Is there inflammation if there is a bad smell in leukorrhea?

Patient's question:

I just finished my period and have noticed that my leukorrhea has been abnormal these days, and my external genitalia are also itchy. Is the bad odor of leukorrhea a sign of inflammation?

Doctor's answer:

Normal leukorrhea is white, thin, and like a paste or egg white, highly viscous, without a foul odor, and in small amounts. A foul odor in leukorrhea usually indicates inflammation, often caused by conditions such as vaginitis or cervicitis. For example, bacterial vaginitis, fungal vaginitis, trichomoniasis, and atrophic vaginitis in the elderly. A foul odor in leukorrhea is often caused by trichomoniasis or bacterial vaginitis. Anaerobic bacteria are also a characteristic cause of foul-smelling leukorrhea. It is recommended to visit a gynecologist for examination to confirm the diagnosis, and then use vaginal medication in conjunction with external washing with liquid. Pay attention to hygiene during treatment—do not have sexual intercourse. It is essential to maintain cleanliness, change underwear and bedding frequently, and avoid spicy and irritating foods.

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