Published on: 3/17/2025
Vaginal odor is often caused by infections like bacterial vaginosis where a substance called trimethylamine is produced. Other common reasons include different types of vaginitis and changes in the balance of bacteria.
There are a few common reasons why vaginal discharge might have an odor. One major cause is bacterial vaginosis. In this condition, the normal bacteria balance in the vagina change and a substance called trimethylamine is produced, giving the discharge a fishy smell. Some women may also experience similar odors when they have other types of vaginitis (inflammation of the vagina) where changes in the bacteria and pH can occur. These infections usually cause changes in the look, smell, or amount of discharge. Sometimes, the odor might be stronger if there is an overgrowth of certain bacteria. It is important to notice other symptoms too, like itching, burning, or discomfort, as they can indicate an infection. If you ever worry about a change in your discharge or odor, it's wise to talk with a healthcare provider to get the right tests and treatment if needed.
(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.
Paladine HL, Desai UA. Vaginitis: Diagnosis and Treatment. Am Fam Physician. 2018 Mar 1;97(5):321-329. PMID: 29671516.
Dorjey Y, Wangmo D, Tshomo D. Assessment of excessive vaginal discharge among women who presented to Phuentsholing General Hospital: A hospital-based study. Health Sci Rep. 2022 Sep 1;5(5):e793. doi: 10.1002/hsr2.793. PMID: 36090622; PMCID: PMC9436175.
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