Lack of menstruation, known as amenorrhea, and symptoms like green vaginal discharge can be related to polycystic ovary syndrome (PCOS) or an infection, such as bacterial vaginosis (BV). With PCOS, there is often a hormonal imbalance, leading to signs like irregular periods, hirsutism (excess facial or body hair), and weight gain. For a formal diagnosis, a few tests could be helpful, including blood tests to measure hormone levels such as androgens, LH, FSH, and insulin. An ultrasound may also be suggested to look for cysts on the ovaries, which is a common feature of PCOS. The green discharge could point towards an infection and testing of the vaginal discharge is often conducted to identify the possible presence of infection, such as BV or other sexually transmitted infections. Treatment for BV typically includes antibiotics like metronidazole or clindamycin, and it’s important to complete the course as prescribed. For PCOS, managing symptoms generally involves lifestyle changes such as a healthy diet and regular exercise to aid weight loss and improve insulin sensitivity. Medications like oral contraceptives can regulate menstrual cycles, and anti-androgens can reduce unwanted hair. If insulin resistance or diabetes is a concern, medications like metformin might be suggested. In some cases, managing PCOS may require a multi-faceted approach, including endocrine or reproductive endocrinologist consultation. Ensure to follow-up with your healthcare provider to monitor the effectiveness of treatments and adjust as needed. If the discharge persists or there are severe symptoms like a foul odor, irritation, or pain, seek medical attention promptly to rule out other infections or complications.
Yes, no periods for 1.5 years + facial hair + weight gain strongly suggests hormonal imbalance, most commonly PCOS, and the green discharge may indicate an infection that needs treatment. You will need tests like Pelvic ultrasound, Hormones (LH, FSH, Prolactin, Thyroid, Testosterone), and a vaginal swab to identify the discharge cause. Please consult a Gynecologist so they can confirm PCOS, treat the infection, and help restart regular periods safely.
Hello,
Your symptoms no periods for over a year, green vaginal discharge, facial hair, and weight gain suggest two possible issues: a vaginal infection such as bacterial vaginosis (BV) or trichomoniasis, and a hormonal imbalance like polycystic ovary syndrome (PCOS).
🛑BV or other infections cause green or foul-smelling discharge and require testing with a vaginal swab and treatment (usually antibiotics like metronidazole).
PCOS can lead to missed periods, excess hair growth, and weight changes due to hormonal and insulin imbalance.
🛑Please do these tests: Hormone profile (LH, FSH,Prolactin, testosterone) Thyroid profile Pelvic ultrasound.
Treatment usually includes lifestyle changes, hormonal tablets, vitamin supplements and sometimes metformin to restore regular periods and balance hormones.
I trust this helps Feel free to talk again Thank you
Hello dear See as per clinical history it seems infection along with pcos It will require comprehensive therapy Iam suggesting some medication and precautions Please follow them for atleast a month Oral Contraceptives Diane-35 ( acne medication) if found Progesterone - Duphaston ( bleeding induction) Spironolactone -( associated bp fluctuations of present). Metformin - ( glucose control) Letrozole (ovulation induction- but only after confirmation from gynacolologist) Eflorthine- ( for facial hair) Orlistat- ( for fat reduction) In addition,please take preventive measure Do meditation Exercises regularly for half an hour Meditation must Weight control must to prevent osteoporosis Tab augmentin twice a day for 5 days Tab flagyl twice a day for 5 days Terbinafine 250 mg accordingly In case of no improvement consult gynaecologist in person for better clarity Also donot have any medication without consulting the concerned physician Hopefully you recover soon Regards
The green discharge and the missing periods may each have different causes. But both indicate that your reproductive health needs evaluation.
If you have an infection (BV or other) and you have hormonal irregularity (PCOS or similar), both should be treated — one doesn’t replace the other.
Missing periods (amenorrhea) in someone with possible PCOS also raises the question of whether the infection/inflammation or another condition is causing it so a full evaluation is needed. Explain in detail please. Colour of discharge Do you have vaginal itching. Is there any smell like fishy.
Hello Sarah, I understand your worry. Yes, your issues might be due to hormone imbalance.
1. Recommended tests - LH, FSH, Prolactin, TSH, Total & Free Testosterone, Fasting Insulin & Fasting Glucose, USG of Pelvis, High Vaginal Swab microscopy & culture, Urine routine & microscopy.
2. It would be better to start the treatment after the results of the tests.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
