Q. What could cause a smelly discharge and menstrual cramps three days after menstruation?

Answered by
Dr. Priyadarshini Tripathy
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 22, 2023

Hello doctor,

I have had a smelly discharge after my menstruation for three days and, now I feel menstrual cramps. I only take vitamins like sodium ascorbate, spirulina, and ferrous sulfate. Can you prescribe a medication that reduces cramps during my menstruation?



Welcome to

I understand your concern. Based on your symptoms, you mostly have an infection in the uterus or cervical or vaginal area. However, I suggest you get a high vaginal swab culture and sensitivity test to confirm the diagnosis. I am suggesting certain medications to treat your condition. If symptoms persist, you need to consult a local doctor for a local examination. I hope I have cleared all your doubts.

Thank you.

Investigations to be done:

High vaginal swab culture and sensitivity test, CBC (complete blood count), and urine routine microscopy.

Treatment plan:

Tablet Doxycycline 100 mg one tablet twice a day after food for seven days.

Tablet Metronidazole 400 mg one tablet twice a day after food for seven days

Tablet Pantop DSR one tablet once a day before breakfast for seven days.

Consult your specialist doctor, discuss with them, and take medications with their consent.

Regarding follow up:

Follow up with me with reports.

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