All about chronic vaginal discharge

Written in association with: Dr Rimi Shah
Published: | Updated: 08/01/2025
Edited by: Conor Lynch

Chronic vaginal discharge is a common concern that can impact a woman's physical health, emotional well-being, and overall quality of life. While some vaginal discharge is normal and plays a role in maintaining a healthy reproductive system, persistent or unusual discharge may signal an underlying condition that warrants medical attention. Understanding its causes, implications, and connection to sexual health is essential for appropriate management and prevention.

Vaginal discharge naturally fluctuates during the menstrual cycle, pregnancy, and menopause due to hormonal changes. However, chronic discharge that is excessive, has an unusual colour, odour, or texture, or is accompanied by symptoms like itching, irritation, or pain may indicate infections such as bacterial vaginosis (BV), yeast infections (thrush or candida), or sexually transmitted infections (STIs) like chlamydia, gonorrhoea, or trichomoniasis. Non-infectious causes such as hormonal imbalances, conditions like vulvovaginitis, cervical ectropion, and allergic reactions can also contribute to persistent discharge.

 

The link between chronic vaginal discharge and sexual health is significant. Unresolved infections can lead to complications like pelvic inflammatory disease (PID), infertility, or chronic pelvic pain. Conditions causing abnormal discharge can affect intimacy, self-esteem, and emotional well-being, underscoring the importance of a comprehensive approach to sexual health.

 

Practicing safer sex, including the consistent use of condoms and regular STI screenings, can reduce the risk of infections and related complications. Open communication with partners about sexual health and seeking timely medical advice are also crucial steps.

 

Treatment of chronic vaginal discharge depends on the underlying cause. For infections, antibiotics or antifungal medications are often effective. Non-infectious conditions may require hormonal therapy, lifestyle adjustments, addressing irritants, and/or better vulval care. Holistic care by a healthcare provider ensures appropriate diagnosis and treatment tailored to the patient’s specific needs.

 

Promoting awareness of chronic vaginal discharge and its connection to sexual health empowers women to seek timely care, reduce stigma, and maintain overall well-being. With proper medical support and preventive measures, women can address this concern effectively and regain confidence in their sexual and reproductive health.

By Dr Rimi Shah
Genitourinary Medicine

Dr Rimi Shah is a highly experienced consultant in genitourinary medicine, HIV, and sexual health, based in London. She specialises in the diagnosis and management of sexually transmitted infections (STIs), management of recurrent infections and vaginal discharge, genitourinary symptoms of menopause, HIV, and a wide range of sexual health concerns.

Known for her empathetic and patient-focused approach, Dr Shah provides a discreet and holistic service, ensuring her patients feel supported and understood throughout their care journey. Dr Shah has extensive expertise in managing recurrent and chronic genital conditions, including herpes, thrush, bacterial vaginosis, non-specific urethritis (NSU), and genital warts. She also specialises in women’s health, with a particular focus on vaginal discharge, and in conditions such as painful sex, vulvodynia, vestibulitis, and prostatitis. Her services include STI screening, HIV management (including PEP and PrEP), HPV management, and addressing complex sexual health issues.

Dr Shah’s NHS work was based at the Royal Free Hospital, where she worked as a senior consultant in HIV and sexual health for over 12 years and during this time, she developed specialist clinics for the management of chronic genital conditions and recurrent discharge, women’s and antenatal STI clinics, and established care pathways across 3 hospitals.

Her many roles have included clinical lead for GUM/HIV, lead clinician for women and pregnancy, head of services for the department for 6 years, course director for GP STI education, and a lecturer at University College Medical School (UCL), University of London.

She qualified from University of London (Royal Free Medical School), then undertaking general medical training in a number of specialities, before gaining her membership to Royal College of Physicians. Following this, she completed her specialist training at in GUM/HIV at Guys and St Thomas’s Hospitals, a centre of excellence for HIV/STIs, and was appointed as a consultant at the Royal Free and Barnet Hospitals, then obtaining her fellowship to the Royal College of Physicians.

Dr Shah has lectured widely in the UK and internationally on STI management and the care of women with STIs and HIV. Passionate about reducing stigma and raising awareness of sexual health issues, she has actively contributed to research and education to enhance care standards.

Her approachable manner and dedication to personalised, high-quality care are the hallmarks of her practice, ensuring patients always remain at the heart of their treatment.

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