Should UTIs Itch or Smell?

Certain factors like changes in hormones, poor hygiene, or pregnancy may impact the health of your vagina and lead to an itch or smell that can be confused with a UTI. 

If a vaginal itch is accompanied by redness, swollenness, and a discharge resembling cottage cheese, you may have a vaginal yeast infection. Yeast infections are caused by an overgrowth of Candida fungus. They aren’t UTIs, but can easily be mistaken for one, as both can cause a burning sensation during urination. 

If you have vaginal itch along with symptoms such as burning during urination, urinary frequency, and urinary urgency, you may have both a urinary tract infection and a vaginal infection. Since vaginal itch isn’t a common UTI symptom, it may be that you have both infections. 

Vaginal itch and a fishy-smelling discharge could also be signs of bacterial vaginosis (BV). Itching may be intense on the outside of your vagina and your vulvar area. Other signs of BV include vaginal burning and vaginal pain.

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BV is treated with antibiotics, while a yeast infection is treated with anti-fungals. Sometimes, antibiotics used to treat a UTI may lead to a yeast infection because of the loss of protective, healthy bacteria.

The presence of bacteria in the urine during a UTI can definitely affect the appearance and smell of urine. When there is an infection in the urinary tract, the urine may take on a foul-smelling odor as well as appear cloudy or bloody. 

If you think you have a Urinary Tract Infection, look out for the following common symptoms:

  • Burning during urination

  • Frequent/intense urge to urinate, with little actual urination 

  • Blood-tinged or cloudy urine (could appear pink)

  • Feeling tired 

  • Pain in the pelvic area (lower abdomen or back)

  • Foul-smelling urine 

You may not have all of these symptoms, but the appearance of one or multiple of these is cause to keep a close eye on your vaginal health and seek medical help.

*Reviewed and approved by Dr. Rob Lapporte

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