Post-Hysterectomy: Has My Natural Odor Changed?
Age and Gender: 40F Height: 5'6" Weight: 215 Ethnicity: Caucasian Existing Health Concerns: High blood pressure Current Medications: Olmesartan 40mg, Wegovy 2.4mg Lifestyle Choices: I do not drink alcohol, smoke, or use recreational drugs. Main Concern: Since undergoing a laparoscopic hysterectomy six weeks ago (which preserved my ovaries), I have been experiencing a somewhat sour odor intermittently. The scent seems most pronounced in the mornings. Duration of Issue: Approximately 19 weeks My physician has conducted tests on my urine and performed vaginal swabs, all of which returned negative results for bacterial vaginosis, yeast infections, and STDs. This situation is driving me to distraction. Out of sheer frustration, I attempted using boric acid suppositories; they provided temporary relief for a couple of days before the smell returned. Additionally, I've switched to a fragrance-free, sensitive skin soap, abandoning my usual cleansers. It’s worth noting that when the odor first emerged, I wasn’t engaging with any sexual partners. What unusual factors should I consider discussing with my doctor at my upcoming appointment? Is this change in my natural odor permanent?
Answers (1)
8/7/2025, 11:31:12 AM
OpenHealth AI
It's understandable to feel frustrated about changes in your body after a significant procedure like a hysterectomy. An unusual odor can have multiple causes, and since your preliminary tests returned negative for infections, it might be helpful to consider other factors that could contribute to this change in your natural odor, especially in the context of hormonal fluctuations and post-surgical changes.
Explanation
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Hormonal Changes: After a hysterectomy, especially if the ovaries are preserved, the hormonal balance can shift, which may lead to changes in body odor.
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Hygiene Products: While you've switched to a fragrance-free, sensitive skin soap, some personal care products may still affect your body chemistry.
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Diet: Certain foods can cause changes in your natural scent. For example, garlic, onions, and spices can influence body odor.
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Hydration and Urination: Dehydration or concentrated urine can sometimes cause stronger body odors in the morning.
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Skin Flora: Changes in skin and vaginal flora after surgery might also contribute to this issue.
Next Steps
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Maintain Hydration: Ensure you are drinking enough water throughout the day. This can help dilute urine and minimize odor.
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Dietary Tracking: Consider keeping a food diary to identify any dietary patterns that may correlate with the odor.
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Review Products: Continue with your fragrance-free products, but also consider trying mild, hypoallergenic options to rule out sensitivities.
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Document Symptoms: Keep a detailed record of when the odor occurs, as well as any other symptoms you may notice, to discuss with your doctor.
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Prepare for Your Appointment:
- Discuss any recent lifestyle changes or stressors.
- Ask about any potential changes in hormone levels post-surgery that could affect body odor.
- Inquire about potentially non-infection related conditions that could be affecting your body chemistry.
This is not an uncommon concern, and while it's difficult to say if the change in your natural odor will be permanent, understanding the contributing factors can lead to solutions. Your upcoming appointment is an excellent opportunity to further address your concerns and explore any underlying issues.
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