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Why Do I Have White Vaginal Discharge With Fishy Smell?

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Posted on Fri, 13 Apr 2012
Question: my vaginal has white discharge and a fishy smell. I douche a coulpe of weeks ago before having sex does that have anything to do with it? 19,female,had chaymdia a year ago.
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Answered by Dr. Minoo Bhagia (7 hours later)
Hello ,
Thanks for the query.

Bacterial vaginosis is very common in females where normal vaginal flora is replaced by anaerobes and other organisms.

In this there is fishy odour.

Vaginal douching has been implicated as a risk factor in Bacterial Vaginosis.

Lactobacillus plays a very important role in reducing the pH below 4.5.

Anaerobes produce volatile amines and organic acids causing fishy smell.

Detection of clue cells is a positive test for Bacterial Vaginosis.

You can use metronidazole and clindamycin vaginal pessaries or can take them orally after consulting your gynaecologist.

Avoid washing genital area with soap , shower gels and other alkaline detergents.

Use cotton underwear and keep the area dry.

Recurrence is very common so one should be cautious.

Hope i have answered your query, i will be available for follow up.

Wishing you good health
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Radhika
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Answered by
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Dr. Minoo Bhagia

OBGYN

Practicing since :1983

Answered : 979 Questions

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Why Do I Have White Vaginal Discharge With Fishy Smell?

Hello ,
Thanks for the query.

Bacterial vaginosis is very common in females where normal vaginal flora is replaced by anaerobes and other organisms.

In this there is fishy odour.

Vaginal douching has been implicated as a risk factor in Bacterial Vaginosis.

Lactobacillus plays a very important role in reducing the pH below 4.5.

Anaerobes produce volatile amines and organic acids causing fishy smell.

Detection of clue cells is a positive test for Bacterial Vaginosis.

You can use metronidazole and clindamycin vaginal pessaries or can take them orally after consulting your gynaecologist.

Avoid washing genital area with soap , shower gels and other alkaline detergents.

Use cotton underwear and keep the area dry.

Recurrence is very common so one should be cautious.

Hope i have answered your query, i will be available for follow up.

Wishing you good health
Regards