Does the absence of odor after a shower indicate that it's not axillary osmidrosis (underarm odor)?

Aug 27, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Physiological body odor is mostly caused by exercise or stuffy heat leading to underarm sweating, where sweat is decomposed by bacteria to produce an odor. This type of odor is relatively mild and adheres to the skin surface or clothing. The odor can completely disappear after washing the skin and changing clothes. It does not reoccur when there is no significant sweating afterward and generally has little impact on daily social activities.

Generally speaking, if the odor disappears after a shower, it is more likely to be physiological body odor rather than bromhidrosis (commonly known as狐臭 or axillary osmidrosis). If it is bromhidrosis, the odor may only be temporarily reduced after showering and will soon reappear along with sweat secretion. If you have any concerns, it is recommended to seek medical advice in advance. Detailed analysis is as follows:

Physiological body odor is often caused by exercise or heat-induced sweating in the armpits. When sweat is broken down by bacteria, it produces an odor. This kind of odor is relatively mild and remains on the skin surface or clothing. It can be completely eliminated by washing the skin and changing clothes. Once sweat secretion stops, the odor won't reappear and generally has little impact on daily social interactions.

Bromhidrosis is caused by abnormal sweat secretions from the apocrine glands in the armpits. This sweat contains specific components that, when broken down by bacteria, produce a strong and persistent odor. Even after washing, the odor can only be temporarily removed. Once the apocrine glands secrete sweat again, the odor quickly returns, especially after emotional stress or mild physical activity, when the odor appears faster and spreads farther, often causing social discomfort.

It is important to observe the recurrence time and intensity of the odor after showering in daily life. If the odor frequently and quickly reappears and affects your quality of life, you should promptly visit a reputable medical facility for a definitive diagnosis. Avoid improper self-treatment based on self-diagnosis, and maintain dry underarms to reduce the chance of bacterial growth.

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