Could chronic vaginal infection cause odor and discomfort?

Hello,

Welcome to icliniq.com.

I can understand your concern.

As with all history and queries mentioned by you, I would advise the following: a repeat pelvic examination with both speculum and bimanual assessment is essential, as blood clots or retained tissue can sometimes remain hidden within the cervical os or the upper vaginal fornices. A transvaginal ultrasound (TVS) should be performed to rule out retained products of conception, hematometra (trapped blood within the uterus), or endometrial pathology.

If the ultrasound is inconclusive, further imaging, such as a saline infusion sonohysterogram or magnetic resonance imaging (MRI), may be necessary. A thorough infection screening should also be conducted, including vaginal and cervical cultures, to test for aerobic and anaerobic bacteria, as well as sexually transmitted infections such as bacterial vaginosis (BV), Trichomonas vaginalis, or Mycoplasma genitalium.

If pelvic inflammatory disease (PID) is suspected, an endometrial biopsy may also be required. Appropriate antimicrobial therapy might include Metronidazole (Flagyl) for BV or Tinidazole (Tindamax) and Azithromycin (Zithromax) or Doxycycline (Vibramycin) for Mycoplasma or Chlamydia trachomatis.

If recurrent clots continue to appear without visible bleeding, it is important to evaluate hormone levels, including estrogen, and conduct tests for coagulation disorders, such as von Willebrand disease or platelet function abnormalities. If all investigations return negative but symptoms persist, further evaluation with hysteroscopy (to directly visualize the uterine cavity) or referral to a hematologist may be necessary. Your symptoms suggest a possible case of retained tissue, chronic endometritis, or an underlying clotting disorder.

I hope this helps.

Thank you.