5:39 pm - 05/15/2012

Fishy Smell

Hi, I'm a newbie here. I'm hoping someone here can help me with some problems I've been having.
The rules and stuff are down today so I don't know if I'm supposed to use a cut or not, but I've seen that lots of other people haven't so I won't either.
Anyway, I went to the doctor about a month ago because I was having pain while peeing. Not really a burning sensation, more like a soreness in my bladder. He tested for a UTI and STDs, and I came up completely STD free. So did my husband. As time went on, the soreness got a little worse. It happened when I had sex with my husband as well, and there was a really bad fishy smell afterwards. That always happened and I thought it was normal, but for 2 weeks it was terrible and it didn't go away after I showered. For about the last week it seems to have been going away, along with the painful peeing. I've been drinking a lot of cranberry juice but I don't know if that has anything to do with it going away.
I have no clue as to what this could be. I don't have any abnormal discharge. I'm planning to go back to the doctor but if this is something I can treat over the counter, or if it will go away on its own, then I won't. I don't want to ignore it if it's serious though. Help?
archangelbeth 15th-May-2012 11:15 pm (UTC)
1: Could you please change "clean" to "STD-free"? STDs don't care about your personal hygiene, and someone who looks fresh-scrubbed may be harboring a bacteria or virus, while the grubbiest vagrant on the street might be perfectly free of such things in the genital region. Using "clean" implies that a virus or bacteria causes someone to be "dirty," and I've personally seen how much pain that false stigma causes.

2: It sounds like Bacterial Vaginosis (BV), and I think less of your doctor for failing to test for that. BV often causes a bad "fishy" smell, and milder cases can only show up with odor after penetration, and pain during penetration (because your vaginal tissues are irritated!). BV is just an imbalance of the vaginal flora; the bad bacteria have gotten a foothold above the good bacteria, and are having a party.

However, BV, left alone for long enough (and what "long enough" is depends on each individual case), can get into the uterus and turn into PID -- Pelvic Inflammatory Disease -- which can cause fertility issues as well as general health issues. Which is why I think less of your doctor for neglecting to test for that.

The usual medical treatment for BV is antibiotics, which often triggers a yeast infection -- take probiotics during and after the treatment, possibly inserting them vaginally, to try to avoid that. If you can't get to a doctor, you may wish to try a vinegar-water rinse (like a douche, but very gently to avoid pushing bacteria into the uterus), or inserting boric acid.

Do NOT NOT NOT use any other kinds of douches, as they will only risk making it worse and/or pushing bacteria into the uterus to become PID. You'll need antibiotics if you get PID.

Good luck!
stacyinthecity 15th-May-2012 11:44 pm (UTC)
Could you give, or point me to, proper vinegar/ water proportions or how much boric acid and the delivery method?
archangelbeth 16th-May-2012 12:00 am (UTC)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2567125/ says: "Three vinegar-containing douches selectively inhibited vaginal pathogens associated with bacterial vaginosis, group B streptococcal vaginitis, and candidiasis, but not lactobacilli, suggesting to the investigators that vinegar (5 percent acetic acid) douches may be less harmful or may be beneficial." This isn't very useful, though...

http://www.selfgrowth.com/articles/lee16.html says:
• 2 tsp. cider vinegar mixed in 1 Cup warm water.
• 1 Tbl. Boric Acid Powder mixed in 1 Qt. warm water. Use 1-2 times per day for 7 days, if symptoms persist call clinic to set up an appointment for more lab work.

http://www.homeremediesyeastinfections.com/white-vinegar-for-yeast-infection.htm -- this is for yeast, not BV, but may provide inspiration -- says: "apply 1 cup of white vinegar to the bath and lay in it for 20-30 minutes." (Especially good for male yeast infections; males without foreskins generally are unlikely to harbor BV (there's no warm, moist place to hide in), but if you want your husband to do a soak, it probably wouldn't hurt.)

Another site suggests a one cup vinegar, one cup water solution.

Since vinegar can sting, you probably want to start with a little vinegar and a fair amount of water, and increase the ratio of vinegar to water as much as is comfortable.


Boric acid can be done in a solution, as above, or in capsules. At the cached version of the Vaginapagina.com (not working right now) Vulvapedia, I found:
can be found fairly easily at most drug stores, and is usually found behind the pharmacy counter. Dilute it one teaspoon to one cup of warm water and mini-douche daily with the barrel of a syringe, or use a diaphragm jelly inserter, which can be bought at the pharmacy without having to buy the jelly. You can also buy empty 00-sized capsules and fill them with boric acid powder and insert two of them nightly. Don't use if the skin is raw or broken, and discontinue if an irritation develops. It can be wet and messy but boric acid is anti-bacterial and will cleanse some non-specific vaginitis as well. (Click here [semi-broken image links there] and here for links to more info about boric acid, including a fabulous how-to photo essay on making your own capsules!)

That second link, to http://vaginapagina.livejournal.com/4554521.html, looks like your best Boric Acid bet.



(Could you please edit your post? Click the icon that looks like a pencil, and it should pop up so you can change it. Thanks!)
stacyinthecity 16th-May-2012 12:19 am (UTC)
Sorry, I'm not the original poster! I do agree about using the term "free" opposed to "clean" when referring to not having any STDs. </p>

Thanks for your info!

archangelbeth 16th-May-2012 01:45 am (UTC)
**FACEPALM** I'm so sorry!! I had a complete brain-fry and I thought I'd even checked! Sorry!!!!
archangelbeth 16th-May-2012 01:46 am (UTC)
(And would like to thank the OP for changing it!)
makale_83 15th-May-2012 11:44 pm (UTC)
Sounds a lot like BV or pelvic inflammatory disease. I would suggest going to a gyno instead of a family medicine doctor if you haven't already seen a gyno for this.
sweetchild92 16th-May-2012 12:11 am (UTC)
I'd also suggest getting tested for BV and PID.

If it's BV, you can use a syringe and insert 30 mL of hydrogen peroxide for 7 days.
demonic_force13 16th-May-2012 01:16 am (UTC)
The doctor I saw was in an urgent care clinic, not my actual family doctor. I'm not surprised they didn't test for it.
Is there any way I can clear this up without douching? I've never done it before and I'm not really comfortable with it
archangelbeth 16th-May-2012 01:48 am (UTC)
If you take antibiotics, that should keep you from having to use a vaginal rinse of any sort. Alternatively, the boric acid capsule version might work for you (as linked above), and if you can't get an appointment quickly, the vinegar-in-the-bath soak would be unlikely to hurt. (Though of course you should tell your doctor that you're trying to use home remedies, so s/he will know to culture the swab if s/he doesn't see bacteria immediately.)

And, again, thank you for fixing your post!
demonic_force13 16th-May-2012 01:17 am (UTC)
Also, thanks for letting me know I should use "STD free" instead of "clean". I never thought about that
kaylaah78 17th-May-2012 08:51 pm (UTC)
Definatly sounds like BV. I had it once and my sympotoms were the same. And just a week of antibiotics and it goes away!
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