Possible Causes of Foul-Smelling Yellow Discharge and Back Pain - Obstetrics and Gynecology

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Yellow discharge with a foul odor and a sour smell, accompanied by lower back pain?


Menstruation occurred from November 19 to November 27.
On November 27, there was unprotected sexual intercourse without ejaculation.
Following that, there was light bleeding for four consecutive days, with a light brown color.
By December 2, there was yellow discharge with a strong, sour odor, and also lower back pain.
What could be the possible symptoms in this case?

Lin, 10~19 year old female. Ask Date: 2022/12/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it could be inflammation.
I recommend seeing a gynecologist.
Wishing you good health.

Reply Date: 2022/12/16

More Info


The presence of foul-smelling yellow discharge, especially when accompanied by back pain, can indicate several potential medical conditions. Given the timeline you've provided, it seems that the symptoms began shortly after a sexual encounter, which could suggest a possible infection or other underlying issue.

1. Infections: The most common cause of foul-smelling yellow discharge is a vaginal infection. This could be due to bacterial vaginosis (BV), which is characterized by an imbalance of normal bacteria in the vagina. BV often produces a fishy odor and can lead to yellowish discharge. Another possibility is a sexually transmitted infection (STI) such as gonorrhea or chlamydia, which can also cause abnormal discharge and may lead to pelvic inflammatory disease (PID) if left untreated.

2. Cervicitis: Inflammation of the cervix, known as cervicitis, can also lead to yellow discharge and may have a foul odor. This condition can be caused by infections, including STIs, and may present with additional symptoms such as pelvic pain or discomfort during intercourse.

3. Pelvic Inflammatory Disease (PID): If the infection spreads to the uterus, fallopian tubes, or ovaries, it can result in PID, which often presents with lower abdominal pain, back pain, and abnormal discharge. PID can be serious and may lead to complications if not treated promptly.

4. Hormonal Changes: Sometimes, hormonal fluctuations related to the menstrual cycle can lead to changes in vaginal discharge. However, the presence of a foul odor and back pain suggests that this is less likely the cause in your case.

5. Other Conditions: Other potential causes could include retained foreign bodies (such as tampons), which can lead to infections, or even certain types of cancer, although these are less common.

Given your symptoms, it is crucial to seek medical attention as soon as possible. A healthcare provider can perform a thorough examination, including a pelvic exam, and may take samples for laboratory testing to identify the specific cause of your symptoms. Treatment will depend on the underlying cause but may include antibiotics for bacterial infections or other specific therapies for STIs.

In the meantime, it is advisable to avoid sexual intercourse until you have been evaluated by a healthcare professional to prevent further irritation or potential transmission of any infections. Additionally, maintaining good hygiene and avoiding douching or using scented products in the vaginal area can help prevent further irritation.

In summary, foul-smelling yellow discharge accompanied by back pain can indicate several conditions, primarily infections. Prompt medical evaluation is essential to determine the cause and initiate appropriate treatment.

Similar Q&A

Possible Causes of Foul-Smelling Yellow Discharge and Back Pain

Menstruation occurred from November 19 to November 27. On November 27, there was unprotected sexual intercourse without ejaculation. Following that, there was light bleeding for four consecutive days, with a light brown color. By December 2, there was yellow discharge with a foul...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it could be inflammation. I recommend seeing a gynecologist. Wishing you good health.

[Read More] Possible Causes of Foul-Smelling Yellow Discharge and Back Pain


Possible Causes of Foul-Smelling Yellow Discharge and Back Pain

Menstruation occurred from November 19 to November 27. On November 27, there was unprotected sexual intercourse without ejaculation. Following that, there was light bleeding for four consecutive days, with a faint brown color. By December 2, there was yellow discharge with a foul...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if your discharge has a sour smell, it may be due to inflammation. It is advisable to see a gynecologist. Wishing you good health.

[Read More] Possible Causes of Foul-Smelling Yellow Discharge and Back Pain


Possible Causes of Foul-Smelling Yellow Discharge and Back Pain

Menstruation occurred from November 19 to November 27. On November 27, there was unprotected sexual intercourse without ejaculation. Following that, there was light bleeding for four consecutive days, with a faint brown color. By December 2, yellow discharge appeared, which had a...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it could be inflammation. I recommend seeing a gynecologist. Wishing you good health.

[Read More] Possible Causes of Foul-Smelling Yellow Discharge and Back Pain


Possible Causes of Foul-Smelling Yellow Discharge and Back Pain

Menstruation occurred from November 19 to November 27. On November 27, there was unprotected sexual intercourse without ejaculation. Following that, there was light bleeding for four consecutive days, with a faint brown color. By December 2, there was yellow discharge with a stro...


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it could be inflammation. I recommend seeing a gynecologist. Wishing you good health.

[Read More] Possible Causes of Foul-Smelling Yellow Discharge and Back Pain


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