Objective: To estimate the frequency and associated factors of vaginal flatus “wind” among women attending gynecology clinic at King Abdulaziz university hospital. Materials and methods: This prospective cohort study included women attending the gynecology clinic for routine pelvic gynecology examination and used a non-validated questionnaire to investigate the presence of vaginal wind and related factors. Results: The cohort included 41 women who were interviewed by a physician after their verbal consent was obtained. Their demographic and clinical data were analyzed in relation to the presence or absence of vaginal wind. Conclusion: Our findings indicate that vaginal wind is a common, but bothersome, symptom among sexually active women. It may be associated with pelvic organ prolapse