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What Your Vaginal Odor Means About Your Health

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Let’s get one thing out of the way right now: Despite what your awful ex or the latest douching ads say, your vagina is supposed to have a bit of an odor.

"Just like with the gut, the vagina has its own microbiome filled with different bacteria and yeast, many of which are incredibly helpful," says Mary Jane Minkin, MD, a clinical professor of obstetrics and gynecology at the Yale University School of Medicine in New Haven, Connecticut. And, yep, those bacteria give your vag its signature scent.

But uh, what does that typically smell like? "The acidic pH naturally found in the vagina might make it a little sour smelling, sometimes a little musty," says Christine Masterson, MD, ob-gyn and chief of the women and children’s service line at Summit Medical Group. "But it shouldn't be an overwhelming odor."

Still, there are times when you catch a waft that smells a bit…off. The cause can be as innocuous as sweat or as troubling as an infection, says Dr. Minkin, so it’s worth taking a deeper whiff (yes, really), especially if the unusual aroma is accompanied by symptoms like itching or discharge.
Scan through the scents below to see if your smell is on our list, but don’t hesitate to get yourself checked out by a professional either way.

Yeasty

Most yeast infections aren’t terribly smelly, but occasionally the thick, cottage cheese-like discharge that’s a hallmark of the itchy nuisance has a faint scent of beer or yeast. If you notice redness or burning around your vagina, or have pain after you pee, this is the likely cause, says Dr. Minkin.

Diabetic women may especially notice this since yeast feed on sugar, and diabetic women tend to have more glucose (a.k.a. sugar) in their vaginal secretions, says Dr. Minkin. See your doc about what's going on down there, and she might prescribe something or recommend something you can buy OTC.

Musky

Two questions: Did you just pound out a major sweat session at the gym and are you wearing synthetic underwear (think: nylon or polyester)?

Exercise and non-breathable knickers can cause a musky smell from trapped sweat, says Dr. Minkin. It should go away as soon as you shower (use just water or a mild soap). To minimize the scent in the future, switch to cotton undies (or at least ones that have a cotton lining) and don’t sit around with sweaty clothes.

Rotten

Of all the scents your vagina can have, this is definitely the most concerning one. A tampon that’s been left in your vagina for days or longer can smell rancid or foul. "The scent is brought on by an overgrowth of bacteria in a confined space," she says.

To dislodge it yourself, lie on your back or squat with one foot propped on the toilet, then reach into your vagina with clean fingers to search for the string. No luck? See your ob-gyn who can use a speculum to get the job done.

One thing to note, though: If left behind too long the bacteria can sometimes (but rarely) trigger toxic shock syndrome, a deadly condition linked to tampon use. If you know your tampon's been in for more than eight hours (or, tbh, you can't remember the last time you changed it), and you've got flu-like symptoms (fever, nausea, achniess), it's time to see a doc, ASAP.

Metallic

Blood (you know, from your period) can change the pH of your vagina, making it smell coppery or tinny, says Dr. Minkin. You can wash your vulva with soap—just avoid going crazy with strong scented soaps because they can throw the pH even further out of whack, says Dr. Minkin. But other than that, you've just gotta ride this one out.

Bleachy

There’s a couple different reasons why your vagina might take on a chemical smell of bleach or ammonia: Dr. Masterson says that BV—which, again, usually smells fishy—can sometimes smell like ammonia instead.

There’s also a chance that the smell is actually coming from your urine, especially if you’re dehydrated. Lastly, Dr. Masterson says that intercourse (specifically the low-acid pH level of sperm) can trigger an ammonia smell, and so can any lubricants and spermicides you might have used. Basically, you can wait this smell out a little bit to see if it fades on its own. If it doesn't in a few days, check in with your ob-gyn.

Sweet

If you notice a sweet smell down there, you might not be super inclined to think anything is wrong (it’s better than a rotten smell, right?!). And you’re pretty much right: Dr. Masterson says this is usually diet-related.
 
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