pregnancy & babyGuide

Pregnancy Symptoms Q&A

I have an itchy vagina with a smelly discharge.

Is Increased Vaginal Discharge During Pregnancy Normal?

Pregnancy brings many changes to your body, and increased vaginal discharge is one of the most common. In most cases, it is completely normal. However, changes in color or odor, or symptoms such as itching, burning, or soreness may be signs of vaginitis or an infection.

Normal vaginal discharge

During pregnancy, rising estrogen levels and increased blood flow to the vagina and cervix naturally increase vaginal discharge. This normal pregnancy discharge is often called leukorrhea.

Normal discharge is usually clear, milky white, or pale cream-colored, with little or no noticeable odor. The amount may gradually increase as your pregnancy progresses.

Later in pregnancy, you may also notice thicker, sticky, or jelly-like mucus as cervical mucus begins to come away. However, contact your healthcare provider if you notice bloody discharge or persistent bleeding, or if you have a continuous leakage of clear, watery fluid.

When vaginal discharge may be abnormal

If your discharge develops a strong or unpleasant odor, changes noticeably in color or consistency, or is accompanied by itching, burning, soreness, or swelling around the vagina or vulva, vaginitis or an infection may be the cause.

Common vaginal conditions during pregnancy include bacterial vaginosis (BV), trichomoniasis, and vulvovaginal candidiasis (a vaginal yeast infection).

Bacterial vaginosis may cause thin white or gray discharge with a strong fishy odor. BV during pregnancy is associated with an increased risk of certain pregnancy complications, including preterm birth, so talk to your healthcare provider if you have symptoms.

Trichomoniasis is a sexually transmitted infection (STI). It may cause yellow or yellow-green discharge that can appear frothy, an unpleasant odor, itching, or burning, although some people have no symptoms.

A vaginal yeast infection commonly causes thick, white, clumpy discharge along with intense itching, irritation, redness, or swelling around the vulva.

How can you care for your vaginal and vulvar health?

Keep the vulvar area clean and dry, and choose breathable cotton underwear rather than tight-fitting underwear or clothing. Change your underwear if it becomes damp from sweat or discharge.

If you use panty liners for increased discharge, choose unscented ones and change them frequently. Reduce or stop using them if they cause irritation or keep the area damp.

Gently washing the external genital area with lukewarm water is usually enough. Strongly scented soaps and feminine hygiene products may cause irritation, and douching inside the vagina should be avoided because it can disrupt the vagina’s natural balance.

If you notice a sudden change in the color or smell of your discharge or persistent itching, burning, or pain, avoid self-treating and talk to your healthcare provider for an accurate diagnosis and appropriate treatment.