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“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.
The imbalance of bacteria from its natural state has been connected to bacterial vaginosis [17] [18] [19] Bacterial vaginosis manifests as a uniform white/gray layer on the vaginal walls and vulva, accompanied by a fishy odor and a vaginal pH exceeding 4.5. [20]
Changes in the usual color, texture or odor of your vaginal discharge can be a sign of infection. Normal discharge may have a slight scent, for example, but it typically doesn’t have a strong odor.
Vaginal discharge is not always present in yeast infections, but when occurring it is typically odorless, thick, white, and clumpy. [28] Vaginal itching is the most common symptom of candida vulvovaginitis. [28] Women may also experience burning, soreness, irritation, pain during urination, or pain during sex. [30]
Vulvovaginal atrophy is thinning, drying, and inflammation of the vaginal walls that can happen when your body produces less estrogen, most commonly after menopause (usually in women 50 or over ...
[16] [17] Estrogen helps maintain a thick, glycogen-rich vaginal lining, which healthy bacteria use to produce lactic acid to keep the vaginal environment acidic, reducing infection risks. [16] In premenopausal women, the main form of estrogen is called estradiol and fluctuates between 40 and 200 pg/mL, rising to 600 pg/mL during ovulation. [16]