13 Year Chronic foul vaginal odor

I have a OBGYN appt soon and need all advice i can bring with me. I need as much advice as possible. I am DESPERATE for a solution. This is the problem. 

Vaginal odor 13 years. Odor comparable to unwashed for weeks. Very strong. I was checked for fistula and it was negative as well. Tested repeatably. Negative on all infections/STD's every time. Normal regular periods..medium flow. Used HepPhresh and many other odor helpers online. Tried douche, antibiotics, yeast medications. Tried natural remedies. Tried different diets. Drank up to 4 quarts of water daily. Odor is NOT coming from within the vaginal opening. It appears to be coming from the vaginal glands in the vulva area. There is no odor inside of the vaginal hole. Is this a hormonal problem? I am 38. I do not have sex. I have never even had sperm inside me in my entire lifetime. Do we have glands within the vulva area that secretes or releases foul odor comparable to "unwashed behind?" What is the cause and solution to this problem? I had a female friend that went through the same problem for 7 years and suddenly it just went away. DR's ignored her and never found the cause of the problem. At least hers went away but mine continues after 13 long years. Desperate for answers. I have tried Google to find similar problems but none show up. All suggest infections which I do not have.

I have tried HepPhresh, several online/OTC deodorants, douched, feminine wash/wipes. Yeast infection pills/creams/suppositories. Antibiotics. Clean with water only, Clean with soap and water. Changed diet. Drank 4 quarts of water a day. Cotton underwear. No underwear. Showered once daily to 6 times daily.

These two are advice from one is personal experience and the other by a online OBGYN.

(Erica) **I can't believe gynecologists are so stupid about this. I had odor for years, and then I realized it wasn't my vagina at all. I went to so many doctors who said "You don't have an infection. There's nothing wrong with you." and just told me I'd have to live with it. The area that smells bad is actually between your vagina and your anus. There is a gland there that secretes something odorous when you're nervous, sweaty, excited, etc. Bacteria feed on the secretions and sweat, and the odor comes from their waste. If you clean that area periodically throughout the day (with wipes or even with wet toilet paper) the smell will be helped. The best thing I have done, though, is to wipe the area, then spray it with mineral salt deodorant. The salt in the deodorant keeps bacteria from feeding on whatever that gland is secreting, and the odor never even starts. You can order mineral salt spray deodorant from Amazon or get it in the deodorant section at any drugstore or Walmart, etc.  Good luck. This worked for me 100% and finally stopped a lifetime of feeling bad because of odor.**

"OBGYN"DrK99 :

Yes there are glands there that may become infected. The Skenes glands and the periurethral glands are there and may be infected.

DrK99 :

Odor from the skin in that area is likely to be hormonal and similar to strong odor from the underarm area.

DrK99 :

You may respond to a course of antibiotics that is meant for skin infection such as Augmentin. this is used for boils and abcesses in that area.

DrK99 :

Have you tried baby wipes or summers eve feminine wipes. These wipes have ingredients to neutralize this type of odor.

DrK99 :

I do not note that you have tried baking soda baths as well.

JACUSTOMER-5k4okpk0- :

yes, have tried those. Not effective. Odor is overwhelming for anything like those.

DrK99 :

Have you been on a course of oral antibiotic?

JACUSTOMER-5k4okpk0- :

No baking soda baths. Have tried oral antibiotics repeatably.

DrK99 :

You likely need a double course of antibiotic. My next step would be Flagyl twice daily for 3 full weeks in combination with Metrogel which is vaginal Flagyl cream daily for the entire 3 weeks as well.

DrK99 :

This is a long course of antibiotics meant to deliver a very high dose through both the bloodstream and vaginal area to where it is required.

DrK99 :

The baking soda baths are a neutralizing agent and can help significantly.

JACUSTOMER-5k4okpk0- :

You may have the answer with the Augmentin. My friend had similiar problem as me for 7 years, She had boil near her inner thigh. They gave her antibiotics. She couldnt remember the name of it but it cured her problem immediatley.

DrK99 :

I would try that first. Its used for abcess, boil, skin infection and we use it for infected glands. I cannot examine you which is a disadvantage. But you just need to get to a gyn who cares enough to try.

JACUSTOMER-5k4okpk0- :

cured her odor. other antibiotics for BV didnt work for her. just that one prescribed for boil/infection on inner thigh. I'm praying it will work for me. :( I have been seeing Nurse practitioners and they are at a loss and dont offer anything. Will a OBGYN give me the antibiotics?

DrK99 :

Yes, get to a Dr, and not a NP. You just need to find someone caring who is willing to look "out of the box".

DrK99 :

Not everything in gyn is out of the medical text book. Sometimes we must think a little.

JACUSTOMER-5k4okpk0- :

Thank you. Is there any other medication or antibiotic used for my problem as well that you can think of?

DrK99 :

I would think that the two I mentioned are the best start. The three week double course would be my second choice. You can come back to this question any time you need more help

JACUSTOMER-5k4okpk0- :

Thank you! :)

DrK99 :

Sure Have a great day.