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