What’s Going on Down There? – People with Vulvas

By: Cole Farhat

Taking care of your vulva can be confusing, especially when you’re not sure what symptoms require a visit to the doctor. So, let’s break down some things that COULD* indicate something is wrong with your reproductive health, and what that issue may be. 

*Disclaimer: Not all symptoms indicate that something serious is going on, but it is still best practice to see a medical professional if you notice something concerning! 

Troublesome Symptoms 

A change in your vaginal discharge can be a sign that something unusual is going on. Even though a “normal” amount of discharge varies for everyone, most often people have around one-half to one teaspoon of discharge daily. A sudden change in the amount of discharge you produce is also a common sign that your reproductive system is having some issues. Vaginal discharge is generally a milky or off-white color with texture that can vary from watery and sticky to thick and pasty. Discharge that is foamy, chunky, or a color like dark yellow, brown, green, or grey, could indicate an infection and should be checked out by a professional. Discharge that has a new or unpleasant odor can also be a sign that something is off. 

 There are other ways to determine if there is something wrong with your reproductive health, including monitoring your urination. If you’re experiencing burning or pain when urinating, it is a good idea to schedule an appointment with a medical professional.  

Types of Common Infections 

 So, you’ve been having some uncomfortable symptoms – what kind of infection is it? Many infections have overlapping symptoms, so to be treated as effectively as possible, it’s important to visit a medical professional who can help. These are some common infections that could be impacting you: 

Yeast Infection 

Yeast is a normal part of the vaginal environment. When yeast numbers increase beyond the usual amount, it’s called a yeast infection. Your vagina may feel itchy and swollen, and you may see a clumpy white discharge. Pain during sex is another symptom. Yeast infection symptoms can mimic other vaginal infections, so it is good to see a medical provider to get an accurate diagnosis and treatment. If you have had yeast infections before and are sure that that is what you are experiencing, you can safely use an over-the-counter vaginal yeast medication. Of course, if your symptoms don’t improve, you should see a medical provider! 

Bacterial Vaginosis (BV)  

Occurs when some types of normal vaginal bacteria overgrow their usual amounts; you can have white or gray discharge that’s foul/fishy smelling. Bacterial vaginosis is NOT contagious, but if it is left untreated, it can lead to more serious issues like pelvic inflammatory disease and can increase your risk of getting STIs!  

STIs 

STIs often have no symptoms, Bridgercare recommends getting tested for STIs after every sexual partner. Below are some common STIs that could be the root of your unusual symptoms: 

•  Trichomoniasis is a parasitic STI that often results in green, yellow, or gray discharge that is frothy. 

• Chlamydia and Gonorrhea are are bacterial STIs that can have cloudy, yellow, or green discharge and if untreated they can lead to Pelvic Inflammatory Disease with pelvic pain. 

  • Pelvic Inflammatory Disease is an infection most often caused by bacteria spreading from your vagina to your uterus, fallopian tubes, or ovaries. If not treated it can lead to permanent damage to the reproductive organs, infertility, and chronic pelvic pain. 

 Generally, some indicators that an infection may be an STI are bumps, sores, blisters, and/or rashes around your genitalia or mouth. 

UTIs 

Often with UTIs people urinate more frequently and feel as if they cannot empty their bladder fully. Additionally, it’s common to experience pain or discomfort when urinating. Read more about UTIs here! 

Other Things That Can Cause Unusual Vaginal Symptoms 

Pregnancy, ovulation, menopause, allergic reactions, and perfumed soaps/gels can all lead to the development of an infection. 

How to Prevent Infections 

The best ways to prevent getting an infection are to use condoms every time you have sex, don’t douche, avoid super tight clothing or wearing a wet bathing suit for too long. Avoid using perfumed soaps, gels, or feminine products on your vulva and vagina 

When to See a Doctor 

 You should make an appointment with your doctor if you’re experiencing symptoms like: 

• A change in smell, color, and/or consistency of discharge. 

• A sudden change in the amount of discharge. 

• Itching, burning, swelling, and/or soreness of vulva. 

• Pelvic pain. 

• Pain during urination and/or intercourse. 

Infections can be dangerous and result in long-term health issues, it’s in your best interest to seek medical help when it’s needed!