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

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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

Education:

MD Obstetrics and Gynecology

Professional Bio:

Dr. Tinu Zachariah is a Gynecologist with 17 years of experience. She is an expert in handling high-risk obstetrics and gynecology cases, including laparoscopic gynecology. She graduated with MD in Obstetrics and Gynecology from the Institute of Obstetrics and Gynecology, Chennai, in the year 2007. She has wide experience in multiple institutions in Kerala. Presently, she is working as an Assistant Professor in Obstetrics and Gynecology department at Believers Church Medical College Hospital, Tiruvalla, Kerala. In addition, she held administrative responsibilities in the medical college, worked in government and private medical colleges in Kerala, and has teaching experience.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to our portal

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.
Medically reviewed by Dr. Vinodhini J.
Published At April 22, 2020
Reviewed At April 23, 2025

Education:

MD Obstetrics and Gynecology

Professional Bio:

Dr. Tinu Zachariah is a Gynecologist with 17 years of experience. She is an expert in handling high-risk obstetrics and gynecology cases, including laparoscopic gynecology. She graduated with MD in Obstetrics and Gynecology from the Institute of Obstetrics and Gynecology, Chennai, in the year 2007. She has wide experience in multiple institutions in Kerala. Presently, she is working as an Assistant Professor in Obstetrics and Gynecology department at Believers Church Medical College Hospital, Tiruvalla, Kerala. In addition, she held administrative responsibilities in the medical college, worked in government and private medical colleges in Kerala, and has teaching experience.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MD Obstetrics and Gynecology

Professional Bio:

Dr. Tinu Zachariah is a Gynecologist with 17 years of experience. She is an expert in handling high-risk obstetrics and gynecology cases, including laparoscopic gynecology. She graduated with MD in Obstetrics and Gynecology from the Institute of Obstetrics and Gynecology, Chennai, in the year 2007. She has wide experience in multiple institutions in Kerala. Presently, she is working as an Assistant Professor in Obstetrics and Gynecology department at Believers Church Medical College Hospital, Tiruvalla, Kerala. In addition, she held administrative responsibilities in the medical college, worked in government and private medical colleges in Kerala, and has teaching experience.

This doctor is not available for online consultations on the platform anymore.

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