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Re: bacterial vaginosis that won't go away HELP PLEASEFrom: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)Sat, 3 Feb 2001 17:59:12 -0600 (CST)
At Fri, 2 Feb 2001, Tracy wrote: > >Hello, >I have NEVER had this before my visit to the Gyno. I have gone to the >gyno before, but it had been 5 years since I had been and thought I had >better go for a papsmear as I was past due for one. >I DON'T blame the exam, 2 days after my exam. It started out as massive >discharge that was very liquid and looked like, well, snot. Bright >yellow/green bright enough you think it could glow in the dark. No >odor, but the discharge was starting to make me sore on the outside. I >went back to the Gyno, he did cultures and said I did have a bacterial >infection. I used the Cleocin cream. I thought it was working, but by >day 5 the yellow/green discharge was there. I used the cream for 10 >days. It did not take care of it. While on the Cleocin cream, I was >also put on Keflex as somehow I had a tiny nick, scratch in my nipple >and that got infected! >Since the cleocin did not work he put me on Oral, Metronidazole 250 MG 3 >times a day for 7 days. I took that and again I still had it by day 5 >of the treatment, but took ALL of the prescribed medication for the full >7 days. By then I had developed a yeast infection and thrush. >He had me come back in for more cultures and he said it looked >irritated. He also said that he checked my pH and I was low on acid. So >now I have acid gel stuff to use and that is not working either. The >doctor said he is baffled, and it doesn't sound like he has anything >else to offer. >It is a bright yellow to bright green discharge. There is healthy >looking discharge at times. The bad stuff comes out almost like a >group. Some off an on during the day. The watery stuff is gone. And I >seem to also get a yeast infection just before my period starts and >eases up about 4 days after my period stops. I am not sore down there. >Only once in a while it will get sore. Does not hurt to urinate. Once >in a while I will get pains low, not often at all. >The doctor has no clue as what is causing it and why we can't get it to >go away. I am sexually UN active for 10 years, no bathing, no douching. >I am 36 years old. >To me it doesn't seem healthy to just leave the infection. To me it >seems like the infection could move deeper inside, if it hasn't already. >Would getting a second opinion be a waste of time? And is there any >medication that I have not used that may help? Also, why take cultures >when that only seems to tell you that you have an infection, YET it >can't narrow down what it is and what to prescribe to get rid of it. I >mean you can tell by looking there is an infection. Are there better >test to figuring it out? I have had this infection for 3 months now. >The only change in my life is my diet has been bad and MAJOR stress. >Average/slim weight. >Thanks, and I HOPE someone can help. Tracy I will not even try to figure this out, but feel you need a moratorium on all meds for a while to let your vagina heal. I have had a lot of luck with boric acid suppositories, 600 mg every day, possibly 2x a day for the first week or two. The pharm makes it up. It adds the acid to your vagina, stops yeast and will stop the antibiotic carnage you have been thru. Incidently, I use cleocin and metrogel and flagyl also, but have found it more helpful to use for the prescribed time and then expect a very nasty 5-7 days following the end of the therapy as all the junk comes out. If you do nothing those days except wait, you will often see that at the end ot that time, you are better. Good Luck
-- William F. von Almen, II, MD, FACOG Editorial Advisor-Pregnancy and Birth Private Practice New Orleans, La.
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