How to treat vaginal odour

A mild scent can vary with sweat, menstrual blood, sex, or changes in the vaginal environment. A strong fishy or unpleasant smell, particularly with thin or unusual discharge, can occur with bacterial vaginosis. Itching, soreness, burning when passing urine, or thick discharge may point to another infection or irritation. Odour alone cannot identify the cause.

Perfumed washes, deodorants, douching, and antiseptics can irritate the vulva and disturb its natural balance. An object left in the vagina can also cause a marked smell and should be removed by a clinician if it cannot be removed easily.

Wash the vulva gently with lukewarm water and a mild, unscented cleanser if needed, then pat dry. Keep the area cool and dry, change out of damp clothing, and choose breathable underwear. Do not douche or insert scented products. Avoid self-treating with leftover antibiotics or unconfirmed thrush medicines; the appropriate treatment depends on an examination and, when needed, a swab.

Arrange a medical appointment for a new or persistent odour, unusual discharge, itching, soreness, pain during sex, or burning when urinating. Seek prompt care for lower abdominal pain, fever, vomiting, bleeding outside your period, or feeling significantly unwell, because pelvic infection needs timely treatment. Tell the clinician about pregnancy, recent antibiotics, and any new sexual partner.

Ask which causes fit your symptoms, whether you need a vaginal swab or sexual-health tests, and when results will be available. Ask how to prevent irritation and whether a partner needs assessment if an infection is found.