Good morning, Mrs,
I would like to reassure you that a certain odor does not necessarily indicate a problem, especially if you have already consulted a doctor about it and a problem has been ruled out.
Odor is analogous to perspiration, and can depend on the time of day, diet, daily activities (e.g. sweating), and can even vary through the menstrual cycle.
The first thing to focus on is non-pharmacological measures, if this has not been tried:
- Ensure basic hygiene with water. If soap is desired, I suggest a mild, fragrance-free soap, such as the Dove stick, which can be used all over the body, including the outside of the vagina. Vagisil products and douches are best avoided.
- I suggest wearing clothes that are not tight and that allow breathing, such as cotton clothes and underwear.
You mention presenting this for several months. If there has been a recent change in odor, and/or any other new symptoms, it would be prudent to consult a physician.
As for leaks, I strongly suggest that you consult either a doctor or a physiotherapist: they are the professionals best placed to assess problems of this type. Most group insurances cover a physiotherapy consultation if it is a pelvic floor problem.
I hope this has been helpful, and please don't hesitate to contact me if you have any further questions!
Tom Samaha, pharmacist