WOMENS-HEALTH Messages for February, 2008: Re: GYNECOLOGIC: vaginal irritation for over 6 months.....need dr. answer if possible

Re: GYNECOLOGIC: vaginal irritation for over 6 months.....need dr. answer if possible

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Wed, 20 Feb 2008 17:25:00 -0600 (CST)

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At Mon, 18 Feb 2008, anon wrote: >
>Med. history that may or may not be relevant....have no uterus, had
>vaginal reconstruction at age 19. All normal until now. The problem
>now: Had been on flagyl intermittently for a year for an intestinal
>problem...no problems. In May, washed with Dove soap, probably didn't
>rinse well, had intercourse . Developed a yeast infection. Used
>Monistat 1. Burned terribly... gyno. prescribed Terazol. All good. A
>month later, after having intercourse developed another yeast infection.
>Dr. wanted to see me....said it looked like just an irritation, but
>cultured . It was yeast and BV...never had BV, nor any symptoms...Dr.
>was puzzled since I had just been on Flagyl. Prescribed Cleocin cream
>for 7 days, then Terazol for 7. Used Cleocin for 7 and started Terazol
>on 8th day. Terrible burning and itching ...., dr. told me to stop
>Terazol....examined again, saw a white area at vaginal opening. My
>thinking is some kind of chemical burn as the white area is now gone.
>Told to use A&D . Seemed to clear in a few days . All cultures normal.
>It started again a few days later..prescribed Synalar... intstructed to
>taper over 5 weeks. Seemed ok...even had intercourse....the last 2
>weeks of Synalar, it started stinging again....culture showed yeast
>AGAIN given Diflucan. Referred to specialist....happened to feel good
>that week..cultures all normal. Felt pretty good....even had
>intercourse. Then it flared again... ....It has been an ongoing thing
>since then...back and forth to specialist, 2 hrs. away. First he
>diagnosed it as lichen simplex, but has since said recanted... symptoms
>aren't consistent with that. Dr. said I probably became sensitive to
>yeast from being on Flagyl . It seems to clear, then flares for no
>reason. Put on Cromolyn cream....seemed to be good for a few weeks,
>then flared again. Flared terribly after last visit to
>specialist...that night it started and lasted for about 2
>weeks...thinking it may be the lubricating jelly since it seemed to
>flare up after using KY for intercourse....or even the latex gloves.
>Right now using A&D only.....discovered that there is a lot of soap
>residue in panties from using too much detergent in front load
>washer....so now I'm washing panties by hand in sink with baking soda or
>vinegar. My guess at this point is I have become chemically sensitive
>to just about anything. The specialist is supposedly one of the top in
>the country, yet he hasn't seem to be able to offer any thoughts. I
>don't go back to specialist for another month...still on Diflucan....is
>this something that will ever go away? Could it have been all the creams
>and now I am so sensitive to even the slightest soap residue? I haven't
>had intercourse since Nov. and I'm so tired of itching and burning,
>being uncomfortable when I sit or walk, and hearing my husband complain
>about no sex. Any thoughts?

-- 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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