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Other culprits include: Trichomoniasis: A sexually transmitted infection (STI) caused by a parasite, often with a foul-smelling vaginal discharge 4 Hormonal changes during menstruation, menopause, or birth control use Left-in tampons, which can cause a strong-smelling or unpleasant odor Home Remedies for Vaginal Odor If youre noticing a fishy smell or strong vaginal odor, the first thing to do is see a doctor to pinpoint the cause