vaginal discharge.
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