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I experience vaginal discharge with offensive smell. What is the suggested treatment?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At April 22, 2020
Reviewed AtAugust 29, 2023

Patient's Query

Hello doctor,

For over four months, I have been experiencing vaginal discharge that has an offensive smell. I am in the military. I have been to the doctor and they continue to tell me it is just a symptom from my birth control but have not sent me to a gynecologist. The discharge has an offensive smell, white yellowish color with small bubbles in it but not foamy. I have been tested for gonorrhea and chlamydia both came back negative. I think it might be trichomonas or BV. I do not have any other symptoms besides discharge and smell.

Answered by Dr. Tinu Zachariah

Hello,

Welcome to icliniq.com

The bad smell and the discoloration of your vaginal discharge could be due to either a candida (fungal ) or bacterial vaginosis (BV) (bacterial infection).Trichomonas usually has a fishy smell which you do not have. Candida infections usually have something like a curdled milk appearance and have itching (itching which you do not seem to have). If you do not think you have candidal symptoms, then the diagnosis of BV is more fitting. Treatment would be to start antibiotics (both oral and vaginal) for 10 days. Also, if you are sexually active, please do your pap smear test if not already done. Please abstain for a period of two weeks from sexual activity during the treatment to prevent reinfection. Also, repeated infections would also affect your partner.

Investigations to be done

Blood sugar. Pap smear.

Differential diagnosis

Candida.

Probable diagnosis

Bacterial vaginosis.

Treatment plan

Antibiotics.

Preventive measures

Sexual hygiene.

Regarding follow up

After one course of antibiotics.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Tinu Zachariah

Obstetrics and Gynecology

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