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Re: Dr. Montgomery-gardnerella treatment
From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 19 Oct 2000 09:53:44 -0500 (CDT)
Emme,
Relax, I doubt you got the gardnerella as a result of cheating on
anybodies part. Gardnerella flairs just a yeast does. It can be a
normal inhabitant, held in check by the other inhabitants and the
environment of the vagina. Occasionally somthing happens to upset the
happy environment of the vagina and this results in the proliferation of
critters that are normally held in check. Thus, infection.
If the symptoms you are having are predominantly associated with the
urinary tract (you mention pain post-voiding)and there is no significant
gynecologic finding, you may want to pursue a urologic problem.
The Flagyl causes an Antabuse like reaction-sick as hell if alcohol is
added. I would just wait and start the Flagyl on Sunday...
Lynn
At Wed, 18 Oct 2000, Emme wrote:
>
>Dr. Montgomery-
>
>Thanks for your response. I was just perturbed about how my partner
>could be giving it to me, since we were both virgins when we first had
>sex and this didn't really give either one of us the chance to pick up
>an STD! I was relieved to hear that it normally exists in the vagina.
>What would cause it to flare up? In the last culture gardnerella was not
>mentioned, but group b showed up, which is also supposed to be normal
>inhabitant of that area. Am I treating for something that is supposed
>to be there anyway?
>
>My symptoms are that I have pain after urinating sometimes (and my urine
>volume is normal so it's not a UTI- I have had urine cultures done on
>several occasions), but no yeast shows up on the culture. I thought I
>might have developed yeast on Monday (after finishing up a penicillin
>prescription on Friday) so I am on day 2 of a 3 day terazol treatment-
>any ideas on what could be causing my problems? I think my gyn is
>treating these "normal vaginal inhabitants" because she doesn't know
>what else might be causing the problem.
>
>Regarding the treatment, my pharmacist told me that no alcohol should be
>in your system 24 hours before and 3 days after you take the flagyl.
>Since my system tends to be pretty sensitive, I guess I have to go with
>the safest bet.
>
>I am going to an event on Friday night where I will be having wine, so
>do you think it is okay to wait until Sunday to take the Flagyl? The
>cultures were taken on Friday so I waited until today to get the
>diagnosis anyway. Would using metrogel in the meantime help a little?
>
>At Wed, 18 Oct 2000, Lynn D. Montgomery, MD wrote:
>>
>>At Wed, 18 Oct 2000, Emme wrote:
>>>
>>>it just never ends... on the culture that she just got back today, my
>>>ob/gyn just told me that they detected gardnerella. both of the
>>>cultures were labelled "genital" cultures though, so she doesn't know
>>>whether it occurred in the vaginal or urethral culture. she has
>>>prescribed one dose of Flagyl by mouth, and metrogel for five days.
>>>
>>>where would i have gotten gardnerella from? how can i prevent it from
>>>recurring? would it be more likely to be vaginally or urethrally
>>>located?
>>>
>>>my partner and i use condoms almost ALL of the time now, so i can't
>>>figure out where it came from. could it have been lurking around from
>>>when I was on the pill (through August) and didn't always use condoms? I
>>>am just so frustrated with always having some kind of infection down
>>>there :(
>>
>>Emme,
>>Gardnerella can be an inhabitant of the vagina and flair just like yeast
>>when conditions are right. You don't necessarily have to go searching
>>for a source, cause it may be right there in the vagina. I would use
>>the treatment and see how things go from there...
>>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 ;-)
>>
--
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 ;-)
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