Abnormal white discharge with a bad odor accompanied by external vaginal itching is what problem?

Patient's question:

Starting from November last year, I had abnormal leukorrhea, which was purulent and smelly. I took metronidazole for a period of time. Sometimes the leukorrhea was like water with curd-like particles, and sometimes it was a viscous milky liquid. It was accompanied by mild external vaginal itching. I used a cleaning solution to wash it. In the recent four or five days, the leukorrhea started to have blood and a bad odor. In two or three days, it will be my menstrual period. Please tell me if this is getting worse due to inflammation?

Doctor's answer:

Hello, based on the symptoms you described, it is likely a manifestation of gynecological inflammation, such as vaginitis, cervicitis, pelvic inflammatory disease, cervical erosion, or adnexitis.
The clinical manifestations of gynecological inflammation include: changes in menstruation, increased vaginal discharge, itching and swelling of the external genitalia, lower back pain, and lower abdominal discomfort. It is recommended to visit a hospital for relevant examinations to confirm the diagnosis. Once diagnosed, timely treatment should be initiated. During the course of the illness and treatment, sexual activity should be avoided. Pay attention to personal hygiene, maintain cleanliness and dryness of the external genitalia, and avoid scratching. Avoid consuming spicy or irritating foods.

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