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Re: Gyn:  Vaginitis From: DoctorJoe@aol.com Tue Nov 6 20:12:09 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Gyn:  Vaginitis" Previous message: Garry E. Siegel, M.D.: "Gyn: Vaginitis" Next in thread: Garry E. Siegel, M.D.: "Re: Gyn:  Vaginitis" Reply: Garry E. Siegel, M.D.: "Re: Gyn:  Vaginitis" In a message dated 11/6/07 8:17:50 PM, garrys@mindspring.com writes: > 24 YO P0, LMP 10/8, on Ortho TriCyclen comes in with a few days of > vaginal discharge, +/- irritation, and used Monistat 1 a couple of days > ago. > > On exam, yellow d/c is seen on the labia, and in the vagina, which is > slighly erythematous.  pH is 4, yeast culture and cervical GC/Chlamydia > tests sent, and she is not tender. > > Wet Prep is negative for Trich and clue cells, and the KOH has no hyphae > and is whiff-negative. > > We all see people a few days after they treat for yeast, and many times, > this is the picture. > > I empirically treated her with Diflucan and will await the cultures, and > asked her to return if not better for a reassessment before any > treatment. > > Does anyone have any thoughts? > Could be partially treated yeast, in which case you're doing the right thing.. It also could be partially treated Trich -- can be somewhat sensitive to the imidazoles, etc. that are used topically -- and it therefore may raise its head again in the near future. What about signs of atrophy with the OCPs? Joe P. Next message: Garry E. Siegel, M.D.: "Re: Gyn:  Vaginitis" Previous message: Garry E. Siegel, M.D.: "Gyn: Vaginitis" Next in thread: Garry E. Siegel, M.D.: "Re: Gyn:  Vaginitis" Reply: Garry E. Siegel, M.D.: "Re: Gyn:  Vaginitis"

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