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Re: GYNECOLOGIC: Vaginal discharge and cervicitis

From: D. Ashley Hill (anonymous@obgyn.net)
Wed, 26 Sep 2007 21:00:44 -0500 (CDT)

This is a very frustrating problem. There are several possible causes of this. Sometimes a condition called "cytolytic vaginitis" can cause a persistent discharge. In addition to a physical exam, pH and wet prep (looking under a microscope) there are DNA swabs that your doctor can perform that will help diagnose specific causes. If you are on the pill or some other types of birth control, the hormones can cause your cervix to change, leading to more discharge. Also, it is possible that this is just "your discharge" and is not due to a disease or infection. Some women produce more vaginal discharge as a normal physiologic process. I would suggest that you ask your doctor to leave no stone unturned. He or she should perform a careful history and exam including a wet prep and pH, and look for cervical infections (chlamydia and gonorrhea) and vaginal infections (yeast, BV, cytolytic vaginitis). Good luck and best wishes. 

--
D. Ashley Hill, MD


At Wed, 26 Sep 2007, kulala wrote:
>
>Ever since my late puberty years (I am 28 now), I have a vaginal
>discharge problem.  It happens everyday, sometimes barely and other
>times a lot more.  It is mucus/pus-like, can be creamy, white with a
>slight yellowish tint, often more yellowish than not.  When the
>discharge comes out, it doesn't have a foul odor but it sometimes
>develops a sour smell on my underwear if I don't have time to wipe it.  I
>have no other symptoms and self-screening kit shows that my pH is not >
>4.5.  I've been diagnosed with Bacterial Vaginosis several times before,
>and was prescribed MetroGel, Clymacydin, oral antibiotics, or
>intravaginal gel with oral pills at the same time, you name it, and I
>have yogurt and L.  Acidophilus in my regular diet now.  But nothing
>seems to help with the symptoms.  I was tested negative for chlamydia
>and gonorrhea and trichomonas.  I never had abnormal paps.  My regular
>GYN said in my last two visits that this is normal for me.  But when I
>went to another GYN today, she said I have cervicitis (my cervix is
>inflammed) and gave me doxycycline.  After the swab at the clinic, I
>noticed slightly brown discharge.  Does that indicate bleeding? Should I
>be worried about HSV or HPV although I never had sex before (even when I
>had the discharge) only except for oral sex in a monogamous relationship
>recently? Can this be a case of chronic cervicitis or mucopurulent
>cervicitis or even endometritis and what are my options for treatment?
>
>Thank you in advance for your help.  I am so worried that I am not sure
>if I should even be in any relationship now.
>
>Frustrated and confused,
>Kulala.



--
D. Ashley Hill, MD
Division Director, Dept. of Obstetrics and Gynecology
Medical Director
Florida Hospital Orlando
Loch Haven Ob/Gyn Group
235 East Princeton Street, #200
Orlando, Florida 32804
http://www.lochhavenobgyn.com


Please understand that due to time constraints I am unable
to answer any personal emails, therefore they will receive no response.


These comments are general educational comments and should not
be construed as specific medical advice.  The best person to
answer your health care questions is your physician or other
health care provider.  Thank you very much.


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