WOMENS-HEALTH Messages for May, 2001: Re: Heavy discharge, but negative vaginal culture

Re: Heavy discharge, but negative vaginal culture

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 31 May 2001 18:51:52 -0500 (CDT)

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In reply to: Suzy: "Heavy discharge, but negative vaginal culture"

At Thu, 31 May 2001, Suzy wrote: >
>For the last 6-8 weeks or so, I have had a very heavy, thick,
>non-odorous white vaginal discharge (I often pass globs of stuff, as big
>as plum pits and sometimes bigger). I have lots of burning with it, but
>not much itching. My bladder/urethra got so irritated, I originally
>thought I had a bladder infection, too, but a urine culture was
>negative. My doctor said the discharge looked like a very bad yeast
>infection, and treated it accordingly (diflucan, terazol, etc.). Nothing
>worked, so he cultured it. The culture came back negative - no yeast
>growth, no bacterial growth. Just the normal vaginal flora, with
>nothing growing out of control. My doctor now suggests trying to change
>the vaginal ph with 3 doses of a vinegar douche, and then if that works,
>go from there. Have any of you dealt with this kind of thing before?
>Could it be caused by changes in estrogen levels? (I'm 43, but I've been
>perimenopausal for 3-4 years already - hot flashes, night sweats,
>shortened periods).

Sure could be. The vagina should appear very inflamed and red if it is. Low, (as in postmenopausal), levels of estrogen will allow the lining of the vagina to become very thin and it does not protect the underlying tissue near as well. The symptom of burning is very frequent in this situation. A trial of estrogen vaginal cream should clear it up in 2-3 days if that is what it is.

Any suggestions will be gratefully accepted, as >this thing has made me completely miserable. The burning makes it hurt
>to even walk sometimes.

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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