PREGNANCY-BIRTH Messages for August, 2002: Re: Bacterial vaginosis, discharge, metronidazole

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Re: Bacterial vaginosis, discharge, metronidazole

From: Samir Fouad Aziz MD (anonymous@obgyn.net)
Mon, 5 Aug 2002 16:44:39 -0500 (CDT)

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In reply to: L.: "Bacterial vaginosis, discharge, metronidazole"

At Mon, 5 Aug 2002, L. wrote: >
>Hello,
>
>I am 20 weeks and 3 days pregnant with my third clinical pregnancy. A
>little background: I also had a missed abortion and a loss at 18w6d due
>to apparent incompetent cervix. I had a complete uterine septum
>partially repaired. I now have a cerclage, placed at 11 weeks along. Am
>on pelvic rest and introduce nothing into the vagina. I am having a lot
>of uterine irritability and worry about the onset of PTL.
>
>I have always had BV . . . it seems to recur within 4-8 weeks after
>treatment with metronidazole. I have taken 2 10-day courses of
>metronidazole (250 mg. po tid) during this pregnancy, with the last
>course finished a little over 24 hours ago. (Clindamycin did nothing to
>help me, earlier, in the first trimester)
>
>Now my pale yellow discharge is back. It had dried up during the time I
>took metronidazole. No objectionable odor noted, though.
>
>I am seeing my OB next week and will ask for a swab to check for clue
>cells. In the meantime I have some questions.
>
>--Does metronidazole dry up secretions?
>
>--Why would my discharge "turn on" within 24 hours of stopping
>metronidazole?
>
>--How often is it safe to treat for BV anaerobes in pregnancy? Aside
>from eating plenty of lactobacillus and active yogurt, is there anything
>else I can do?
>
>Thank you for your time.
>

metronidazole does not up secretion it eradicate infection and so you get this feeling however youo should not be dry because you have your normal secretion and you should not feel dry.It is better to have culture and sensitivity for vaginal secretion to confirm or exclude infection beside detecting clue cells. It is not advisable to take large doses of metronidazole during pregnancy. >
>--
>L.
>

-- Samir Aziz MD Assist.Professor Ob.Gyn Al-Azhar University-Egypt Editorial advisor Obgyn.net, Pregnancy and birth & Gyn.Oncology

Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or intervention.

Next message: Samir Fouad Aziz MD: "Re: Embryo Development"
Previous message: Samir Fouad Aziz MD: "Re: Larger Than Average Cyst on Ovary - for a Dr."
In reply to: L.: "Bacterial vaginosis, discharge, metronidazole"

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