Re: Gyn: Vaginitis
From: Cesar Molina (cemolar777@gmail.com)
Wed Nov 21 08:38:28 2007
Are now in problems. It is not a vaginosis, it is not a Tricm (wet prep),
possible the culture is not valid fot previous use of antifungus drugs. But:
is the first time? How many days has with this symptoms?. Is she
stressed?. Used ATBO recently? He nees a close observation to see the
variability of clinic presentation. It is very hard to diagnose a desease
without the microbiologic analisis.
2007/11/8, Henry Gregor <henrygregor@yahoo.com>:
>
> Agree...FWIW, my two cents....try clotrimazole/betamethasone
> (Lotrisone)...same reason as per Fran, but with the antiyeast agent added.
>
> Hank
>
> *fran wilson <530rose@msn.com>* wrote:
>
> I find that many women have reactions to one day yeast cream treatment.
> I have them use low dose hydrocortisone cream locally for a few days, it
> seems to clear up.
>
> PEACE,
> Fran Wilson, CNM, ARNP
>
> http://www.wildrosemidwife.com
>
> ------------------------------
> From: *eramirezt@coqui.net (Efrain Ramirez)*
> ------------------------------
> Reply-To: *ob-gyn-l@obgyn.net*
> ------------------------------
> To: *Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>*
> Subject: *Re: Gyn: Vaginitis*
> Date: *Wed, 7 Nov 2007 05:39:47 -0600*
> There must be some irritant - new soap, new partner.. using panty
> liners (worst offenders) - saliva ..
>
> Ef
>
> At Tue, 6 Nov 2007, Garry E. Siegel, M.D. wrote:
> >
> >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?
> >
> >Garry
> >
> >--
> >Garry E. Siegel, M.D.
> >Private Practice
> >Roswell, GA
> >
>
> --
> "I can accept failure, but I can't accept not trying." - Michael Jordan
>
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