How to treat vaginal discharge and odour

Question #11534

45 days ago

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How to treat vaginal discharge and odour - #11534

Tania

White curdy discharge with fishy or foul odour. For over 1 month this uncomfortable white discharge which creates a foul smell. This condition not changed after drinking lots or water. These are the symptoms

White discharge

Fishy or foul smell

300 INR (~3.53 USD)

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

45 days ago

Hello dear,
Your symptoms suggest vaginal infection.
Take these precautions and treatment:
1. Maintain local hygiene
2. Avoid intercourse for 5 days
3. Drink 1.5-2 lit./day
4. Tablet Fluconazole 150mg once only
5. Tab Secnidazole 2gm once only
If not relieved, visit gynaecologist for proper examination and management.
Take care

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

44 days ago

RX,
1) Cap fluconazole 150mg
1 cap weekly for 6 weeks
2) Metrogyl 400
1 tab twice daily after meal for 7 days
3) Clotrimazole vaginal tablet/cream
at night for 3–5 days
4) Cap ecoflora
1 cap once daily after meal for 15 days
Maintain vaginal hygiene
Thank you

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

43 days ago

White curdy discharge with foul or fishy odour for more than 1 month usually suggests vaginal infection either fungal (candidiasis) or bacterial (bacterial vaginosis).
Fungal infection typically causes thick curdy discharge with itching, while bacterial vaginosis causes thin discharge with strong fishy smell.
Drinking water alone will not improve this problem it requires targeted treatment.
A vaginal swab or culture test will confirm the exact infection and guide correct medication.
Till then, avoid self medication or frequent use of over the counter creams/washes as they may worsen irritation.
Maintain good hygiene, use only cotton underwear, avoid douching, and follow doctor-prescribed antifungal or antibiotic medicines for complete cure.

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Dr. Avishek Singh

I am a dental surgeon with broad based clinical experience, working across different branches of dentistry where each patient teached me something new. Over these years I handled minor oral surgeries, orthodontic cases, conservative & endodontic treatments, and also aesthetic dental work. My daily practice involve not just the technical side of cutting, filling, or shaping teeth, but also the small details of patient comfort, clear communication, and making treatment plans that fit into their life. In oral surgery I worked on surgical extractions, incision & drainage, biopsy, and removal of impacted tooth, always keeping aseptic steps in mind even when cases were complicated or patients were anxious. Orthodontics gave me exposure to both fixed and removable appliances, and here I realised how much a smile change can impact confidence, not only function. In conservative and endodontics, I managed restorations, root canal therapies, retreatments of failed cases, and periapical issues—where patience and precision are everything. Sometimes a single millimeter mistake could change outcome, so I learnt to slow down, double check even when time was pressing. Aesthetic dentistry became another area of focus, where I performed smile design, veneers, bleaching and other cosmetic procedures, but always balanced beauty with health and long term prognosis. I also keep myself updated with new materials and newer techniques, as dentistry is changing faster than many realise. What ties all this together is my patient centric approach. I like to spend time explaining why a procedure is necessary, what options exist, and how they may affect future oral health. My training and work experience gave me solid clinical judgement and teamwork skills, whether in OPD, operation theatre, or multi disciplinary setups. It is not always perfect, sometimes treatment doesn’t move in straight line, sometimes healing take longer, but each case adds to my learning curve. With this multifaceted exposure I feel confident that I can adapt well and deliver safe, effective, evidence based dental care in any clinical setting.

45 days ago

Your condition can mostly be attributed to bacterial or fungal infection.
In case you are sexually active, go for safer options like use of condom by the partner.
Keep your vaginal area clean with water and mild soap.
Do not use any thing without medical prescription.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

45 days ago

Hello dear
See as per clinical history it seems either infection or some fungal infection
Probably it has become chronic so i suggest you before suggesting any medications iam suggesting some tests
Please get them done first
Vaginal swabs
RBS
Esr
Urine analysis
Fungal culture
CBC
Kindly share the details with gynacolologist in person for better clarification.
Please donot take any medications without consulting the concerned doctor since there can be chances of extension of your problem
Hopefully you recover soon
Regards

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Dr. Zahir Zolih

I am a General Practitioner who kind of lives on the frontline of everything, really. From sneezes to serious stuff, I handle a mix of it all—and weirdly, that’s what I love about being a GP. I get to see newborns coming in for their first jabs, and then later that day maybe I'm talking through meds with someone who's managing diabetes or heart disease for years. There’s a lot of variety, which keeps me on my toes—nothing ever feels too routine. Most days, I’m diving into a bit of everything—diagnosing infections, keeping an eye on chronic conditions like asthma or hypertension, helping folks plan their health goals, or sometimes just being a good listener when they need to vent. Preventive care’s a big deal for me. I like to catch things early, before they grow into something more serious. Sometimes all it takes is one small observation or something a patient casually mentions—and that changes everything. What I try to do is treat people, not charts. It's about who they are, what matters to them, and what really works in their life—not just what the textbook says. Every treatment plan I make is adjusted based on the real-world challenges each person’s facing. I also explain stuff in plain language. Like, no jargon for the sake of sounding clever. If someone doesn’t understand their condition, how can they take care of themself properly? Oh, and I do my best to keep learning constantly. Medicine doesn’t pause, right? Whether it’s a new guideline, research update or clinical tool—I keep checking, reading, taking notes (sometimes at midnight, honestly). All of this helps me feel confident that what I’m offering isn’t outdated or guesswork. What keeps me going is the trust people place in me. Being someone’s go-to doctor, knowing they’ll come to me when they’re worried or confused—that’s a big responsibility. But also kinda a gift. I don’t just see symptoms, I see stories—and I get to be part of their health journey from day one to who-knows-when. It's not perfect, and yeah, sometimes I feel I missed something or could’ve said something better. But I’m always trying, always caring, and I’m really here—for all of it.

44 days ago

Hello Tania,
Your symptoms points clear to a vaginal infection which requires medical attention.
1.Fishy order classically points towards Bacterial vaginosis
2.White curdy discharge is the hallmark for Candidiasis (Fungal)
Which means as per your explanation (Fishy order with Curdy discharge ! ) You have missed infection. And if it’s real you have to go for combined   therapy (Antibiotics + Antifungal)
My suggestion is to visit nearest Gynec or Urologist or sex clinic and please reconfirm the diagnosis before starting any medication.
If you have any further queries, feel free to ask.
With regards
Dr.Zahir Zolih

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Dr. Kunal Meena

I am someone who got to work in a government setup for 1 full year, and honestly that one year felt more like 3... in a good way. It was a rotational post, which meant I had to shift across wards, ICU, OT, and even casualty — no chance to get too comfortable in one place. Every few weeks brought new responsibilities, new types of patients, and yeah, new kinds of pressure too. In casualty I saw a lot — from road traffic injuries to sudden breathlessness, fevers that wouldn’t come down, old patients just collapsing... and you don’t get time to overthink, you just act. You learn fast where to focus. I also handled geriatric OPD and that was a different kind of challenge. Older patients need more listening, more patience. Most come with multiple issues — joint pain, sugar, BP, digestion, insomnia — and sometimes they just want to talk too. You realize pretty quick that care isn’t only treatment. ICU postings taught me to stay alert all the time. Alarms don’t wait. I had to assist in serious cases, learn to track vitals, respond to sudden dips, push meds under supervision. OT experience was equally hands-on... mostly assisting but you pick up the flow of surgical steps, sterilization rules, emergency prep and post-op care that textbooks just can’t really explain. What I liked most about that whole year was the exposure — I wasn’t limited to one age group or one type of disease. From paediatric fevers to elderly fall injuries, from asthma attacks to appendicitis — saw a bit of everything. And the system might be hectic, but it teaches you how to function under pressure and still think clearly. That year gave me the kind of foundation you can’t just study. It was about real people, real-time decisions, and not just following protocol but also figuring out what works when there’s no perfect setup. Definitely made me sharper, more grounded, and honestly more ready for whatever comes next in clinical life.

44 days ago

Hey there
Symptoms typically suggest that it can be either bacterial vaginosis or trichomonas related but as you are having it for more then a month kindly undergo a vaginal swab test that will reveal the exact organism and then i can prescribe the medicine based on the causative agent
till then drink plent of water take care of personall hygiene and if you are sexually active then your partner hygiene is also important

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

44 days ago

Hello Tania,
Thank you for sharing your concern. I understand this is uncomfortable and I’ll guide you.
It’ll be good if you clarify more about your symptoms - Any itching/burning? Any greyish thin discharge, especially after intercourse?
According to what you posted, this can be your prescription from my side -
1. Tab. Fluconazole 150mg only once (single dose)
2. Tab. Metronidazole 400mg, twice a day × 7 days
3. Clotrimazole Vaginal Pessary 100mg at night × 6 nights
Maintain good genital hygeine, use cotton underwear, avoid douching or perfumed washes.
If you develop fever, abdominal pain or of symptoms persist after this treatment, please visit and Gynecologist or a Family Physician in person for examination & swab test.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

44 days ago

Hi Tania,
White, curdy discharge → often seen in yeast infection (Candidiasis).
Fishy or foul odor → more typical of Bacterial Vaginosis (BV) or sometimes a mixed infection.
Please do a Vaginal swab test to confirm whether its fungus/bacterial/ mixed. For that you have to consult a gynaecologist in person.
🛑🛑Im not prescribing antibiotics because it can worsen yeast growth.
Better find out the causative agent first and then start treatment.
To reduce odor & recurrence
Keep the vaginal area clean & dry (use only water or mild unscented cleanser).
Avoid perfumed washes, or sprays
Wear cotton underwear, avoid tight synthetic clothes.
Change sanitary pads/liners frequently if using.
After using the toilet, always wipe front to back.
Include probiotic-rich foods (curd, yogurt, kefir) for healthy vaginal flora.
Feel free to ask
Thank you dear

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Dr. Jitesh Satija

I am working as an obstetrician and gynecologist, after completing my MS in Obstetrics and Gynecology in 2020 from Medical College, Kolkata. The training years there were tough, demanding long hours, sleepless nights and constant exposure to both routine and emergency cases. But they shaped me into a doctor who can stay calm and focused even when the situation is unpredictable. Since then, I have worked for around 5 years across different medical colleges and hospitals, which gave me a very wide clinical exposure. Each setup brought different challenges—some had resource limitations, some had high patient loads, some had complicated referral cases—and all of them helped me grow. Currently I am practicing at BLK Max Hospital, Delhi, where my main work revolve around managing high-risk obstetric cases and a broad range of gynecological conditions. High-risk pregnancies demand extra vigilance, cause one small change can shift the entire outcome for both mother and baby. I have been trained and experienced in handling such cases with a balance of caution and decisiveness, whether it involve preeclampsia, gestational diabetes, multiple pregnancy, or preterm labor. I also hold a strong interest in minimal access surgeries in gynecology. Laparoscopic and hysteroscopic procedures allow patients quicker recovery, less pain and fewer complications compared to traditional approaches. For me, learning and practicing minimal access surgery is about constantly updating my skills and ensuring patients get the benefit of modern surgical care. My approach has always been comprehensive—medicine and surgery are important, but so is counseling, explaining, and reassuring patients and families. Women often hesitate to share openly about gynecological problems, and I try to create an environment where they feel heard and supported without judgement. Looking back, these years in obstetrics and gynecology taught me that every delivery, every surgery, and every consultation is unique. There are no perfect formulas, just experience, knowledge, patience, and empathy to guide the way. And that’s what I aim to carry forward in my practice everyday.

44 days ago

Hello
Ideally you should get examined and then start treatment.
Other option is to start treatment for vaginal candidiasis, which is the most probable reason.
Can start with Candid CL per vaginally once at night for 3 days

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

44 days ago

A white curdy discharge with foul/fishy odor lasting over a month suggests a possible vaginal infection — either yeast infection (candidiasis) or bacterial vaginosis (BV). Since it has not improved with home measures, you need a gynecologist consultation for a vaginal swab test to confirm the cause and start the right antifungal or antibiotic treatment. Avoid self-medication, keep the area clean and dry, and wear breathable cotton underwear until you see the specialist.

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Dr. Alan Reji

40 days ago

White, curdy discharge with a fishy/foul odor lasting over a month is most likely due to a vaginal infection such as bacterial vaginosis or mixed infection with yeast. Since it has persisted despite home care, it needs proper medication, not just increased fluids. Please consult a gynecologist for a pelvic exam and swab test so you can start the right treatment and get lasting relief.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

20 days ago

White curdy discharge accompanied by a fishy or foul odour often points towards a condition like bacterial vaginosis (BV) or a yeast infection. BV is typically associated with a strong, unpleasant smell, and it results from an imbalance in the natural bacteria found in the vagina. Yeast infections, though, usually present with a thick, white discharge, resembling cottage cheese, and can cause intense itching. Given that you’ve been experiencing symptoms for over a month, it’s crucial to seek a medical evaluation to confirm the diagnosis. A healthcare provider will likely perform a pelvic exam and take samples of the vaginal discharge to determine the exact cause. If bacterial vaginosis is diagnosed, antibiotics such as metronidazole or clindamycin are usually recommended. For a yeast infection, antifungal treatments available in both prescription and over-the-counter forms may be used. It’s important to complete the full course of any medication prescribed to fully resolve the infection. Also, making some lifestyle adjustments may help prevent recurrence, such as avoiding douching, which can disrupt the natural bacterial balance of the vagina, and wearing loose, breathable cotton underwear to reduce moisture buildup. If symptoms persist or if you notice any other symptoms like pelvic pain or fever, it’s important to follow up with a healthcare provider as these may indicate a more serious condition that requires immediate attention. While increasing water intake is beneficial for general health, it may not directly address vaginal odor or discharge, so comprehensive treatment is key.

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How to treat vaginal discharge and odour - #11534

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