Investigation: Vaginal swab for culture & sensitivity Fasting Blood sugar
RX,
1) Fluconazole 150 mg tablet one tablet every 3rd day × 3 doses (Day 1, Day 4, Day 7)
2) Clindamycin 2% vaginal cream apply intravaginally at bedtime × 7 nights
3) Lactobacillus vaginal probiotic capsule insert 1 capsule at night × 10 days
If discharge is foul-smelling, green/yellow, blood-stained, or associated with lower abdominal pain → consult gynecologist immediately.
Thank you.
Causes Normal Discharge Many women have daily clear/white discharge due to hormonal activity (mainly estrogen).
It is usually non-smelly, jelly-like, and doesn’t cause itching/burning
Chronic fungal vaginitis Nutritional deficiencies like vit b12 and vit d
Test Per speculum examination by gynecologist Vaginal swab and culture
CBC (to check anemia)
Thyroid profile (TSH, T3, T4)
Fasting blood sugar
Serum vitamin D, vitamin B12, iron studies if possible
Hormonal profile if cycles are irregular (FSH, LH, prolactin, estrogen, progesterone, testosterone)
Treatment Your discharge is normal if not foul smelling nutritional deficiency / low weight: Balanced diet with protein (dal, paneer, eggs, fish, nuts, seeds). Iron-rich foods (green leafy vegetables, jaggery, dates). Vitamin D & B12 supplements if low. Weight gain of even 3–5 kg can balance hormones and reduce leucorrhea. You can take medicine after your root cause is detected avoid any medication till then
Also maintain genital hygiene Visit gynecologist
A persistent jelly-like vaginal discharge for many years can be due to chronic infection, hormonal imbalance, or even normal physiological discharge that becomes excessive, and being underweight may worsen hormonal irregularities. Since AF Kit has not helped, you need proper evaluation with tests like vaginal swab, culture, ultrasound, and basic blood work to identify the exact cause. Please consult a gynecologist for proper evaluation and treatment.
Vaginal discharge is a common concern, and while it can be unsettling, it’s often a normal bodily function. In your case, the persistent nature and your concern warrant further investigation. Firstly, it’s critical to determine whether the discharge has any particular smell or is causing irritation, as these can be indicators of an infection. Since you’ve mentioned taking an AF Kit (often used for certain infections), and did not see improvement, we should consider other causes. One plausible explanation in your case could be hormonal imbalances, possibly related to your menstrual cycle or conditions such as Polycystic Ovary Syndrome (PCOS), which is sometimes associated with irregular discharge patterns. Also, weight can potentially influence hormonal levels, but the relationship isn’t straightforward.
For your height and age, a weight of 42 kg suggests being underweight, which can indeed affect your menstrual health and potentially discharge patterns. Nutritional deficiencies (like low levels of iron, B12, or folate) might also play a role, although this is less common. It would be prudent to start with a full pelvic examination by a healthcare provider, who may then recommend a transvaginal ultrasound to check for any physical abnormalities like cysts or polyps. Hormone panels (including estrogen, progesterone, FSH, LH, and thyroid function tests) can also be informative.
In terms of infection, a microscopic examination of the discharge can rule out bacterial vaginosis or yeast infections. It would also be useful to discuss your dietary intake and consider seeing a dietitian to ensure that you’re meeting all nutritional needs, which could support your overall health and potentially alleviate symptoms. Stress management and lifestyle modifications, like regular exercise and a balanced diet, can also benefit your hormonal health. If there’s any sudden change in symptoms or if they worsen, it’s important to seek immediate medical evaluation, as this can sometimes indicate a more serious underlying condition. Lastly, refrain from self-medicating further without a thorough medical evaluation, as this may sometimes mask symptoms rather than addressing the root cause.
