Bushra Griffith
Vaginal discharge is a natural and normal process, but changes in the amount, consistency, colour or smell could indicate an infection or other problem. Vaginal discharge that smells like cheese could be a sign of bacterial vaginosis (BV), a yeast infection, or trichomoniasis. It is important to note that vaginal discharge that smells like cheese is not considered normal and could be a sign of an underlying medical issue. If you are experiencing this symptom, it is recommended to consult a doctor or gynaecologist for further evaluation and treatment.
| Characteristics | Values |
|---|---|
| Cause | Yeast infection, bacterial vaginosis, trichomoniasis, hormonal changes, diet, medication, supplements, age, hygiene habits, menstrual cycle, sexual intercourse with an infected person, forgotten tampon or foreign object in the vagina, diabetes, tight pants, emotional state |
| Symptoms | White, thick, chunky, cottage cheese-like discharge, itching, swelling, pain during sex, foul odour, burning, dryness, frothy discharge, pelvic pain, pain while urinating, discolouration |
| Treatment | Antifungal medication, antibiotics, removing foreign objects, wearing cotton underwear, mild unscented soap, shaving, breathable fabric, increased frequency of bathing, bidet, avoiding ultra-processed foods, eating fermented foods, avoiding certain soaps, sprays and detergents |
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Yeast infection
Vaginal discharge is a natural and normal process, but changes in the amount, consistency, colour, or smell could indicate an infection or other problem. Vaginal discharge that smells like cheese could be a sign of a yeast infection. Yeast infections, or vaginal candidiasis, are a type of fungal infection caused by the overgrowth of a specific fungus called candida. While the discharge associated with yeast infections is typically odourless, it is often characterised by larger amounts of thick, white discharge with a cottage cheese-like appearance. It may also be accompanied by symptoms such as itching, burning, and dryness.
Diet can also play a role in the development of yeast infections. Consuming fermented foods and a diet rich in seafood may contribute to the growth of candida. On the other hand, ultra-processed foods, added sugars, and dairy may influence the smell and characteristics of vaginal discharge. Therefore, making dietary modifications, such as cutting out processed foods and reducing sugar and dairy intake, may help address yeast infections and improve overall vaginal health.
While yeast infections are a common cause of abnormal vaginal discharge, other potential causes should not be overlooked. Bacterial vaginosis (BV), for example, is a common vaginal infection that can cause a strong, foul odour, sometimes described as similar to rotting fish. Trichomoniasis, a sexually transmitted infection (STI), can also lead to a strong, unpleasant odour. If you are experiencing abnormal vaginal discharge or a strong cheese-like smell, it is important to consult a healthcare professional for proper diagnosis and treatment.
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Bacterial vaginosis
BV is not considered a traditional sexually transmitted infection (STI), but sexual activity can be a contributing factor. It is more prevalent in women who are sexually active, and certain practices, such as douching and not using condoms, can increase the risk of developing BV. Additionally, having new or multiple sexual partners can disrupt the normal balance of vaginal bacteria, making it easier to acquire the condition.
The specific cause of BV is still not fully understood by healthcare providers and scientists. However, it is recognised as the most common vaginal condition in women aged 15-44, with approximately 29% of adult women in the United States affected. While men cannot contract bacterial vaginosis, recent studies suggest that bacteria from male partners can contribute to the bacterial imbalance in women, leading to recurring BV.
The good news is that BV is a treatable condition. If you suspect you have bacterial vaginosis, it is important to consult a gynecologist or a healthcare provider for proper diagnosis and treatment. They may examine your vagina for signs of discharge and recommend appropriate medication or other interventions to address the condition.
To summarise, bacterial vaginosis is a common condition characterised by abnormal vaginal discharge with a strong odour. While its exact cause is not fully understood, it is associated with an imbalance of bacteria in the vagina, and sexual activity may play a role in its development. Treatment is available, and seeking medical advice is recommended if you are experiencing symptoms.
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Trichomoniasis
Vaginal discharge is a natural and normal process, but changes in the amount, consistency, colour, or smell could indicate an infection or other problem. While it's difficult to tell whether discharge is abnormal or not based on odour alone, a strong cheese-like smell could be a sign of bacterial vaginosis (BV) or a yeast infection.
Bacterial vaginosis is a common vaginal infection that occurs when there is an overgrowth of anaerobic bacteria in the vagina. It can be transmitted through sexual contact but not always. It is characterised by a "`fishy` odour, similar to that of rotting fish, due to the presence of the chemical trimethylamine. This type of infection is typically treated with antibiotics.
Yeast infections, on the other hand, are caused by an overgrowth of a specific fungus called candida. They are more likely to occur in women with diabetes, especially during pregnancy when hormonal changes can also cause increased vaginal discharge. Yeast infections are typically treated with over-the-counter or prescription antifungal medications.
In addition to an unusual odour, both bacterial vaginosis and yeast infections can cause a change in the colour, texture, and amount of vaginal discharge. It may become chunky, clumpy, or cottage cheese-like in appearance, and can be accompanied by symptoms such as itching, burning, and dryness.
While these are the most likely causes of a cheese-like odour, there are other possible explanations as well. For example, diet can play a role in vaginal odour, with some women who eat fermented foods or a diet rich in seafood developing yeast infections. Medications, supplements, and age can also be factors.
If you are experiencing a strong cheese-like odour and/or unusual vaginal discharge, it is important to consult a healthcare professional as soon as possible to receive an accurate diagnosis and appropriate treatment.
As with other STIs, trichomoniasis can be prevented by practising safe sex, including the use of condoms and other protective barriers during sexual activity. It is important to note that not all STIs have noticeable symptoms, so regular sexual health screenings are recommended even if no signs of infection are apparent.
In addition to vaginal discharge, trichomoniasis can cause other symptoms such as itching and soreness in the genital area, pain during urination, and discomfort during sexual intercourse. Some people may also experience lower abdominal pain and unusual genital bleeding. These symptoms can vary in severity and may appear within a few weeks to several months after exposure.
The parasite that causes trichomoniasis is called Trichomonas vaginalis, and it is transmitted through sexual contact with an infected partner. It can survive for short periods outside the human body, but it cannot be transmitted through casual contact or the sharing of items such as toilet seats, bedding, or clothing. The risk of infection is higher in people with multiple sexual partners or those who do not use condoms consistently.
The diagnosis of trichomoniasis typically involves a physical examination and laboratory testing of vaginal or urethral discharge. The most common treatment is a single dose or short course of antibiotics, which are effective in curing the infection and preventing further transmission. It is important that all sexual partners are also treated to avoid reinfection.
As with other STIs, trichomoniasis can have serious complications if left untreated. It can increase the risk of acquiring or transmitting other STIs, including HIV, and can lead to pelvic inflammatory disease, infertility, and other long-term health issues. Therefore, it is crucial to seek medical attention if any symptoms are present and to follow the recommended treatment plan.
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Diet and hygiene
Vaginal discharge is a natural and normal process, but changes in the amount, consistency, colour, or smell could indicate an infection or other problem. While it is difficult to tell whether discharge is abnormal or not based on odour alone, a strong cheese-like smell could be a sign of a yeast infection or bacterial vaginosis (BV).
Diet can play a role in abnormal vaginal discharge. Eating fermented foods, whole foods with lots of diversity, and cutting out ultra-processed foods, added sugars, and dairy might help with the smell and sweating. Some women who eat a lot of fermented foods develop yeast infections, while for others, a diet rich in seafood may be the cause. Medications, supplements, and hormones can also contribute to abnormal discharge.
Hygiene habits can also be a factor in abnormal vaginal discharge. It is recommended to wear cotton underwear and change it every day, wipe front to back, and wash the area daily with mild, unscented soap and water. Public hair can trap smells, so trimming or shaving may help. However, it is important to note that over-washing or using scented products can disrupt the natural balance of bacteria in the vagina, leading to potential issues.
If you are experiencing abnormal discharge, it is important to consult a healthcare professional for personalised advice and treatment.
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Menstruation
Vaginal discharge is a clear or whitish fluid that is produced by the uterus, cervix, and vagina. It is mainly composed of cells and bacteria, and it helps to clean, lubricate, and protect the vagina from bad bacteria and infections. While discharge is a normal and healthy part of female physiology, changes in its colour, texture, smell, or amount could indicate an infection or other health issues.
During menstruation, it is common to experience brownish discharge due to the uterus stretching or leftover uterine wall that was not completely shed during the previous menstrual cycle. This old blood can become discoloured and cause the normal vaginal discharge to turn brown. However, if the discharge is frothy, has a foul odour, and is accompanied by itching and burning symptoms, it is considered abnormal and may be caused by vaginal irritation. In such cases, it is important to consult a doctor as soon as possible.
While a slight change in the smell of vaginal discharge is common and can be attributed to the menstrual cycle, hygiene habits, or individual variations, a strong cheese-like odour could indicate an infection. Vaginal yeast infections, for example, can cause a thick, white, cottage cheese-like discharge with an odour. Bacterial vaginosis, a common vaginal infection, can also lead to an abnormal discharge with a strong fishy or chemical smell. Trichomoniasis, a sexually transmitted infection, may result in a yellow, green, or grey discharge with a foul odour. These infections can be treated with medication, typically antifungal or antibiotic drugs.
It is important to note that vaginal discharge can also be affected by diet, medications, supplements, and hormonal changes. Maintaining good hygiene practices, such as wearing cotton underwear, changing it daily, and practising proper intimate cleansing techniques, can help prevent infections and manage odour. If you are experiencing abnormal discharge or a persistent strong cheese-like smell, it is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment.
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Frequently asked questions
A strong cheese-like odour accompanied by white, chunky discharge could be a sign of a yeast infection or bacterial vaginosis (BV). Vaginal discharge that smells like cheese is not considered normal and indicates a medical issue. You should make an appointment with your OBGYN as soon as possible.
The cheese-like smell could be caused by a number of factors, including diet, medication, supplements, and hormonal changes. It is also possible that the odour is caused by certain types of bacteria in the vagina, which can create a pungent "body odour" aroma.
To prevent a cheese-like smell, it is recommended to maintain good hygiene practices, such as wearing cotton underwear, changing underwear daily, and wiping from front to back. It is also important to avoid washing your vagina with perfumed soaps, as these can alter the natural pH balance.
