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Re: sistant Trich? From: Rafael Haciski MD (haciski@earthlink.net) Tue Apr 24 00:49:50 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: NY Times: Abortion in India Is Tipping Scales Sharply Against girls" Previous message: Rafael Haciski MD: "DSL" In reply to: Joanne Bulley: "Re: sistant Trich?" Next in thread: Joanne Bulley: "Re: Resistant Trich?" Reply: Joanne Bulley: "Re: Resistant Trich?" I strongly suggest at conclusion of treatment to re-examine the vagina carefully with wet mount for any persistent "buggers" -- Rafael Haciski, MD FACOG Gynecology & Infertility Assoc. Baltimore MD http://www.ivf-md.com > From: islesannie@yahoo.com (Joanne Bulley) > Reply-To: ob-gyn-l@obgyn.net > Date: Tue, 24 Apr 2001 00:37:47 -0500 > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com> > Subject: Re: sistant Trich? > > Thanks - sounds like a good approach. This couple have not had > intercourse since January! they are talking about not even sleeping in > the same bed after all this! Right now we are trying the longer course. > > Will keep you posted! > > Joanne > At Tue, 24 Apr 2001, Rafael Haciski MD wrote: >> >> I have had several of these "resistant" infections in the past - all >> resolved with persistent treatment. >> >> Suggested approach: >> ..diagnose and treat per usual >> ..no intercourse in interim >> ..see patient at conclusion of treatment >> >> At that time I will see trich again, although in much lesser numbers. If >> that is the case then proceed to >> ..Metronidazole douche or vaginal gel preparations >> ..longer course of oral Metronidazole >> >> Each of my 2 or three cases resolved with this approach. >> >> Based on these few numbers, it is my feeling that these are most likely >> partial/incomplete treatments, and not resistant organisms, as they have >> responded to longer regimen. >> >> -- >> Rafael Haciski, MD FACOG >> Gynecology & Infertility Assoc. >> Baltimore MD >> http://www.ivf-md.com >> > > -- > Joanne Bulley, MD, FACOG > Keene, NH, USA Next message: DoctorJoe@aol.com: "Re: NY Times: Abortion in India Is Tipping Scales Sharply Against girls" Previous message: Rafael Haciski MD: "DSL" In reply to: Joanne Bulley: "Re: sistant Trich?" Next in thread: Joanne Bulley: "Re: Resistant Trich?" Reply: Joanne Bulley: "Re: Resistant Trich?"

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