Unusual Odor and Brownish Discharge: Possible Gynecological Issues

The discharge has an unusual odor and is reddish-brown in color?

Hello, doctor.
I've been experiencing some redness, swelling, and pain in my vulvar area over the past few days, and sometimes there's itching.
The perineum has some minor peeling and redness (I had my boyfriend take a picture).
Additionally, my discharge has changed from a slight brown color to now having a hint of blood, and it has a rusty smell similar to menstrual blood, along with another unpleasant odor.
Although I am currently on my period, the bleeding is not as heavy as usual, and I don't have the typical breast tenderness that I usually experience.
I usually air my underwear indoors since I live in a dormitory.
Could you please advise me on what might be happening? Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2018/01/03

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I apologize for not being able to provide a diagnosis based on what you've described.
It could be inflammation.
If you continue to experience discomfort, I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2018/01/03

More Info

Based on your description, it sounds like you are experiencing several concerning symptoms that could indicate a gynecological issue. The combination of redness, swelling, pain in the vulvar area, itching, and changes in discharge, particularly the presence of brownish discharge with a foul odor, warrants further investigation.

Possible Causes
1. Vulvovaginitis: This is an inflammation of the vulva and vagina, which can be caused by infections (bacterial, yeast, or sexually transmitted infections) or irritants (such as soaps, detergents, or hygiene products). The symptoms you describe, including redness, swelling, and discharge, align with this condition.

2. Bacterial Vaginosis (BV): This is a common condition caused by an imbalance of bacteria in the vagina. It often presents with a fishy odor and can lead to changes in discharge, which may appear brownish or grayish. The odor can be particularly noticeable after intercourse.

3. Yeast Infection: A yeast infection can cause itching, redness, and a thick, white discharge. However, it typically does not cause a foul odor. If there is a secondary bacterial infection, that could explain the odor you are experiencing.

4. Cervical or Uterine Issues: Conditions such as cervicitis (inflammation of the cervix) or endometritis (inflammation of the uterine lining) can also lead to abnormal discharge and odor. These conditions may be associated with sexual activity or infections.

5. Sexually Transmitted Infections (STIs): Infections such as chlamydia or gonorrhea can cause similar symptoms, including abnormal discharge and odor. It is essential to rule these out, especially if you have had new or multiple partners.

Recommendations
1. Seek Medical Attention: It is crucial to consult a healthcare provider for a thorough examination. They may perform a pelvic exam, take samples of the discharge for laboratory analysis, and possibly conduct tests for STIs.

2. Avoid Irritants: Until you see a doctor, avoid using scented soaps, douches, or other products that could irritate the area. Wear breathable cotton underwear and avoid tight clothing to reduce moisture buildup.

3. Maintain Hygiene: Keep the area clean and dry. Use mild, unscented soap for washing, and avoid excessive scrubbing.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the color and odor of the discharge, as well as any new symptoms that may arise.

5. Consider Your Environment: Since you mentioned living in a dormitory, ensure that your living conditions are clean and that you have access to proper hygiene facilities. Damp environments can promote the growth of yeast and bacteria.

Conclusion
Your symptoms are concerning and should not be ignored. While some conditions may resolve on their own, others may require medical intervention to prevent complications. It is essential to get a proper diagnosis and treatment plan from a healthcare professional. Early intervention can help manage your symptoms effectively and improve your overall gynecological health.

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