Unpleasant Odor and Discolored Discharge: Possible Causes and Solutions

The secretion has an unusual odor?

The discharge is yellowish-brown and has a strong odor, with a significant amount that occasionally causes some itching and slight bleeding.
The last sexual encounter was in October, and condoms were used each time, except for a few instances of oral sex.
However, since noticing this issue, oral sex has been avoided, although sexual intercourse continues with condom use.
This condition has persisted for at least six months.
I would like to know if this could be due to an infection or other issues related to sexual activity.

7, 10~19 year old female. Ask Date: 2016/12/14

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is possible that you have pelvic or vaginal inflammation.
I recommend that you consult with a gynecologist who can assess your condition and determine whether to arrange for relevant examinations (such as ultrasound, bacterial culture of secretions, microscopic examination, urinalysis, X-rays, blood tests, etc.) to address your pain.
Thank you! Wishing you peace and health.

Please note that a physician cannot provide treatment, prescribe medication, or issue a diagnosis without a personal examination.

Reply Date: 2016/12/14

More Info

The symptoms you describe—discolored discharge, unpleasant odor, occasional itching, and slight bleeding—could be indicative of several potential conditions, most commonly associated with infections or other gynecological issues. Given that you have been experiencing these symptoms for at least six months, it is crucial to seek medical attention to determine the underlying cause and receive appropriate treatment.

Possible Causes
1. Bacterial Vaginosis (BV): This is a common condition caused by an imbalance of bacteria in the vagina. Symptoms often include a fishy odor, gray or yellow discharge, and sometimes itching. BV is not classified as a sexually transmitted infection (STI), but sexual activity can influence its occurrence.

2. Yeast Infection: This condition is caused by an overgrowth of yeast, typically Candida. Symptoms include thick, white discharge, itching, and irritation. While yeast infections are not sexually transmitted, they can be triggered by sexual activity, particularly if there is a change in the vaginal environment.

3. Sexually Transmitted Infections (STIs): Certain STIs, such as chlamydia or gonorrhea, can cause abnormal discharge, odor, and bleeding. It’s essential to consider this possibility, especially if you have had unprotected sexual encounters.

4. Cervical or Vaginal Infections: Infections of the cervix (cervicitis) or vagina can lead to similar symptoms. These infections can be caused by various pathogens, including bacteria and viruses.

5. Hormonal Changes: Fluctuations in hormones, such as those occurring during menstruation, pregnancy, or menopause, can affect vaginal discharge and odor.

Recommendations
1. Seek Medical Evaluation: It is vital to consult a healthcare provider for a thorough examination. They may perform a pelvic exam, take samples of the discharge, and conduct tests to identify any infections or other conditions.

2. Avoid Self-Medication: While over-the-counter treatments for yeast infections are available, it is essential to have a proper diagnosis before starting any treatment. Using the wrong medication can worsen the condition or mask symptoms.

3. Maintain Hygiene: Practice good genital hygiene by washing the area with mild soap and water. Avoid douching, as it can disrupt the natural balance of bacteria in the vagina.

4. Safe Sex Practices: Continue to use condoms during sexual activity to reduce the risk of STIs. Discuss with your partner about any symptoms they may be experiencing, as this can help in identifying potential infections.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the color and consistency of the discharge, odor, and any additional symptoms like pain or fever. This information can be helpful for your healthcare provider.

Conclusion
While it is understandable to feel apprehensive about seeking medical help, especially if you are concerned about the implications of your symptoms, it is crucial to prioritize your health. Persistent symptoms like those you describe should not be ignored, as they can lead to more severe complications if left untreated. A healthcare professional can provide you with the necessary guidance and treatment options to address your concerns effectively.

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