What's the matter with stinky leucorrhea?

Foul odor of leucorrhea may be caused by bacterial vaginosis, trichomonas vaginitis, cervicitis, endometrial infection, vaginal foreign bodies, etc. It can be improved through drug treatment, local cleaning, physical therapy, surgical removal of foreign bodies, and adjustment of living habits. It is recommended to seek medical treatment promptly to determine the cause of the disease and avoid self-medication that may delay the condition.

1. Bacterial vaginosis

Bacterial vaginosis is caused by an imbalance of normal flora in the vagina. Common symptoms are gray-white, thin leucorrhea with a fishy odor. It may be related to factors such as frequent vaginal douching and multiple sexual partners. Medications such as metronidazole vaginal effervescent tablets, clindamycin phosphate vaginal cream, tinidazole suppositories, etc. can be used as directed by the doctor. Sexual intercourse must be avoided during medication.

2. Trichomonal vaginitis

Trichomonas vaginitis is caused by Trichomonas vaginalis infection and typically presents as yellow-green foamy leucorrhea with a rancid smell, often accompanied by vulvar itching. It is mainly transmitted through sexual contact and requires treatment by the partner at the same time. Commonly used drugs include metronidazole tablets, ornidazole capsules, and tinidazole vaginal suppositories. During treatment, sterilized underwear should be changed every day.

3. Cervicitis

Cervicitis may cause purulent leucorrhea with foul odor, and is often caused by gonorrhea, chlamydia and other pathogenic infections. Cervical congestion and edema can be seen in the acute phase, and cervical erosion-like changes may occur in the chronic phase. Azithromycin dispersible tablets, doxycycline tablets, Baofukang suppositories and other drugs can be used. In severe cases, laser or cryotherapy is required.

4. Endometrial infection

When endometrial infection occurs after childbirth or miscarriage, bloody and foul-smelling discharge may occur, accompanied by lower abdominal pain and fever. Ultrasound examination is required to confirm the condition of the uterine cavity. Ceftriaxone sodium injection, levofloxacin sodium chloride injection and metronidazole injection are commonly used intravenously. Uterine drainage is required when necessary.

5. Vaginal foreign body

When foreign objects such as tampons and condoms left behind by children or adults remain in the vagina, they can cause putrid and foul-smelling leucorrhea. The foreign body needs to be removed through gynecological examination. If there is a combined infection, povidone-iodine solution should be used for flushing, and antibiotics such as amoxicillin and clavulanate potassium tablets and cefaclor dry suspension should be used for treatment.

You need to keep your vulva clean and dry on a daily basis. Choose cotton breathable underwear and change it daily. Avoid using soap or lotion to clean the vagina excessively, and pay attention to cleanliness before and after sex. Reduce the intake of spicy and stimulating foods in the diet, and appropriately supplement yogurt containing lactobacilli. If the odor of leucorrhea lasts for more than 3 days or is accompanied by fever, abdominal pain and other symptoms, you should immediately go to a gynecologist for routine leucorrhea, bacterial culture and other examinations. When postmenopausal women experience bloody and foul-smelling discharge, they need to be alert to the possibility of malignant lesions such as endometrial cancer.