WOMENS-HEALTH Messages for August, 2000: Re: Stubborn Vaginal bacteria

Re: Stubborn Vaginal bacteria - preferably Dr.Braun :)

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 31 Aug 2000 19:13:44 -0500 (CDT)

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In reply to: Melissa: "Stubborn Vaginal bacteria - preferably Dr.Braun :)"

Sounds like too many antibiotics to me. It is normal to have bacteria in the vagina. If I don't see bacteria on the smear from the vagina, something is wrong. The only place in the body that has more bacteria than the vagina is the mouth. The rectum has less. Being on Lupron would shut off estrogen and predispose to atrophic vaginitis(best treated with estrogen). Then when antibiotics are given, they can kill off the normal bacteria. It sometimes takes a while for the normal ones to return.

RDB

At Thu, 31 Aug 2000, Melissa wrote: >
>Dear Dr. Braun,
>Hi there, I have written you a few times now. I am going NUTS over here
>and really need your help!
>
>Okay, for the last 6 months I've had a lite green/yellow mucousy d/c - I
>had Strep B and was treated with ampicillin. Last week I saw a new
>OBGYN, he ran cultures - everything was negative, even the Strep was
>gone.
>
>But...he looked under the microscope and said he saw major bacteria - he
>wasnt sure what kind of bacteria - the culture did not show any bacteria
>at all, just allot of yeast. But I do not itch or have the s/s of
>yeast.
>
>I am currently taking flagyl and still have the green d/c - I called and
>told him and he said lets try cleocin now x 5 days - I was on cleocin in
>july and it didnt help.
>
>What could be going on inside me ? It all started when I was on Zoladex
>to treat endo - the low estrogen state started this vaginal infection
>and it hasn't gotten better. I am now on Loestrin 1/30 continuesly to
>suppress my endo.
>
>Should I use the cleocin cream? I thought Flagyl was really powerful
>stuff...if that isint working why would the cleocin ??!!
>
>Ive been on ampicillin, clindomycin, erythromycin, flagyl, keflex,
>amino-cerv and trimo-san (both creams gave me painful vaginal spasms and
>a burning feeling)
>
>I dont know what to do! Im wondering if I could have a cyst inside or
>something else going on too ?? Is there any other tests I should be
>requesting ??
>
>Please reply.

--
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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