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Published on: 8/20/2026

Why does my vaginal discharge smell like urine?

Vaginal discharge that smells like urine is most often caused by urine mixing with natural vaginal secretions, which can happen with urinary incontinence, a urinary tract infection (UTI), or a vaginal fistula. It may also result from changes in vaginal bacteria, such as bacterial vaginosis (BV), which alters normal pH and odor.

Because the underlying cause—leakage, infection, or bacterial imbalance—determines the right treatment, identifying what's driving your symptoms is the critical first step. Take a free, instant, online symptom check to better understand what may be causing your discharge and get clear guidance on what to do next.

Reviewed for medical accuracy: 07/15/2026

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Explanation

Your body naturally produces vaginal discharge to help clean and protect your vagina. Sometimes, this discharge might have a smell that reminds you of urine.

One common reason is that urine can mix with the vaginal secretions, e.g. from some residual urine after urination. This can happen during wiping or even during everyday movements.

Another possibility is that an imbalance in the natural bacteria, such as in bacterial vaginosis, is changing the chemicals in your vaginal discharge. In this condition, the healthy bacteria (lactobacilli) decrease and other bacteria take over, which can create chemical substances that give off an odor similar to urine.

While a slight urine-like smell can sometimes be normal, especially if it's related to a little urine contamination, any strong, unusual smell that persists or comes with other symptoms like irritation, itching, or burning should be evaluated. You can start by using a free symptom checker to better understand your symptoms, and then follow up with a healthcare provider if needed to maintain good vaginal health.

(References)

  • Sardas S, Akyol D, Green RL, Mellon T, Gökmen O, Cholerton S. Trimethylamine N-oxidation in Turkish women with bacterial vaginosis. Pharmacogenetics. 1996 Oct;6(5):459-63. doi: 10.1097/00008571-199610000-00010. PMID: 8946478.

  • Naicker D, Ramsuran V, Naicker M, Dessai F, Giandhari J, Tinarwo P, Abbai N. Strong correlation between urine and vaginal swab samples for bacterial vaginosis. S Afr J Infect Dis. 2021 Jun 17;36(1):199. doi: 10.4102/sajid.v36i1.199. PMID: 34485489; PMCID: PMC8377811.

  • Lewis AL, Gilbert NM. Roles of the vagina and the vaginal microbiota in urinary tract infection: evidence from clinical correlations and experimental models. GMS Infect Dis. 2020 Mar 26;8:Doc02. doi: 10.3205/id000046. PMID: 32373427; PMCID: PMC7186798.

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