WOMENS-HEALTH Messages for September, 2003: Re: vaginal Itch , discharge, for 7 months! Whats going on ?!

Re: vaginal Itch , discharge, for 7 months! Whats going on ?!

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 3 Sep 2003 20:47:07 -0500 (CDT)

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In reply to: Nel: "vaginal Itch , discharge, for 7 months! Whats going on ?!"
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Reply: nel: "More questions: Re: vaginal Itch , discharge, for 7 months! Whats going on ?!"

At Wed, 3 Sep 2003, Nel wrote: >
>I've been having a discharge from my vagina on and off for 7 months now.
>A culture tested positive for bacteria and I was given Doxycycline, it
>came back and I was was given Diflucan tablet (a one dose thing for
>fungal infection) and then later used an external ointment for the
>infection. I went to my doc again adn this time we did a sensitivity
>test and found that the bacteria was streptococcus pyogenes and so I
>went on antibiotics again.
>Its back again, and I have severe itching and a discharge(not very heavy
>but kind of foul smelling)
>I dont see any point in talking to my gyn, she just asked me to apply an
>ointment for candida again. Besides I have a pain in my left side (has
>been around for years, but now I wonder if it is related to the
>infection)
>I cant keep doing this - ie., taking antibiotics, ointments,
>anti-fungals, if it does not cure my situation. Please help. What
>should my next course of action be ? What tests can I ask my doc for ?
>Is there any diagnosis option that I can ask her to explore.
>
>Thank you
>
>Frustrated.

Streptococcus pyogenes is normal vaginal flora. If wet smear of discharge shows fungus then treatment for yeast i.e. Monistat. If doesn't go away and wet smear still shows yeast then a fungus culture with identification of the fungus and appropriate treatment based on that is indicated. If wet smear shows either trichomonas or bacterial vaginosis, treatment with metronidazol would be indicated.

--
R.Daniel Braun, MD  FACOG   FOG
**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.

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Next message: R. Daniel Braun, MD: "Re: Finding new Dr. help."
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In reply to: Nel: "vaginal Itch , discharge, for 7 months! Whats going on ?!"
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