Increased white discharge, yellow in color with a foul odor, without itching - what disease is this?

Patient's question:

Detailed medical condition and purpose of consultation: Leukorrhea odor
Duration of current illness and persistence: Over 20 years
Current general condition: None
Previous diagnoses and treatment history and effectiveness: None
Auxiliary tests: None
Other: None
Follow-up question: Leukorrhea has increased in amount, turned yellow, and has an odor, but there is no itching. I have tried Daktar but it didn’t help, and daily washing hasn’t worked either. What medicine should I use? Thank you.

Doctor's answer:

Abnormal discharge with a strong odor is a symptom of abnormal vaginal discharge, which is often caused by certain gynecological infections. It is best to visit a hospital for a check-up to determine the type of bacterial infection for targeted treatment. Daily hygiene should be maintained to prevent infections. Pay attention to the cleanliness of the external genitalia. During menstruation, sexual intercourse is absolutely prohibited. Underwear should be soft, cotton, breathable, and highly ventilated. Avoid wearing synthetic or nylon underwear.
Foamy discharge: Commonly seen in trichomoniasis.
Cheese-like discharge: Specific to candidiasis.
Yellow (purulent) discharge: Mostly caused by bacterial infections.
Bloody discharge: Often associated with cervical cancer, uterine cancer, vaginal tumors, etc.
Advice: Change and wash underwear daily, and clean the external genitalia with a mild care solution close to the vaginal pH value, such as the sensitive skin care solution from Xiayi. Bathe with a shower, and dry the washed underwear in the sun.

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