Vaginal Odor and Discharge: When to Seek Medical Help - Obstetrics and Gynecology

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Hello, I have a question.
I have an unusual odor from my vagina, and my vaginal discharge is yellow but not itchy.
What could be the reason for this? I have a regular sexual partner.
Thank you! If I go to the hospital for an examination, what kind of tests will be done? Is it similar to a Pap smear? Will a pelvic exam be necessary? Thank you.

Xiao Ke, 20~29 year old female. Ask Date: 2004/08/03

Dr. Zhan Deqin reply Obstetrics and Gynecology


(1) It is likely a manifestation of vaginitis.
(2) A pelvic examination, Pap smear, vaginal irrigation, and if necessary, colposcopy should be performed.
(3) It is necessary to...

Reply Date: 2004/08/03

More Info


Vaginal odor and discharge can be concerning symptoms for many women, and understanding their significance is crucial for maintaining reproductive health. Based on your description of experiencing an unusual odor and yellowish discharge, it is important to consider a few potential causes and when to seek medical help.

Firstly, vaginal discharge can vary in color, consistency, and odor throughout the menstrual cycle due to hormonal changes. However, a yellowish discharge accompanied by an unusual odor may indicate an underlying issue, such as a bacterial infection, yeast infection, or sexually transmitted infection (STI).
1. Bacterial Vaginosis (BV): This is a common condition caused by an imbalance in the normal bacteria found in the vagina. Symptoms often include a fishy odor, especially after intercourse, and a thin, grayish-white discharge. BV is not considered a sexually transmitted infection, but it is more common in sexually active women.

2. Yeast Infection: While yeast infections typically cause a thick, white discharge resembling cottage cheese, they can sometimes present with a yellowish tint. The odor is usually not fishy but may be described as yeasty or bread-like. Other symptoms include itching and irritation.

3. Sexually Transmitted Infections (STIs): Infections such as chlamydia or gonorrhea can cause abnormal discharge and odor. These infections may also present with additional symptoms like pelvic pain, burning during urination, or bleeding between periods.

Given your symptoms, it is advisable to seek medical attention. When you visit a healthcare provider, they will likely perform a pelvic examination to assess your symptoms. The examination may include:
- Visual Inspection: The doctor will visually inspect the vaginal area for any signs of infection, irritation, or abnormalities.


- Speculum Examination: A speculum may be used to open the vaginal walls gently, allowing the doctor to view the cervix and collect samples of the discharge for laboratory analysis.

- Laboratory Tests: A sample of the discharge may be sent for testing to identify any infections, including bacterial cultures or tests for STIs. This process is similar to a Pap smear but focuses on identifying infections rather than cervical cancer screening.

- pH Testing: The vaginal pH can be tested, as an elevated pH may indicate bacterial vaginosis or other infections.

It is essential to communicate openly with your healthcare provider about your symptoms, including the odor, color, and any other associated symptoms you may be experiencing. This information will help them make an accurate diagnosis and recommend appropriate treatment.

In summary, while some variations in vaginal discharge can be normal, the presence of a yellowish discharge with an unusual odor warrants medical evaluation. Early diagnosis and treatment can help prevent complications and ensure your reproductive health is maintained. If you have any concerns or if your symptoms worsen, do not hesitate to seek medical advice promptly.

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