What could be the reason for the yellowish-green vaginal discharge with pain in the back and sides?

Question

Hello doctor,

I started to have yellow or yellowish-green vaginal discharge over the past four months. I got my period the next month. After my period, there is still a yellowish vaginal discharge but not too much. I consulted a doctor, and she asked me to have a urinalysis. The RBC was 17 to 20 mcL, and pus cells were 6 to 8 /hpf. She prescribed Cotrimoxazole 800 mg for a week. I also took Fern-D thrice a day and Cotrimoxazole twice daily. Three months back, I had urinalysis again, and my RBC lowered to 6 to 10 mcL with pus cells 40 to 50 /hpf. I stopped taking Fern-D. Then I had a urinalysis again. My RBC was 2 to 5 mcL, and my pus cells went down to 7 to 10 /hpf. I went to another doctor, who gave me two antibiotics, Ciprofloxacin and Doxycycline, which I had been taking for a week. He also advised me to go for an ultrasound of the whole abdomen, CBC with platelet, and urinalysis. I am experiencing pain in my back and sides. I also have frequent urination. I had sexual contact two months back. But my partner never experienced any sign of gonorrhea. What do you think might be the cause of my pain? These days, I only have a few vaginal discharges, unlike before.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

You have already taken antibiotics and are still on antibiotics. Therefore, it is better to finish as it was advised. Get one high vaginal swab test along with one transvaginal scan as well. Although you are on medications, it is better to have a record of vaginal infection.

My advice:

Have plenty of water and cranberry juice for urine infection.
Avoid sex without condoms.
Maintain strict hygiene.
Wear soft, comfortable undergarments.
If urine infection recurs, consult a physician with a urine culture report, as it might have resistance against some drugs.
Pelvic infection can cause pain as well.
If the cycles have been irregular, you can have combined oral contraceptive pills for three months after consulting the doctor to regulate the cycles and to have hormonal support for any pathology like endometriosis, adenomyosis, etc.

Revert with the swab test reports.

Hope this helps.

Thank you.