WOMENS-HEALTH Messages for September, 2003: Re: Question about wet smears and cultures. (Was Question about prologned vaginal infection and itch )

Re: Question about wet smears and cultures. (Was Question about prologned vaginal infection and itch )

From: John Essien MD (anonymous@obgyn.net)
Sat, 6 Sep 2003 13:54:31 -0500 (CDT)

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In reply to: nel: "Question about wet smears and cultures. (Was Question about prologned vaginal infection and itch )"

Your doctor must have had clinical evidence to justify his prescribing antibiotic treatment. Culturing for fungus or trichomonas is generally not done since these can be easily identified on a wet mount.

At Sat, 6 Sep 2003, nel wrote: >
>Thanyou Dr.Braun.
>>Streptococcus pyogenes is normal vaginal flora.
>
>I had a vaginal culture with sensitivity and it showed sterp pyogenes,
>but my doc put me on antibiotics. I still have itching and diacharge.
>What reason would my gyn to put me on antibiotics if it is normal to
>have streptococcus pyogenes ?
>
>>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.
>
>1. Do specifically have to ASK them to test of fungus when I get a wet
>smear ?
>
>2. Will a regular culture for fungus show trichomonas or bacterial
>vaginosis ? or should I specifically ask for 'culture for bacteria' and
>'culture for bacteria' separately. I can get lab tests done here by
>myself and pay out of pocket- no problem.
>
>3. Is there any specific thing I should ask about the tests themselves
>ie., what kind of assay (?) or something. I am worried, having this
>problem for 7 months is not ok and soon we willbe trying for a baby,
>dont want this to get in the way
>
>thanks
>Nel

--
John Essien, M.D. SOCOG
Camaguey, Cuba; Basseterre, St. Kitts
http://www.obgyn.net/all_advisors/J_Essien.htm

**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: John Essien MD: "Re: 57th day of period after Marina IUD"
Previous message: Sarah: "LGSIL / CIN I and scared!"
In reply to: nel: "Question about wet smears and cultures. (Was Question about prologned vaginal infection and itch )"

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