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5 reasons your discharge smells bad — but not necessarily fishy

There are many reasons your vagina may smell out of the ordinary or produce a bad-smelling discharge.

There are many reasons your vagina may smell out of the ordinary or produce a bad-smelling discharge. The most common cause of odor is bacterial vaginosis, which causes a fishy smell.

But if your vagina has a foul, but not fishy odor, it could be a sign of an infection like chlamydia or certain cancers.

Here are five reasons why your vagina may smell bad, but not fishy.

1. Yeast infection

A yeast infection occurs when a fungus called Candida albicans overgrows in your vagina.

"Yeast vaginal infections often have no odor at all, but they can create a musty sort of scent," says Dr. Felice Gersh, an OB-GYN who founded and is the director of the Integrative Medical Group of Irvine.

This musty smell is caused by a chemical reaction between your vaginal bacteria and the Candida yeast, Gersh says.

Some other common symptoms of yeast infection are:

  • White, cottage-cheese like discharge
  • Itching or burning of the vagina and vulva
  • Swelling and redness of the vulva
  • Pain or soreness in the vagina and vulva

How to treat it: Yeast infections can usually be treated at home using over the counter antifungal medications like miconazole (Monistat).

If home remedies don't clear up the infection, your doctor can prescribe anti-fungal pills like fluconazole (Diflucan).

2. Forgotten tampon

If you forget to remove a tampon from your vagina, bacteria can grow inside the tampon, leading to an infection. This can happen if you accidentally put in a second tampon without removing the first or forget to take out a tampon at the end of your period.

The bacteria can also trigger a bad smell — "old menstrual blood can mix with bacteria resulting in a bad odor," Dr. Jennifer Wider, a women's health expert, says.

The smell from a forgotten tampon is often very strong — "it's usually noticeable enough to signal that something is not normal," Wider says.

In general, you shouldn't leave a tampon in for longer than eight hours because it can cause a rare, life-threatening condition called toxic shock syndrome.

How to treat it: If you've left a tampon in your vagina long enough to cause a smell, the first thing you want to do is remove it.

Afterward, you should monitor yourself for symptoms like lower belly pain or a high fever.

If you experience these symptoms, you should get medical attention as soon as possible. Your doctor can treat an infection with antibiotics or remove a stuck tampon if needed.

3. Chlamydia

Chlamydia is the most common sexually transmitted infection that's caused by bacteria.

"As the bacteria grows and multiplies, it can sometimes cause a bad smelling discharge," Wider says. The smell may be foul or smell like pus from a wound.

The bad smell is caused when the chlamydia bacteria interact with inflammatory tissues and your normal vaginal bacteria, Gersh says.

But this is not always the case —  "infections with chlamydia can also be 'silent,'" Gersh says.

How to treat it: In most cases, chlamydia can easily be treated with an antibiotic and should go away within a week or two. Your doctor may prescribe you a one-time dose of antibiotics, or give you a five- to 10-day regimen.

4. Cervical cancer

In rare cases, a bad vaginal odor can be a sign of cervical cancer. This may cause a generally foul smell or smell like rotten meat.

"Cervical cancer can sometimes cause a foul-smelling pink, brownish discharge," Wider says. This discharge is made up of dead tissue or tumor cells that are shed from your cervix.

Some other symptoms of cervical cancer include:

  • Vaginal bleeding not during your period
  • Bleeding after sex
  • Pain during sex
  • Losing weight without trying
  • Lower back pain

How to treat it: To treat cervical cancer, you'll need to see a gynecologic oncologist, who can offer treatments like chemotherapy, radiation, or surgery. Read More...

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