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Unnecessary Antibiotics for Odor Concerns?

4/3/2025, 6:30:33 PMMale25-34

Hello! Since March, I have been dealing with an unusual odor in my intimate area (F23). I have a partner, and we are sexually active. Back in March, I consulted my physician and underwent a test for bacterial vaginosis. My doctor prescribed metronidazole, which I have not taken yet. They typically do not reach out about results unless there's a concern, and since I haven’t received a call, I’m assuming the test was negative for BV. Both my partner and I are free of STDs. My doctor mentioned that this could resolve itself, but I am trying everything possible to help it along. I've increased my water intake, improved my diet, switched to cotton underwear, and I only use water for cleansing in that area. I struggle with significant health anxiety, which makes me hesitant to book another appointment, especially since my doctors seem to think my worries are excessive. I intend to start taking metronidazole on Friday; however, I am concerned about taking antibiotics unnecessarily if there is no infection. I particularly worry about potential side effects like C. difficile. Any recommendations or insights would be greatly welcomed. Thank you!

Skin AllergiesAllergy & ImmunologyDermatology

Answers (1)

Cony

4/3/2025, 6:30:55 PM

OpenHealth AI

It's understandable to feel anxious about an unusual odor in your intimate area, especially when health anxiety is a concern. Your careful attention to hygiene and self-care is commendable. Let's discuss your situation:

Main Points:

  1. Unusual odor can arise from various factors, including natural changes in your body, diet, and hygiene practices.
  2. Antibiotics like metronidazole should only be used when an infection like bacterial vaginosis is confirmed.
  3. Monitoring your symptoms and practicing good hygiene are essential steps.

Explanation:

An unusual odor in the intimate area can be influenced by factors like hormonal changes, diet, or even normal bacteria on your skin. Bacterial vaginosis (BV) is one possible cause, and while it’s common, it often resolves on its own. Since you haven’t received a call about your test results, it's reasonable to consider that BV was not found, but it would be best to confirm that when communicating with your doctor.

Next Steps:

  1. Monitor Symptoms: Keep track of any changes or patterns in the odor, and pay attention to other symptoms like itching, discharge, or irritation. This information can be helpful if you decide to communicate with your doctor.

  2. Consider Delay on Antibiotics: If you are unsure whether to begin metronidazole, it’s okay to hold off until you feel more confident about the need. Since antibiotics can affect your gut health and may not address the issue if there’s no infection, it’s reasonable to reconsider taking them.

  3. Focus on Hygiene: Continue with your current hygiene practices. Make sure you’re changing underwear regularly, and avoid scented products which can sometimes disrupt the natural balance.

  4. Discuss Concerns with Your Doctor: If your anxiety about returning to the doctor is high, consider emailing for clarification about your test results before scheduling a follow-up. This way, you take control of the situation without the immediate pressure of an appointment.

  5. Healthy Lifestyle: Maintain high water intake and a balanced diet, which can help your body manage and reduce any potential body odor.

Reassurance:

It's perfectly normal to have concerns about your health, and prioritizing your wellbeing by staying informed is important. Addressing these feelings openly can help. You're not alone in this, and taking small steps will guide you in the right direction. If your concerns continue or worsen, reaching out for professional support would be advisable.

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