What to use for vaginal odour

A mild natural scent can vary with sweat, menstruation, sex and hormonal changes. A strong fishy or unpleasant smell may occur with bacterial vaginosis or another vaginal infection; discharge colour or texture, itching, burning and pelvic discomfort can provide useful clues. A retained tampon, irritation or a sexually transmitted infection can also cause odour. Odour alone cannot identify the cause, and inserting products may make irritation or imbalance worse.

Wash the vulva gently and keep the area dry; do not douche or put deodorants, perfumes, antiseptics, yoghurt or unprescribed creams inside the vagina. Wear breathable underwear and change out of damp clothing. Arrange a clinic visit for a new or persistent change, especially after a new sexual partner. Testing may include an examination or a vaginal swab, and treatment should match the cause. Do not use leftover antibiotics. If pelvic infection is diagnosed, prescribed antibiotic treatment must be taken exactly as directed.

Seek prompt care for odour with fever, lower abdominal pain, pain during sex, bleeding after sex, painful urination, sores, or unusual discharge. Get urgent help for severe pelvic pain, fainting, heavy bleeding or feeling very unwell. Pregnancy, a recently inserted device, or a possible retained tampon are reasons to contact a clinician without delay.

Ask what causes are being considered, whether you need infection or sexually transmitted infection testing, and which products are safe. Ask whether your partner needs assessment and when symptoms should improve after treatment.