Strong and Unusual Odor in Urine for Two Weeks – Seeking Insights
Hello everyone, (I’m a 15-year-old female) For the past couple of weeks, I've noticed a remarkably strong and unpleasant odor every time I use the restroom. (Sorry, TMI) It has a scent reminiscent of a used tampon. This began shortly after my last menstrual cycle, though I can't pinpoint the precise day it started. I’ve conducted quite a bit of research and eliminated several possibilities: - I’m well-hydrated, consuming plenty of water each day, and my urine is often quite clear, yet the smell remains. - My dietary habits haven’t experienced any significant shifts over the last few months; I haven’t introduced foods typically linked with potent urine odors (like asparagus or coffee). - I am not sexually active (I’m still a virgin), so I don’t believe it pertains to any sexually transmitted infections. - In May, I underwent a comprehensive set of tests (including checks for bacterial vaginosis, yeast infections, UTIs, etc.), and the results came back negative. Of course, new issues could have arisen since then. Here are a few additional details that might be pertinent: - My vaginal discharge appears completely normal, without any unusual smells or colors. - I've been using the Nexplanon birth control implant since March. - I take Vyvanse; I took a break from it between May and August, and resumed on the 18th of August. - During my last menstrual period, I had severe cramps (among the worst I’ve ever experienced), which occurred just before this odor emerged. - I am not experiencing any pain, burning sensations, or additional symptoms—just the odor itself. - I’ve searched to see if there's any link between Nexplanon or Vyvanse and this issue, but didn’t find clear associations. Has anyone else had a similar experience? Or does anyone have any insights into what might be happening? I find myself quite confused and increasingly anxious about this. I’m considering scheduling a visit to the doctor to discuss my concerns soon. Thank you!
Answers (1)

9/3/2025, 11:01:40 PM
OpenHealth AI
It's understandable to feel anxious about the strong and unusual odor in your urine, especially since it's been noticeable for two weeks. While there are many possible explanations, it's important to approach this situation calmly and methodically. Here’s a breakdown of what might be happening and some steps you can take.
Explanation
Strong-smelling urine can result from various factors, many of which are usually benign. Some common causes include:
- Dehydration: Although you mentioned being well-hydrated, it's essential to ensure your fluid intake remains consistent.
- Diet: You noted no significant dietary changes, but even slight adjustments (like vitamins) can alter urine odor.
- Hormonal Changes: Fluctuations in hormones around your menstrual cycle or due to birth control methods like Nexplanon might influence changes in urine and body odor.
- Infections: It's good that you had tests for infections that returned negative, but new infections can develop, so keeping an open mind is wise.
It’s important to listen to your body and track any changes or new symptoms that may develop.
Next Steps
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Monitor Symptoms: Keep a daily log of when you notice the odor, your fluid intake, and any changes in your diet or lifestyle. Take note of your menstrual cycle and any related symptoms (like cramps).
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Hydration Check: Continue drinking plenty of water daily, aiming for about 8 cups (2 liters), unless otherwise advised. This helps dilute your urine.
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Diet Evaluation: Consider if you’ve recently started any new vitamins, supplements, or medications (like Vyvanse) that could contribute to changes.
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Consider Timing: Note if the odor correlates with specific times in your cycle or certain medications. This could provide insights.
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Consult Your Healthcare Provider: If the odor persists or worsens, or if you notice any new symptoms (like changes in discharge or pain), schedule a visit with your healthcare provider. Given your age and experience with Nexplanon and Vyvanse, they can help evaluate any potential hormonal or medication-related changes.
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Stay Positive: It’s perfectly normal to feel concerned, but many potential causes are easily manageable. Tracking your symptoms will empower you with information when discussing them with your healthcare provider.
It's great that you're considering a doctor visit; seeking professional guidance is the best way to ensure your well-being. Don't hesitate to reach out if you have more questions or need further clarification!
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