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Get in here ladies and see the reasons why your v*gina smells bad + ways to avoid that smell

Many women complain that they have a bad smell oozing from their vagina, even after frequent washing. This can be very distressing, particularly if it is noticed and commented on by someone else.

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Genital odour is due to the combination of vaginal secretions, ecotone and apocrine sweat and external sources (urine, faeces, topical applications).

What symptoms should lead to concern?

A bad smell could be due to genital infection or disease. Clues include:
– excessive vaginal discharge
– itching (pruritus vulvae)
– pain and soreness.

What conditions cause vaginal malodor?

Sometimes the apparent bad vaginal smell is actually normal, as vaginal secretions in every adult woman have a rather musty odour. The smell can vary throughout the menstrual cycle. There is also a wide variation in what is considered acceptable.
Bad smell is however often associated with infectious or non-infectious causes of vaginitis or less often, vulval disease.
Malodorous vaginal infections include:

– Bacterial vaginosis (the most common reason for genital malodour, a fishy smell)

– Trichinosis  (this is foul-smelling in only about 20% of infected women)

– Vulval ulceration of any cause,

particularly if due to Donovan oasis or chancroid

– Vaginal discharge associated with pelvic inflammatory disease

– Forgotten foreign bodies such as tampons, diaphragms or sponges

– Fistulas or passageways linking the vagina with the rectum or bladder following childbirth, injury or surgery

– Hidradenitis suppurativa.

Although candidal vulvovaginitis (thrush) is very common, it causes a yeasty smell, which is not considered particularly unpleasant by most women.

Noninfectious causes of vaginal malodour include:

– Excessive perspiration ( hyperhidrosis leading to bromhidrosis) especially associated with obesity

– Chronic constipation and bloating or dietary factors leading to release of smelly rectal gases

– Urinary incontinence, releasing ammonia
– Faecal incontinence

– Poor hygiene, often in women who are elderly or mentally unwell

– Vulval cancer, when it is due to necrosis (death of tissue)

– Discharge or necrosis of other genital cancers

– Trimethylaminuria (fish-odour syndrome)

– Olfactory hallucinations, e.g. associated with temporal lobe epilepsy

– Psychiatric conditions.

What tests should be done?

Women complaining of genital malodor should undergo careful external and internal examination after a careful history has been taken. Tests may include pH, vaginal and/or vulval swabs for microbiology and sometimes skin biopsy.

Treatment depends on the underlying cause. Antibiotics should be prescribed for confirmed infection.

General measures should include:

– Avoid wearing tight or occlusive underwear

– Change underwear frequently

– Bathe gently using non-soap cleanser once or twice daily

– Attempt to lose weight, if relevant

– If incontinent of urine, copper acetates
impregnated incontinence pads may help to reduce the smell.
The hazards of self-treatment

Excessive washing, antiseptics, deodorants and douching (rinsing out the vagina) may irritate the vagina and vulva, potentially resulting in increased irritation and discharge from vulvitis, chemically-induced vaginitis or secondary infection.

Don’t do it!

Source – Daily Sun

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