What should I do if I have excessive leucorrhea and a peculiar smell?

Excessive leucorrhea and odor can be treated by keeping the perineum clean, adjusting the diet, and using metronidazole vaginal effervescent tablets, clotrimazole vaginal tablets, and fluconazole capsules. Excessive leucorrhea and odor are usually caused by vaginal flora imbalance, bacterial vaginosis, vulvovaginal candidiasis, trichomonas vaginitis, cervicitis and other reasons.

1. Keep the perineum clean

Wash your vulva with warm water every day and avoid using alkaline lotions to rinse your vagina. Choose breathable cotton underwear and change it daily. During menstruation, you need to change sanitary napkins in time. Keep your perineum dry after cleaning and avoid wearing wet swimsuits or tights for long periods of time. Both parties should clean their external genitalia before and after having sex to reduce the probability of pathogen transmission.

2. Adjust diet structure

Reduce the intake of spicy and high-sugar foods, and add an appropriate amount of yogurt containing lactobacilli. Increase your intake of fresh vegetables and fruits, such as broccoli, apples and other vitamin-rich foods. Drink more than 1500ml of water every day and avoid excessive consumption of coffee or alcohol. Long-term high-sugar diet may increase the risk of vaginal fungal infection.

3. Metronidazole vaginal effervescent tablets

It is suitable for smelly leucorrhea caused by bacterial vaginosis or trichomonas vaginitis. The main ingredient is metronidazole. Vaginal burning sensation or increased secretions may occur during medication, so use should be avoided during menstrual period. This drug can inhibit the growth of anaerobic bacteria. Do not drink alcohol within 48 hours after use. Pregnant and lactating women should use it under the guidance of a doctor.

4. Clotrimazole vaginal tablets

It is used for bean-like leucorrhea caused by vulvovaginal candidiasis and contains clotrimazole antifungal ingredient. Common adverse reactions include local irritation or worsening of itching, and sexual intercourse should be avoided during medication. Diabetic patients need to strengthen blood sugar control, as fungal infections are prone to recurrence. When combined with vulvar redness and swelling, clotrimazole cream can be used externally.

5. Fluconazole capsules

Oral drugs that treat refractory fungal infections work by inhibiting fungal cell membrane synthesis. Patients with abnormal liver function need to adjust the dose and monitor transaminase levels during medication. It may interact with drugs such as warfarin and may cause headaches or gastrointestinal discomfort. Severely immunocompromised patients require extended treatment.

If abnormal leucorrhea occurs, it is recommended to seek gynecological treatment promptly and confirm the type of pathogen through routine examination of leucorrhea. During treatment, avoid bathing or public swimming pool activities, and your spouse needs to be treated simultaneously to prevent cross-infection. Regularly review the leucorrhea condition, and complete the prescribed course of treatment after the symptoms disappear. You can practice Kegel exercises on a daily basis to enhance the function of your pelvic floor muscles, and maintain a regular schedule to help restore immunity.