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Published on: 8/20/2026

What could cause white vaginal discharge to smell?

White vaginal discharge with a strong odor is most often caused by bacterial vaginosis (BV), a condition that occurs when the natural balance of bacteria in the vagina is disrupted. BV typically produces a distinct fishy smell, which comes from a chemical compound called trimethylamine. Other infections, such as trichomoniasis or yeast infections, can also cause unusual odors, changes in discharge color, or irritation.

Because several conditions can cause similar symptoms, identifying the exact cause matters for getting the right treatment. Taking a free, instant, online symptom check can help you quickly understand what may be behind your symptoms, what questions to ask a healthcare provider, and what steps to take next — all in just a few minutes and from the privacy of your home.

Reviewed for medical accuracy: 07/15/2026

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Explanation

When the normal balance of good bacteria in the vagina changes, a condition called bacterial vaginosis can develop. In this condition, the numbers of bacteria that help protect the vagina drop, and other bacteria that produce a strong chemical called trimethylamine can grow. This chemical often causes a fishy smell in the discharge. Sometimes, other infections like trichomoniasis might also cause an odor and other symptoms like itching or irritation. Yeast infections mostly lead to thick, white, cottage cheese–like discharge and typically do not have a strong smell. However, if you notice a new or unusual smell along with white vaginal discharge, it might be because the balance of bacteria in the vagina is off, leading to the production of the odor-causing chemical. If you're experiencing these symptoms and want to better understand what might be causing them, you can check your symptoms with Ubie's free AI-powered tool before talking with a health care provider about any concerns regarding changes in vaginal discharge or smell.

(References)

  • Brand JM, Galask RP. Trimethylamine: the substance mainly responsible for the fishy odor often associated with bacterial vaginosis. Obstet Gynecol. 1986 Nov;68(5):682-5. PMID: 3763085.

  • Bishop GB. Vaginal Discharge. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 172.

  • Ries AJ. Treatment of vaginal infections: candidiasis, bacterial vaginosis, and trichomoniasis. J Am Pharm Assoc (Wash). 1997 Sep-Oct;NS37(5):563-9. doi: 10.1016/s1086-5802(16)30241-8. PMID: 9479409.

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