My leukorrhea color is normal, but it has a fishy odor. What kind of gynecological issue is this?

Patient's question:

Patient: Female, 45 years old, previously had no gynecological problems. Recently, she has experienced a fishy odor in her vaginal discharge, itching in the vagina, a sensation of heaviness in the lower abdomen, and excessive vaginal discharge.

Doctor's answer:

It may be caused by vaginitis. You need to go to the hospital for tests such as an ultrasound, colposcopy, and a routine examination of vaginal discharge. Local use of metronidazole suppositories and nystatin suppositories should be alternated. Oral medications such as amoxicillin-clavulanate potassium and fluconazole capsules should also be taken. Pay attention to local hygiene and prevent cross-infection.

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