23 female Its greeenush yellow like dew urine , no burning but itching

23 female Its greeenush yellow like dew urine , no burning but itching surrounding also and something white is seen insde vaginal opening what could be it is

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Finding Sources

Reading File

Based on the textbooks and your description, here is a thorough breakdown:

Most Likely Diagnosis: Trichomoniasis (with possible mixed infection)

Your symptoms - greenish-yellow discharge, vaginal itching, white material at the opening, no burning - fit a classic textbook picture of Trichomonas vaginalis infection, which is the most common curable sexually transmitted infection worldwide.

Symptom Match - What the Textbooks Say

Your Symptom	Trichomoniasis	Candida (Yeast)	Bacterial Vaginosis
Greenish-yellow discharge	YES - classic	No (white)	No (white/gray)
Itching (pruritus)	YES	YES (main symptom)	Mild/none
White material at opening	Possible (mixed)	YES - cottage cheese plaques	Possible
No burning	Can occur without	Usually has burning	Typically no burning

Why Trichomoniasis Fits Best

According to Rosen's Emergency Medicine, the discharge in trichomoniasis is classically described as malodorous, frothy, and greenish-yellow. The vaginal walls become red and irritated, causing significant itching. There may also be tiny red spots on the cervix (called "strawberry cervix").

The white material you see at the vaginal opening could be:

Mixed discharge (trichomoniasis + candida co-infection, which is common)
Frothy trichomonad discharge that appears whitish/greenish

Could Also Be: Mixed Infection

It is very common to have trichomoniasis + vaginal candidiasis together, which would explain:

The greenish-yellow color (from Trichomonas)
The white chunky/clumped material (from Candida)
The strong itching (both cause this)

What You Should Do - Urgently

See a gynecologist as soon as possible. A simple swab test (wet mount microscopy or NAAT test) will confirm the diagnosis within minutes.
Do NOT self-treat - using over-the-counter antifungal creams alone will not treat trichomoniasis. You need a prescription.
If diagnosed with Trichomoniasis, treatment is:
- Metronidazole (Flagyl) 500 mg twice daily for 7 days (standard for women)
- Your sexual partner(s) must also be treated, even if they have no symptoms
- Avoid alcohol during treatment and for 24 hours after finishing
Avoid sexual contact until both you and your partner are fully treated and symptom-free.

Warning Signs - Go to Emergency/Doctor Today If You Have:

Fever or chills
Lower abdominal/pelvic pain
Pain during sex
Foul-smelling discharge getting worse

These could suggest the infection has spread upward (Pelvic Inflammatory Disease/PID), which needs urgent treatment.

Important note: This is general medical information only and not a substitute for a proper clinical examination. Please visit a doctor or gynecologist for an accurate diagnosis and treatment. The greenish-yellow color of the discharge makes this more urgent - do not delay.

Which one requires patner treatment also

Trichomoniasis is the one that requires partner treatment.

Here is a quick comparison of all three:

Condition	Partner Treatment Needed?
Trichomoniasis	YES - mandatory
Bacterial Vaginosis (BV)	Not routinely recommended
Vaginal Candidiasis (Yeast)	Not needed (not sexually transmitted)

Why Trichomoniasis Requires Partner Treatment

Trichomonas vaginalis is a sexually transmitted infection (STI) - it passes between partners during sex
Men are usually completely asymptomatic (no symptoms at all) but can carry and transmit the parasite
If the partner is NOT treated, they will re-infect you after you finish your own treatment - this is called a "ping-pong infection"
Both partners must finish treatment before resuming sexual contact

Partner Treatment for Trichomoniasis

Men: Metronidazole 2g single dose orally (one tablet, one time)
Women: Metronidazole 500 mg twice daily for 7 days
Both should avoid alcohol during and 24 hours after metronidazole

About BV and Candida

BV - caused by an imbalance of normal vaginal bacteria, not purely sexually transmitted. Routine partner treatment has not been shown to reduce recurrence, so it is generally not recommended.
Candida (yeast infection) - caused by Candida albicans, a fungus that normally lives in the body. It is not an STI, so partner treatment is not needed unless the partner has visible symptoms.

Bottom line: Since your greenish-yellow discharge strongly points to trichomoniasis, both you AND your partner need treatment at the same time - even if your partner feels completely fine.

What if no proper intercourse but rubbing still need treatment for men

Finding Sources

Reading File

Yes - even with only rubbing/skin-to-skin genital contact (without full penetration), the partner should still be treated. Here is why:

How Trichomoniasis Spreads

According to Harrison's Principles of Internal Medicine (2025):

"Person-to-person venereal transmission accounts for virtually all cases of trichomoniasis."

The key word here is venereal - meaning genital contact, not just penetrative sex specifically. The parasite lives in:

The vagina and lower genital tract in women
The urethra and prostate in men

So any close genital contact - rubbing, skin-to-skin, external contact with discharge - is enough for transmission. Full penetration is NOT required.

Why the Male Partner Needs Treatment

Fact	Detail
Men are usually asymptomatic	No itching, no discharge, no pain - but still infected
The organism lives in the male urethra	Even with just external contact
If he is NOT treated	He will re-infect you after your treatment is done
Harrison's states clearly	"All sexual partners must be treated concurrently to prevent reinfection, especially from asymptomatic males"

Male Treatment

Metronidazole 2g as a single dose (one tablet, one time only)
Or Tinidazole 2g single dose
Avoid alcohol for 24 hours after

Bottom Line

Even if it was "just rubbing" - the Trichomonas parasite can transfer through genital secretions and mucous membrane contact. The male partner must be treated at the same time as you, otherwise your treatment will fail and you will keep getting re-infected. He does not need to have any symptoms to carry and transmit the infection.

Is male in risk

Yes, the male is at risk, but his experience is very different from yours.

What Happens in Males with Trichomoniasis

Aspect	Detail
Most men (50-70%)	Completely asymptomatic - no symptoms at all
Some men	Mild urethritis (slight irritation inside the penis)
Rare cases	Epididymitis or prostatitis
Discharge in men	Mild, clear urethral discharge - often ignored

As Harrison's states directly: "Many men infected with T. vaginalis are asymptomatic, although some develop urethritis and a few have epididymitis or prostatitis."

Real Risks for the Male If Left Untreated

Even without symptoms, untreated trichomoniasis in men carries real long-term risks:

1. Prostatitis

The parasite can infect the prostate gland
Can cause chronic pelvic discomfort over time

2. Epididymitis

Inflammation of the tube behind the testicle
Can affect fertility if repeated

3. Increased HIV Risk

Trichomoniasis causes inflammation in the genital tract
This significantly increases the risk of acquiring or transmitting HIV
This is a well-documented and serious risk

4. Fertility Issues

T. vaginalis has been shown to affect sperm motility and function
Chronic untreated infection may reduce fertility

5. Keeps Transmitting to Partners

Even with no symptoms, he remains infectious
Will keep re-infecting you or any future partner

The Danger of "No Symptoms"

This is the biggest issue. Because most men feel completely fine, they often:

Don't seek treatment
Don't believe they are infected
Assume only the woman has a problem

But the infection is very real and active in his urethra, regardless of symptoms.

Summary

Yes - he is at risk. The infection is just "quieter" in men. Untreated, it can damage the prostate, affect fertility, and significantly increase HIV susceptibility. He needs a single dose of Metronidazole 2g - it is simple, one tablet, one time - and it protects both of you.

When is best time to take ?

Great practical question. Here is the guidance on when and how to take Metronidazole:

Best Time to Take Metronidazole

Take it WITH FOOD

Metronidazole commonly causes nausea and stomach upset
Taking it with a meal significantly reduces this
Best taken after breakfast or dinner - whichever is your biggest meal

For You (Female) - 7 Day Course

Dose	When
500mg - Morning dose	After breakfast
500mg - Evening dose	After dinner
Same time every day	For all 7 days

Space the two doses 12 hours apart consistently
Do not skip doses even if symptoms improve early

For Him (Male) - Single Dose

Take the 2g single dose (usually 4 tablets of 500mg at once)
Take it after a meal
Best taken in the evening after dinner to sleep through any nausea
That's it - just one time

MOST IMPORTANT RULE - Alcohol

Rule	Detail
You (7-day course)	No alcohol during treatment + 24 hours after last tablet
Him (single dose)	No alcohol for 24 hours after taking it
Why?	Causes severe nausea, vomiting, flushing, racing heart - called a disulfiram-like reaction

This reaction can be very unpleasant. Strictly avoid alcohol - including alcohol in food, mouthwash, or cough syrups.

Both of You Take It on the Same Day

Take your treatments simultaneously - same day, same time ideally
Do not have any sexual contact (including rubbing) until both of you have finished treatment AND symptoms are completely gone
For you that means after all 7 days
For him that means after 24 hours have passed since his single dose

Quick Summary

Who	What	When
You	500mg twice daily x 7 days	After meals, 12 hrs apart
Him	2g single dose	After dinner, same day as you
Both	No alcohol	During + 24 hrs after
Sex	Resume only	After both are fully treated

Reminder: Please confirm this dosing with your doctor or pharmacist before taking, as they will prescribe based on your specific examination and test results.

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