Titi had been prescribed antifungal treatment three times for what everyone called thrush. But her discharge was not thick and white — it was frothy and yellow. Mascot Healthcare ran a proper vaginal assessment and found the actual cause.
Civil servant, Yaba. Presented with persistent frothy vaginal discharge, intense itch, and fishy odour for 8 weeks. Had been treated for thrush three times with no improvement.
Mixed Vaginitis (Trichomonas vaginalis + BV co-infection)The first time the discharge appeared, Titi went to the pharmacy. The pharmacist handed her an over-the-counter clotrimazole pessary without asking to describe the colour or character of the discharge. She assumed it was thrush — a word every woman around her seemed to know. The pessary helped the itch slightly for a week. Then everything returned.
The second time, a clinic prescribed a 6-day course of antifungal pessaries. Same result: temporary relief, then return. The third treatment was oral fluconazole 150 mg. Still no lasting relief. By week eight, Titi was miserable — she was wearing panty liners every day, avoiding her husband, and losing sleep from the nocturnal itch.
Her sister-in-law, who had been through a similar experience, told her: "Go somewhere that will actually test what's in there, not just assume." Titi came to Mascot Healthcare and the consultation changed everything within two days.
Vaginitis from trichomonas often coexists with bacterial vaginosis. The combination produces a distinct set of features that differ from candidal vaginitis — but without proper assessment, they're easily confused.
Copious, bubbly, thin discharge with a distinctly yellow-green tinge — not the thick white of thrush.
Severe itching of the vagina and vulva, worse at night and after bathing.
A persistent, noticeable odour — fishy after intercourse, present at other times too.
Erythema and mild oedema of the labia minora, worsening over weeks.
Dyspareunia — pain during sex — causing Titi to avoid intimacy for weeks.
Clotrimazole 200 mg pessary × 3 nights — partial temporary itch relief; frothy discharge unchanged.
The doctor asked the necessary questions and reached a diagnosis.
Mixed Vaginitis — Trichomonas vaginalis + Bacterial Vaginosis (swab wet mount + clinical diagnosis)
Appropriate oral and vaginal treatment
Discharge, odour, and itch resolved completely within 5 days. Follow-up at 2 weeks — normal vaginal flora on reassessment.
Complete resolution of all symptoms within one week of starting the correct treatment. No recurrence at 6-week check. Titi's partner was treated and remained asymptomatic.
Not all vaginal infections are thrush.
Frothy yellow-green vaginal discharge is not thrush. Always test before prescribing — the right diagnosis means the right treatment.
Walk in to Mascot Healthcare, Akoka — same-day consultation, transparent pricing, 4.9★ rated.