Abnormal Vaginal Discharge: When to Seek Medical Advice - Obstetrics and Gynecology

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Is it vaginal discharge?


Hello, doctor: I just finished my menstrual period a week ago and noticed a white discharge that resembles cottage cheese and has a slight acidic smell.
Is this normal vaginal discharge or could it be an infection? Previously, I only experienced an increase in clear, odorless discharge before my period.
Should I seek medical attention?

Fen Jin Zhang, 30~39 year old female. Ask Date: 2001/06/21

Dr. Zhan Deqin reply Obstetrics and Gynecology


It is advisable to seek medical attention for safety.

Reply Date: 2001/06/21

More Info


When it comes to abnormal vaginal discharge, especially after your menstrual period, it is essential to understand the characteristics of the discharge and any accompanying symptoms to determine whether medical advice is needed. In your case, you mentioned experiencing a white, cheese-like discharge with a slight acidic smell, which raises some important considerations.

Firstly, it’s important to differentiate between normal physiological discharge and abnormal discharge that may indicate an infection. Normal vaginal discharge can vary throughout the menstrual cycle, often increasing in volume and becoming clearer and more elastic around ovulation. After menstruation, it is common for some women to experience a decrease in discharge, but any significant changes in color, consistency, or odor can be a sign of an underlying issue.

The description of your discharge as "cheese-like" and having an acidic smell could suggest a yeast infection, particularly if you are also experiencing itching or irritation. Yeast infections, caused by an overgrowth of Candida species, are common and can lead to symptoms such as thick, white discharge, itching, and discomfort. Other potential causes of abnormal discharge include bacterial vaginosis (BV) and sexually transmitted infections (STIs), which may present with different characteristics.

Bacterial vaginosis typically results in a thin, grayish-white discharge with a fishy odor, while STIs might present with a variety of symptoms, including unusual discharge, itching, burning during urination, or pelvic pain. Given that you have noticed a change in your discharge and are concerned about the possibility of an infection, it is advisable to seek medical attention.

Visiting a healthcare provider is crucial, especially if you experience any of the following symptoms:
- Persistent or worsening discharge
- Itching or irritation in the vaginal area
- Burning sensation during urination
- Abdominal or pelvic pain
- Any unusual odor that is different from your normal discharge
A healthcare provider can perform a thorough examination and may conduct tests, such as a pelvic exam or a swab of the discharge, to determine the cause of your symptoms. This will help in diagnosing whether you have a yeast infection, bacterial vaginosis, or another condition that may require treatment.

In the meantime, here are some general self-care tips you can follow:
1. Avoid Irritants: Steer clear of scented soaps, douches, and feminine hygiene sprays, as these can disrupt the natural balance of bacteria in the vagina.

2. Wear Breathable Fabrics: Opt for cotton underwear and avoid tight-fitting clothing to help keep the area dry and reduce irritation.

3. Maintain Hygiene: Gently wash the external genital area with mild soap and water, and ensure to dry thoroughly.

4. Avoid Self-Medicating: While over-the-counter antifungal treatments are available for yeast infections, it’s best to consult with a healthcare provider for an accurate diagnosis before starting any treatment.

In conclusion, while some changes in vaginal discharge can be normal, the characteristics you described warrant a medical evaluation. Seeking timely medical advice can help you receive appropriate treatment and alleviate any discomfort you may be experiencing. Remember, your health is paramount, and addressing these concerns with a professional will provide you with peace of mind and the care you need.

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