Overview
Glands in the cervix and vagina normally make clear or white mucus. The amount changes with the menstrual cycle, and it increases around ovulation, during pregnancy, and with sexual arousal.
Discharge that's thick and white like cottage cheese with itching is often a yeast infection. Thin gray discharge with a fishy smell is often bacterial vaginosis. Yellow or green discharge, or any discharge from the penis, may be an STI like chlamydia, gonorrhea, or trichomoniasis. A forgotten tampon can cause a very bad smell.
When to get medical care
Causes
Normal discharge increases with ovulation, pregnancy, birth control, and arousal. Abnormal discharge can come from yeast infections, bacterial vaginosis, STIs (chlamydia, gonorrhea, trichomoniasis), a forgotten tampon or other object, irritation from soaps, sprays, douches, or detergents, and thinning tissue after menopause. Less common causes include pelvic inflammatory disease, skin conditions, and cancer of the cervix, vagina, or uterus.
OwieClear has pages on 2 conditions that can cause discharge (genital). Each shows how soon to get care.
Common causes
What you can do at home
- Keep the genital area clean and dry. Rinse with water; avoid harsh soaps.
- Don't douche or use sprays, powders, or scented products.
- Wear cotton underwear and avoid tight pants.
- Use condoms to lower STI risk.
- Avoid sex until you've been checked and treated.
- Use pads instead of tampons while you have an infection.
Medicines
Yeast infections can be treated with over-the-counter antifungal creams or suppositories, but get checked if it's your first one, you're pregnant, or it keeps coming back. Bacterial vaginosis and STIs need prescription medicine. Partners may also need treatment for STIs.
At the doctor
The provider will find the cause, usually with a quick sample.
Questions you may be asked
- What the discharge looks and smells like
- Itching, burning, or pain
- Sexual activity and condom use
- Your period and pregnancy chances
- Products you use in the genital area
- Recent antibiotics
The exam
A pelvic or genital exam.
Tests
- A swab of the discharge for yeast, BV, and trichomoniasis
- Urine or swab tests for chlamydia and gonorrhea
- Blood tests for HIV and syphilis
- A Pap test if due
Prevention
You can lower your risk.
- Use condoms
- Don't douche
- Wear breathable underwear
- Get tested for STIs regularly
Check your symptoms
Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.
Sources
Last updated 2026-11-13.