Why does the leucorrhea have a yellowish smell?

Yellow and smelly leucorrhea may be caused by bacterial vaginosis, trichomonal vaginitis, cervicitis, vulvovaginal candidiasis, pelvic inflammatory disease, etc. It can be improved through drug treatment, physical therapy, surgical treatment, etc. It is recommended to seek medical treatment promptly and identify the cause of the disease and then treat it accordingly.

1. Bacterial vaginosis

Bacterial vaginosis may be related to factors such as frequent vaginal douching and active sexual life. It usually presents as gray-white or yellow leucorrhea with a fishy smell. Metronidazole vaginal effervescent tablets, tinidazole suppositories, clindamycin phosphate vaginal cream and other drugs can be used under the guidance of a doctor. Avoid sexual intercourse during treatment and wash the vulva with warm water every day.

2. Trichomonal vaginitis

Trichomonal vaginitis is usually caused by Trichomonas vaginalis infection. The leucorrhea is yellow-green foamy, accompanied by obvious odor and vulvar itching. You need to take oral metronidazole tablets or topical metronidazole vaginal gel as directed by your doctor, and your sexual partner needs to be treated simultaneously. Close-fitting clothing should be boiled and disinfected and avoid sharing bath towels with others.

3. Cervicitis

Cervicitis may be related to mechanical injury and pathogenic infection. Commonly seen are increased and yellowish leucorrhea and bleeding after sexual intercourse. Antibiotics such as azithromycin dispersible tablets and doxycycline tablets can be used in the acute phase, and laser or cryotherapy can be used for chronic cervicitis. Bathing in the tub is prohibited during treatment, and cervical cancer screening is performed regularly.

4. Vulvovaginal candidiasis

Candida infection may cause leucorrhea that looks like tofu or yellow lumps, along with burning pain in the vulva. Antifungal drugs such as clotrimazole vaginal tablets and miconazole nitrate suppositories can be used. People with diabetes need to control blood sugar. Wear pure cotton breathable underwear and avoid long-term use of panty liners.

5. Pelvic inflammatory disease

Pelvic inflammatory disease is mostly caused by ascending infection and manifests as lower abdominal pain accompanied by yellow purulent leucorrhea. Ceftriaxone sodium combined with doxycycline needs to be injected intravenously, and surgical drainage is required when an abscess forms. In the acute stage, bed rest is required, and the diet needs to increase the intake of high-quality protein to promote recovery.

Pay attention to perineal cleaning on a daily basis, choose loose and breathable cotton underwear and change it daily. Avoid abusing vaginal washes to disrupt the balance of flora and cleanse before and after sex. Seeking medical treatment within 48 hours after the onset of symptoms can improve the cure rate. During treatment, complete the entire course of medication according to the doctor's instructions. Even if the symptoms disappear, do not stop the medication without authorization. Regular gynecological examinations can help detect lesions early.