Abnormal menstrual odor?
You have two children, the youngest being 4 years old.
You have irregular menstrual cycles but no other issues.
During your menstrual period from November 4th to November, you noticed a fishy odor to your menstrual blood (which you have never experienced before).
The odor disappeared after your period ended.
After sexual intercourse on November 14th, you experienced a small amount of bleeding (without any odor).
Should I seek medical attention?
Jing, 30~39 year old female. Ask Date: 2020/11/15
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello, Miss: Sometimes menstrual flow is not heavy and may remain in the vagina for a longer period without being expelled immediately.
The bacteria in the vagina can cause oxidation, which may result in an unusual fishy odor.
If the odor disappears after the menstrual period ends, there is generally no cause for concern.
Reply Date: 2020/11/15
More Info
When it comes to unusual menstrual odors, it’s important to pay attention to any changes in your menstrual cycle, especially if they are accompanied by other symptoms. In your case, you mentioned that you experienced a fishy odor during your menstrual period, which is a notable change from your usual experience. This odor can sometimes indicate an infection, such as bacterial vaginosis or a sexually transmitted infection (STI), especially if it is accompanied by other symptoms like unusual discharge, itching, or irritation.
The fact that the odor only occurred during your menstrual period and resolved afterward is a positive sign, but it does not completely rule out the possibility of an underlying issue. The occurrence of slight bleeding after sexual intercourse could also be a point of concern. While light spotting can be normal, especially after intercourse, it is essential to monitor this symptom closely.
Here are some key points to consider regarding when to seek medical attention:
1. Persistent Symptoms: If the fishy odor returns in subsequent menstrual cycles or if you notice any other unusual symptoms, such as a change in the color or consistency of your discharge, increased bleeding, or discomfort, it would be wise to consult a healthcare provider.
2. Bleeding After Intercourse: Light spotting can be normal, but if it becomes more frequent or is accompanied by pain, it could indicate a need for further evaluation. Conditions such as cervical polyps, infections, or other issues could be at play.
3. Other Symptoms: If you experience additional symptoms such as fever, chills, severe abdominal pain, or any signs of infection (like a strong odor, unusual discharge, or itching), you should seek medical attention promptly.
4. Routine Check-ups: Regular gynecological check-ups are essential, especially if you have a history of irregular periods or other gynecological issues. Discussing any changes in your menstrual cycle or symptoms with your healthcare provider can help in early detection and management of potential issues.
In summary, while the temporary nature of the odor and the absence of other symptoms may not necessitate immediate medical attention, it is crucial to remain vigilant. If the unusual odor recurs or if you have any concerns about the bleeding after intercourse, do not hesitate to reach out to your healthcare provider for a thorough evaluation. They may recommend tests such as a pelvic exam, Pap smear, or cultures to rule out infections or other conditions. Your health and peace of mind are paramount, so seeking guidance from a medical professional is always a prudent choice when faced with unusual symptoms.
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