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Is a fishy vaginal odor after sex a sign of infection?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I need your suggestion regarding my medical condition. My partner tells me that I have a bad odor, a kind of fishy, stingy smell from the vaginal discharge after fingering and all, but I have no burning or itching sensation, and I clean my vagina whenever I enter the washroom. Currently, I am under stress for placements and some sort of depression.

Kindly help.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

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

Hello,

Welcome to icliniq.com.

I understand your concern.

A fishy vaginal odor after intimacy, especially without itching or burning, is most commonly caused by bacterial vaginosis (BV). This condition occurs when the natural balance of vaginal bacteria is disrupted. Factors such as stress, excessive washing (which can disturb vaginal pH), and hormonal changes can contribute to this imbalance. Other possible causes include excessive sweating, anxiety, and diet-related factors, which can alter body odor and vaginal health. In some cases, semen can temporarily change the vaginal pH, leading to a stronger odor after intercourse.

To address this issue, it is important to avoid overwashing and douching, as these can strip away healthy bacteria. Instead, rinsing with lukewarm water is sufficient. Probiotics, whether through yogurt or supplements, can help restore the natural vaginal flora. Staying hydrated and managing stress levels are also beneficial for maintaining overall vaginal health. Wearing cotton underwear and breathable clothing can help reduce moisture buildup, which can further prevent bacterial imbalances. If the odor persists for more than a week, or if there are additional symptoms such as yellow, green, or chunky discharge, pain, itching, or burning, it is advisable to see a doctor. If bacterial vaginosis is confirmed, a short course of Metronidazole (Flagyl) in oral or gel form can effectively clear the infection. If you prefer, I can also guide you on natural remedies while you monitor your symptoms. Would you like that?

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 16, 2025
Reviewed At April 17, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

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

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Fishy vaginal odor after sex?

Five quick questions help you understand common causes of vaginal odor after sex, what might be typical, what to mention to your doctor, and what warrants a call today.

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Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

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

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