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Symptoms include pain, burning or itching in the penis, urethra , or vagina . Discomfort for both sexes may increase during intercourse and urination. For women, there may also be a yellow-green, itchy, frothy, foul-smelling ("fishy" smell) vaginal discharge. In rare cases, lower abdominal pain can occur.
It is usually a non-pathological symptom secondary to inflammatory conditions of the vagina or cervix. [5] Leukorrhea can be confirmed by finding >10 WBC per high-power field under a microscope when examining vaginal fluid. [6] Vaginal discharge is normal, and causes of change in discharge include infection, malignancy, and hormonal changes.
“The most common cause of vaginal odor is an imbalance in the normal flora in the vagina,” which causes a fishy odor, irritation, and thin to no vaginal discharge, says Dr. Streicher.
pH of vaginal fluid >4.5; Release of a fishy odor on adding alkali—10% potassium hydroxide (KOH) solution. At least three of the four criteria should be present for a confirmed diagnosis. [46] A modification of the Amsel criteria accepts the presence of two instead of three factors and is considered equally diagnostic. [47]
Experts explain which odors warrant a doctor's visit and which ones are perfectly normal.
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Most common are the person's conviction that he or she emits a foul odor from the skin, mouth, rectum or vagina." [5] In the fifth edition (DSM-5), ORS again does not appear as a distinct diagnosis, but it is mentioned in relation to taijin kyōfushō (対人恐怖症, "disorder of fear of personal interaction"). [12]
The discharge is irritating to the vagina and the surrounding skin. low (4.0–4.5) Atrophic vaginitis [24] [25] Usually causes scant vaginal discharge with no odor, dry vagina and painful intercourse. These symptoms are usually due to decreased hormones usually occurring during and after menopause. Current term is Genitourinary syndrome of ...