Why is the leucorrhea green?
Asked by:Adina
Asked on:Apr 11, 2026 06:16 PM
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Emerald
Apr 11, 2026
Green leucorrhea may be caused by bacterial vaginosis, trichomonas vaginitis, cervicitis, pelvic inflammatory disease, foreign body stimulation, etc., and can be intervened through drug treatment, physical therapy, surgery, etc.
1. Bacterial vaginosis
Bacterial vaginosis may be related to an imbalance of vaginal flora and usually presents with symptoms such as increased leucorrhea, gray-green discharge, and a fishy smell. Medications such as metronidazole vaginal effervescent tablets, clindamycin phosphate vaginal gel, and tinidazole suppositories can be used as directed by your doctor. It is necessary to keep the perineum clean every day and avoid excessive vaginal washing.
2. Trichomonal vaginitis
Trichomonal vaginitis is caused by Trichomonas vaginalis infection. The leucorrhea is yellow-green and foamy, accompanied by vulvar itching. Commonly used drugs include metronidazole tablets, tinidazole capsules, and ornidazole dispersible tablets. Sexual life should be avoided during treatment, and the spouse should be treated simultaneously.
3. Cervicitis
Cervicitis may be related to gonorrhea, chlamydia and other pathogenic infections, and manifests as purulent green leucorrhea with contact bleeding. Azithromycin tablets, doxycycline tablets, Baofukang suppositories and other drugs can be used. In the acute stage, bed rest is required and bathing in the bath is prohibited.
4. Pelvic inflammatory disease
Pelvic inflammatory disease is often caused by ascending infection. In addition to green discharge, lower abdominal pain and fever may also occur. Ceftriaxone sodium injection, levofloxacin sodium chloride injection combined with metronidazole injection are required for treatment. Severe cases require hospitalization for intravenous infusion.
5. Foreign body stimulation
Foreign objects such as condoms and tampons left in the vagina may cause infectious discharge. The foreign body needs to be removed promptly and flushed with povidone-iodine solution. In case of combined infection, antibiotics such as cefaclor dry suspension need to be added.
If green leucorrhea occurs, the vulva must be washed with warm water every day, choose pure cotton breathable underwear and boil it for disinfection. Eat a light diet and avoid spicy and irritating foods. It is recommended to record changes in secretion characteristics and bring recent physical examination reports with you when seeking medical treatment. It is forbidden to swim or soak in hot springs during treatment, and change sanitary napkins frequently during menstruation. If it is accompanied by fever or abdominal pain that worsens, emergency treatment should be given immediately.
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