Please don’t medicine until and unless these test are done, follow a registered doctor:
Transvaginal ultrasound – to rule out tubo-ovarian abscess or endometritis Urine routine and culture Pap smear if not done recently Consider endometrial biopsy if infection is deep-seated or chronic PID is suspected
Avoid self-medicating further without guidance – resistant infections need culture-based treatment. Avoid intercourse until symptoms resolve completely. Remove all scented products, tight underwear, or douching tese worsen the flora imbalance.
Persistent foul vaginal odor and pelvic pain after a surgical abortion and loop (IUD) insertion suggest a possible chronic pelvic infection or pelvic inflammatory disease (PID) that hasn’t been fully treated. Since antibiotics have only provided temporary relief, there may be deep-seated infection, antibiotic resistance, or complications like scarring or abscess. Consult a gynecologist urgently for a full pelvic exam, vaginal swabs, ultrasound, and tailored treatment to prevent long-term reproductive issues.
From everything you’ve described, it’s clear you’re dealing with a chronic vaginal infection, possibly Pelvic Inflammatory Disease (PID) or a deep-seated bacterial vaginal infection, likely worsened or triggered by the IUD (loop) inserted after the abortion.
Investigation recommendation
Pelvic Transvaginal Ultrasound Vaginal swab and cervical cultures CBC, CRP, ESR Endometrial biopsy (if ultrasound shows abnormalities)
Effective Treatment Plan (To Discuss With Gynecologist) 14-day course of: Doxycycline 100 mg twice daily +
Metronidazole 500 mg twice daily +
Cefixime 400 mg once daily or Ceftriaxone injection
This covers common bacteria found in PID and BV.
Supportive Care: Avoid vaginal washes or douches — they worsen pH balance
Use unscented soap only externally
Wear cotton underwear, avoid tight clothes
No intercourse until infection is fully resolved
Your partner(s) may also need treatment
The ongoing foul smell you’ve experienced could indicate an infection or bacterial imbalance in your vaginal area. Since the symptoms have persisted despite removing the loop and taking various antibiotics, it’s essential to reassess what’s happening. There might be a condition like bacterial vaginosis, which is characterized by an imbalance in the normal vaginal bacteria, or even a persistent infection that hasn’t fully responded to the antibiotics you tried. It’s also possible that the IUD (loop) might have contributed to or exacerbated the issue initially, though removing it hasn’t yet resolved the problem. A few key steps are needed now. First, it’s important to consult with a healthcare provider who can perform a thorough evaluation, including a detailed history and examination. You may need specific tests like a vaginal swab to check for bacterial vaginosis, yeast infections, or sexually transmitted infections, since these can present with similar symptoms. Identifying the exact cause will guide the treatment. Make sure you’re not engaging in douching or using harsh soaps, as these can disturb the vaginal flora even further. Avoid self-prescribing antibiotics since this can make resistant strains more likely. Keep track of other symptoms, if any, such as itching, burning, or unusual discharge, as these can help in the diagnosis. If you’re getting recurrent infections, your doctor might also consider other factors, like diabetes or immunosuppressive conditions, that could impact your immune response. A team approach with a gynecologist could be very helpful here, as they might offer insights based on detailed gynecological examination and tests. If any new or worsening symptoms arise or if there’s abdominal pain, don’t hesitate to seek medical care immediately, as these could suggest a more serious underlying condition that needs prompt attention.
