WOMENS-HEALTH Messages for December, 2000: Re: Bacterial Infections etc.

Re: Bacterial Infections etc.

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 27 Dec 2000 22:56:03 -0600 (CST)

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At Wed, 27 Dec 2000, A wrote: >
>Okay, here goes...about a year ago, I attempted to take the pill (had a
>a through exam at that time - normal pap etc)as I had a sexual partner
>and wanted to prevent pregnancy. I've always been prone to yeast
>infections, and promptly got one about two days after taking the first
>pills. I used an over the counter to clear it up, and continued taking
>the pills for about one month. I spotted throughout the entire month,
>and my partner and I figured it wasnt' worth it and decided to use
>condoms. We always use a condom except for the very slow days during my
>period (and that's rare). Throughout the year, I had another two yeast
>infections (or so I thought), and treated them with over the counter
>brands. EAch time it appeared to clear up. Over the course of the
>year, I noticed a heavier discharge sometimes, and an odor when I
>stressed excessively, or sweated a lot. Not everyday, but definitely
>when nervous, stressed, or sweaty. Definitely odor to the point that I
>could smell it without pulling down my pants or getting near my genital
>area. Nothing that seemed alarming - just thought my body was changing
>and I was developing a different body or genital odor (I am 29). In the
>last four months or so, it's gotten consistently worse, and I went to
>the ob-gyn in early november. Bacterial infection. I've basically been
>there every week since, and have been on an anitbiotic of some sort
>every day since except for the 12 days of my period (twice over that
>cycle). I've taken Flagyl for five days, then a dose of ten days
>combined with metro inserted vaginally (I developed a yeast infection
>right after the frist dose of antibiotic), then clindimycin for seven
>days, and I am about to start another seven of that. My ob-gyn
>confirmed the BV and the yeast and did cultures. Performed internals
>each time, and says all feels normal. Each time I take an antibiotic,
>it clears up 95%, but I can still see some discharge, and the smell
>comes back almost immediately after stoppng the antibiotic. I have no
>itching, redness, or pain, except for some odds and ends. Sometimes
>when I have a bowel movement, I feel pressure in my ovaries, (or what
>seems like my ovaries), and there is a very heavy mucous discharge when
>I wipe (front to back). It seems to be vaginally, but I can not be
>positive, as it's so excessive. Sometimes I feel crampy, when I don't
>have my period, it's never particularly painful, but I just feel it.
>Almost like I am just about to start the heavy bleeding of my period. My
>partner has taken oral flagyl as a precaution, and we are only using
>condoms at this time to prevent passing it. I finished my dose of
>clindymycin last wednesday night, got my period thursday am, lasted
>until monday-ish, and today I feel particularly crampy, and I start the
>next dose of clindymycin tonight (I spoke to the ob-gyn and he refilled
>since that seemed to have the best effect on it so far). The discharge
>is significantly less, but I can still see some of the clear, mucousy
>stuff and it still smells slightly. I'm about at wits end - I'm
>concerned about endo (whats with the pressure/pain during bowel
>movements, and the crampy feeling?), infertility, and having these
>continual BV infections. My poor boyfriend - I have very little desire
>to have sex, because I feel gross, and I am afraid that it will come
>back, or that he will smell it. I always wash first, but the condoms
>seem to make the odor more prevalent. Is the pain, crampy feeling part
>of the BV? Should I press this issue to my ob-gyn more - basically I
>explain the crampy feeling to him, but since it's not really pain, I
>suppose I might sort of shrug it off...? Could the BV have extended up
>into my ovaries from having it so long?, or into the uterus? My periods
>are basically normal, start slow, heavy for a day or two, slows down,
>lasts a total of 5-6 days. Moderate crampy feelings on the first heavy
>day, usually a dose of ibuprofen takes care of that quickly. Where do I
>go from here? What happens if the lastest dose of anitbiotics doesn't
>clear it up? Should I be insisting on other tests? I believe that I
>heard that endo can't be diagnosed in an exam. I have a pretty high
>pain tolerance, could I be overlooking pain that I only consider
>moderalely annoying? I've had no other symptoms that seem odd, except
>that for a while I was very achey, particularly stiff necks, which I
>contribute to my hating the waterbed we sleep in. That's gotten better,
>so I think it was related to getting used to the bed. I don't take any
>other drugs, I am hypoglycemic (doc said that doesn't matter, it's the
>overgrowth related to sugar being too high, not too low that should
>concern us), I am of normal weight, excercise regularly. I take a multi
>vitamin, and Twin Labs Diet Fuel once a day, and glucosamin and
>condroitisn (sorry, spelling bad). Don't smoke, social drinks (1-2) on
>weekends. Arrrggghhh!!!! Help!
>
>Thanks for taking the time to read this, I figured that complete
>background might make it easier. Any input or thoguhts welcomed.
>
>Thanks.
>a
>
>--
>A
>

WOW! With the length of this statement, I almost feel guilty about the brevity of my response, but here goes. I think it is the condoms. It seems to have started with primary use of the condoms after stopping the pills. Get back on the pill and stick it out for 3-4 months so your body gets used to it and the spotting resolves. Also, stop using all the antibiotics and let your vaginal environment get back to its normal state... 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: Still having painful orgasms!!!! What could this be?????"
Previous message: Roklyn: "Re: Question regarding vaginal changes during menstrual cycle"
In reply to: A: "Bacterial Infections etc."
Next in thread: A: "Lynn - Re: Bacterial Infections etc."
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