What causes white, curd-like vaginal discharge?
If vaginal discharge appears as white, curd-like clumps—commonly referred to as “cottage cheese–like” discharge—it is typically caused by a vaginal infection due to Candida (a type of yeast). In most cases, Candida (or “mold”) infection leads to this characteristic discharge, accompanied by pruritus (itching) and erythema (redness) or swelling of the vulva. A small proportion of patients may also experience urinary symptoms such as urgency and dysuria—signs of bladder irritation—that can cause significant discomfort.
Most patients respond well to antifungal therapy, which usually results in complete resolution of the infection. Commonly prescribed antifungal agents include fluconazole, clotrimazole, and nystatin. During treatment, patients should avoid spicy or otherwise irritating foods and abstain from sexual intercourse, as the infection can be transmitted to sexual partners.Additionally, during treatment, we recommend that underwear be thoroughly disinfected—ideally by direct exposure to strong sunlight or by high-temperature sterilization—to eliminate residual fungal organisms. This helps prevent recurrence of the infection due to re-exposure from contaminated undergarments.