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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Foul Vaginal Odour While On Spironolactone?

Hi. I began taking 50mg of spironolactone twice daily for acne treatment. I ve noticed that the smell of my vagina has changed and is mildly fishy. There is no tenderness, itching, swelling or discharge or any other symptom that would suggest an infection- just an odor that isn t normal for me. I ve read that several antibiotics interact with Spiro and I d like to treat my symptoms so that I can confidently have sex with my partner. Can you recommend any medications that are safe to take that can treat this?
Wed, 3 May 2017
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General Surgeon 's  Response
Hi, I had gone through your question and understand your concerns.

I dont think that spironolactone is associated with your symptoms and this is probably just a coincidence. Your symptoms are sign of bacterial vaginosis. This is Bacterial vaginosis is a mild infection of the vagina ccaused by bacteria. Thisis usually easily treated with Metronidasol antibiotic or vaginaletes. Less, common this is sign of STD and in this case std testing should be done,but I dont think that this is required. It would be good to avoid sexual intercourse till symptoms persist. Spironolactone should be continued if you ask me since this is not side effect of this medication.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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What Causes Foul Vaginal Odour While On Spironolactone?

Hi, I had gone through your question and understand your concerns. I dont think that spironolactone is associated with your symptoms and this is probably just a coincidence. Your symptoms are sign of bacterial vaginosis. This is Bacterial vaginosis is a mild infection of the vagina ccaused by bacteria. Thisis usually easily treated with Metronidasol antibiotic or vaginaletes. Less, common this is sign of STD and in this case std testing should be done,but I dont think that this is required. It would be good to avoid sexual intercourse till symptoms persist. Spironolactone should be continued if you ask me since this is not side effect of this medication. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.