WOMENS-HEALTH Messages for October, 2000: Re: 2 answers, please :) MULTIPLE responses would be greatly appreciated!

Re: 2 answers, please :) MULTIPLE responses would be greatly appreciated!

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 25 Oct 2000 11:47:55 -0500 (CDT)

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In reply to: Emme: "2 answers, please :) MULTIPLE responses would be greatly appreciated!"

At Tue, 24 Oct 2000, Emme wrote: >
>Hi doctors-
>
>I am known to be long-winded so I will try to make this short and sweet.
>
>1) My ob/gyn told me a culture had shown gardnerella. I took four pills
>of flagyl Sunday night, and inserted an applicator of metrogel last
>night. This morning I was feeling fine, but just now when I went to the
>restroom there was a burning sensation that felt to be in the inner
>vaginal area (not like a UTI- I've had those!) after urinating. It
>dissipates over time (1/2 hour). How long does it take for the medicine
>to be effective? I have four more doses of metrogel left to take.
>
>2) Having been off the Pill for two months, my mood and outlook are much
>better and I am feeling brave enough to try one again. I am still
>having on and off burning in the vaginal area (first it was attributed
>to yeast, then strep b, and now to gardnerella) and I haven't been on
>the Pill so I can't blame it on that. Even though I use condoms and
>spermicides, I would still feel more protected with this kind of
>contraception if it can work for me. Those few fleeting
>(infrequent!)seconds when my boyfriend is inside of me before he puts on
>a condom, even when I have spermicide in during foreplay, make me
>nervous and then I am paranoid all month. I believe in the potency of
>precum, while he does not.
>
>To get to the point, what would be the most scientific/methodical way to
>go about finding a good pill?
>Dr. Wang has mentioned that one with lower estrogen, such as Mircette
>or Alesse might be a good choice. I was on Triphasil before (same
>family as Allesse), and my problems with that were: cystitis-like
>symptoms EVERY month, bloating the week before my period, headaches, and
>at the end slight depression. Dr. McIntosh suggested trying a low-dose
>with norgestimate. Should I try Alesse, and then if I still have
>problems try Mircette (which has a different progestin)? Some people say
>they have no problems with Mircette, while other list acute anxiety,
>extreme moodiness and depression, and spotting when on these pills....
>Your advice would be greatly appreciated. I realize different pills
>"react differently" with different people, which is why I am reluctant
>to try around (I don't like doing something where I don't know what the
>outcome will be), but I was hoping that maybe your experiences with
>women with symptoms similar to mine could help.
>
>I guess the 2nd question wasn't that short. I'm sorry! THANK YOU!

Emme, First, I would give the medication some more time. You need to allow your vaginal mucosa time to recover.

Second, the only real way to determine whether a pill in right for an individual is to try it... 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: Ann: "HPT faint positive but Dr. office blood negative"
Previous message: Gail: "contraindications to vaginal hysterectomy"
In reply to: Emme: "2 answers, please :) MULTIPLE responses would be greatly appreciated!"

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