Randy Chandler
Vaginal discharge that smells like cheese could be a sign of a yeast infection or bacterial vaginosis (BV). Yeast infections are caused by an overgrowth of yeast in the vagina, which can be triggered by sex. They produce a thick, white discharge that can look like cottage cheese and is often accompanied by itching, dryness, and soreness. Bacterial vaginosis, on the other hand, is a common vaginal infection caused by an imbalance between good and harmful bacteria. It can result in a strong, unpleasant odour and white, chunky discharge. If you are experiencing these symptoms, it is recommended to consult a doctor or gynaecologist for advice and treatment options.
| Characteristics | Values |
|---|---|
| Cause | Yeast infection, bacterial vaginosis, or trichomoniasis |
| Symptoms | White, thick, chunky, cottage cheese-like discharge, itching, burning, dryness, soreness, pain, irritation, redness, swelling |
| Treatment | Antibiotics, antifungal medication, pessary, external cream, oral tablet, gel |
| Prevention | Wear cotton underwear, wipe front to back, wash with mild unscented soap and water, shower daily, maintain natural acidity of the vagina, avoid douching, unprotected sex, and certain soaps, sprays, and detergents |
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What You'll Learn
Yeast infections
Vaginal discharge is any fluid that comes out of the vagina. It is typically clear or white and may be watery, sticky, gooey, thick, or pasty. While vaginal discharge may have an odor, it should not be strong or unpleasant. A strong cheese-like smell accompanied by a white, thick, cottage cheese-like discharge could indicate a yeast infection.
It is important to note that other types of vaginal infections, such as bacterial vaginosis (BV), can also cause abnormal discharge and strong odors. If you are experiencing any unusual discharge, foul odor, itching, or burning, it is recommended to consult a healthcare provider for an examination and appropriate treatment.
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Bacterial vaginosis
The precise cause of bacterial vaginosis is not fully understood, but several factors can increase the risk of developing this condition. These include douching, not using condoms, and having new or multiple sexual partners. Douching and not using condoms can disrupt the normal balance of vaginal bacteria, making it easier for harmful bacteria to thrive. Additionally, bacterial vaginosis is more prevalent among females who have sex with other females, potentially due to direct mucous membrane contact or shared sex toys.
The condition is treatable and typically affects women of reproductive age. However, it is important to consult a healthcare provider for an accurate diagnosis and appropriate treatment plan. Self-collected swabs and culture methods are not reliable for diagnosing bacterial vaginosis. Instead, a swab of the vaginal discharge examined under a microscope is used for diagnosis. Testing the vaginal fluid pH can also assist in diagnosis.
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Trichomoniasis
A strong cheese-like odour accompanied by a white, chunky discharge could be indicative of a yeast infection or bacterial vaginosis. However, if the discharge is clear, white, grey, yellow, or greenish and has a foul or fishy smell, it could be a sign of trichomoniasis.
Symptoms of trichomoniasis in women include a large amount of thin, foul-smelling discharge, genital itching, and painful urination. In men, symptoms are rare, but they may experience irritation in the genital area. Trichomoniasis can also cause more severe complications in pregnant women, who may be at higher risk of delivering prematurely or having a low birth weight baby.
If you suspect you have trichomoniasis, it is important to see a healthcare provider for diagnosis and treatment. Treatment for trichomoniasis involves taking antibiotics, such as metronidazole (Flagyl), tinidazole (Tindamax), or secnidazole (Solosec). To prevent reinfection, all sexual partners should be treated simultaneously, and condoms should be used consistently during sexual activity.
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Urinary incontinence
A strong cheese-like odour accompanied by a white, chunky discharge could be indicative of a yeast infection or bacterial vaginosis (BV). Yeast infections can cause feelings of burning, dryness, and itchiness. Bacterial vaginosis is a common vaginal infection characterised by an overgrowth of anaerobic bacteria in the vagina, which can result in a "fishy" odour. It is important to note that a vaginal discharge can vary in colour and viscosity depending on diet, menstrual cycle, and hygiene habits. However, a strong cheese-like odour is not considered normal and could indicate an underlying medical issue.
One type is urge incontinence, which causes an intense and sudden need to urinate, often resulting in leakage before reaching a toilet. This can be caused by an overactive bladder. Another type is stress incontinence, where urine leakage occurs during certain activities such as laughing, coughing, sneezing, running, or lifting heavy objects. Overflow incontinence is a type where the bladder does not completely empty during urination. It is important to consult a healthcare provider to determine the specific type of incontinence and receive an appropriate treatment plan.
To diagnose urinary incontinence, a healthcare provider may perform a pelvic exam to assess pelvic muscle strength and identify any underlying health issues. A digital rectal exam may be conducted to check for an enlarged prostate. Providing a urine sample for analysis can help detect signs of infection or blood in the urine (haematuria). A bladder ultrasound is a painless test that allows for a detailed examination of the bladder and its function. If leakage occurs during specific activities, a stress test may be recommended, where those activities are repeated to observe for leakage. In some cases, a cystoscopy may be necessary, involving the insertion of a thin tube with a camera into the urethra to visualise the urinary system.
It is important to note that urinary incontinence is a manageable condition, and treatments are available to help individuals cope with it. While it may be embarrassing to discuss, seeking professional help can lead to a better quality of life.
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Urinary tract infection
A strong cheese-like odour in vaginal discharge is likely a sign of a yeast infection, bacterial vaginosis (BV), or trichomoniasis. While it is normal for vaginas to have a natural, faint smell, a strong odour indicates a potential medical issue. Yeast infections are caused by an overgrowth of yeast in the vagina, resulting in a thick, white, cottage cheese-like discharge, often accompanied by itching, redness, and soreness. Bacterial vaginosis, the most common vaginal infection in women aged 15-44, occurs due to an imbalance between "good" and "harmful" bacteria. Trichomoniasis, a sexually transmitted infection, can cause a fishy or offensive discharge, pain or discomfort while urinating, and swelling, itching, or soreness.
To maintain vaginal health, it is recommended to wear cotton underwear, practise good hygiene by showering daily and wiping from front to back, and avoid washing the internal vaginal area, as this can lead to infections. Mild, unscented soap and water should be used for external cleansing only. Additionally, maintaining a healthy diet and staying hydrated can help manage odour and sweating. While these measures can help prevent and manage infections, it is always advisable to consult a healthcare professional for personalised guidance and treatment.
Vaginal discharge and odour can vary throughout the menstrual cycle and are typically influenced by hormonal changes. However, if you notice any concerning changes in colour, texture, or smell, accompanied by symptoms such as itching, burning, or irritation, it is important to seek medical advice. Vaginal infections can have various causes, including unprotected sex, diabetes, birth control pills, certain medications, and compromised immunity. Therefore, it is essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment.
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Frequently asked questions
A strong cheese-like smell could be a sign of a yeast infection or bacterial vaginosis (BV).
Other symptoms include a white, thick, cottage cheese-like discharge, soreness, dryness, and itchiness.
Other symptoms of BV include a strong "fishy" odor, itching, and grey, yellow, or green discharge.
You should make an appointment with your OBGYN or gynecologist as soon as possible. In the meantime, it is recommended to wear cotton underwear, wipe front to back, and wash the area with mild, unscented soap and water daily.
Yes, it is recommended to cut out ultra-processed foods and eat more whole foods with no added sugars.
