Re: PREGNANCY: bacterial vaginosis during pregnancy
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 28 Oct 2007 21:47:38 -0500 (CDT)
Bethany
Yes, it is. BV does not show up on standard cultures most of the time,
it is mostly a clinical diagnosis, usu discovered via a wet smear. If
he has done cultures and wet smears and says you are clean, he is
probably right...Dr. von Almen
At Sun, 28 Oct 2007, Bethany wrote:
>
>If all my cultures come back negative and the doctor says everything
>looks good could I still have it? I still have the same irritation I'm
>just confused at what it is. I just don't want it to affect my baby..
>Is there such thing as having all this irritation without an infection?
>
>At Sun, 28 Oct 2007, William F. von Almen, II, MD, FACOG wrote:
>>
>>Bethany
>>
>>The therapies you have been on are effective for BV. It is a chronic
>>infection. I would not do any more while you are pregnant, except the
>>recommended therapies. After delivery, you can get into the more
>>chronic therapies. Hope this helps...Dr. von Almen
>>
>>At Sun, 28 Oct 2007, Bethany wrote:
>>>
>>>Hello,
>>>
>>>I have had ongoing vaginal discomfort for about a month now since I was
>>>8 weeks pregnant. I went to the doctor when I first started having it
>>>and the doctor told me I had BV and put me on Flagyl and Macrobid . One
>>>week later there were no results! I went back and the doctor and was
>>>treated for yeast..and still nothing happened. I went back a week after
>>>that and the doctor said I had a green discharge oh and let me let you
>>>know that ALL of my cultures throughout this WHOLE time of going have
>>>came back negative for ANYTHING! the first culture was looked at under a
>>>microscope where the doc said I had BV but when the cultures were sent
>>>to the lab they came back negative for all std's, yeast, and BV. So
>>>after the green discharge I was treated with Metro gel inserts for one
>>>week and continued the diflucan because antibiotics cause yeast to flare
>>>up. The metrogel helped for about 2 days then it stayed the same. (In
>>>the beginning it was bad now its just mild) I went back to the doctor
>>>who then put me on Clindamycin after saying the cultures from when I had
>>>a green discharge came back negative and the discharge can be a cause
>>>from all my antibiotics combined with pregnancy discharge. Now I'm 13
>>>weeks pregnant still going through this after taking about a months work
>>>of antibiotics and the doctor checked yesterday and said that it looks
>>>100% better and did more cultures but said that he thinks its just
>>>irritation and nothing more! How can this be possible? Does my doctor
>>>know what he's talking about? I don't want this to affect my baby but
>>>how possible is it that it can affect the baby if its not even showing
>>>up on cultures?? Ive heard from a friend that this can cause late
>>>miscarriages and preterm birth but its not even showing up in cultures
>>>that I have anything which is SO strange!!!
>>
>>--
>> 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 emails cannot be entertained due to time
>> constraints; consequently, they will receive no response.
>>
>>William F. von Almen, II, MD, FACOG
>>Private Practice
>>New Orleans, La.
>>
--
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 emails cannot be entertained due to time
constraints; consequently, they will receive no response.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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