WOMENS-HEALTH Messages for May, 2000: Re: Gardnarella- Help!

Re: Gardnarella- Help!

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 31 May 2000 09:54:09 -0500 (CDT)

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In reply to: Annon.: "Gardnarella- Help!"

At Tue, 30 May 2000, Annon. wrote: >
>Does anyone know what causes Gardnarella, and if there is any natural
>way to cure it? I've had chronic problems with Yeast Infections (and
>gardnarella) for the past 8+ years (as well as cervical dysplasia
>twice...I'm just not very lucky in this area), and finally discovered I
>was "allergic" to yeast. I have been on a yeast-free diet for over a
>year now, and it has helped dramatically for this problem. I do still
>get gardnarella infections occasionally, and am wondering if there is
>something I can do to "cure" the problem once and for all. I am 26
>years old, and am not permiscuous at all. I just want to be healthy!
>Any suggestions??? Thank You!

The vaginitis thing can be very tricky. Much too often, patients symptoms, usually itching or pruritis, are blamed on either bacterial vaginitis or yeast. My rule of thumb is to treat a patient once based on the basic exam (visual exam, wet prep and KOH micro exam). If the patient recurs again, then I do cultures. If the cultures do not reveal a bacteria, etc, and the patient continues to have recurrences, I think a vulvar biopsy is indicated. The reason being that many of the "recurrent vaginitities" are actually something else affecting the vulva and vaginal introitus, causing the symptoms. The fact that you have had cervical dysplasia twice tends to add fuel to this premise. Much of the cervical dysplasia we see today is caused by a virus (human papilloma virus). This virus can also infect and affect the vulva and vagina, causing irritative symptoms. If it is not looked for in a specific fashion or by biopsy, it is easily missed. The answer to you gardnarella question is that I am not aware of a "natural" cure for this... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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 interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: side effects of estrostep"
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In reply to: Annon.: "Gardnarella- Help!"

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