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Re: GYNECOLOGIC: Cervicitis??

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 29 Mar 2008 10:03:48 -0500 (CDT)


H

We generally consider group B strep to only be an issue with pregnant women. I have found that some women with chronic infections that do not fit into the typical 'big 3' vaginitis problems will sometimes culture out group B strep. I have found that giving antibiotics can help them, but it is a chronic problem. We know very little about it, so there is really no data out there, thus the reason for your confusion. For these patients, I try to rule out other organisms, and then treat the group B strep as a 'last resort'...Dr. von Almen

At Wed, 26 Mar 2008, H wrote: >
>My problem started with a case of cervicitis (bacterial infection of the
>cervix) at least that is what I was finally diagnosed with-strep B and
>bacteria. After several courses of antibiotic treatments (vaginally and
>orally) and yeast treatements (vaginally and orally) all signs of
>infection seem to be gone. I have experienced some amount of irritation
>(itching and burning but it is much more mild than before). I went in a
>month ago and my gynecologist said everything appeared normal. The
>other thing I get is a strange sensation of nerve vibrations in my pubic
>area. I have not found anything anywhere that would explain what would
>cause this but I feel rather distressed about this as well as the
>irritation that comes and goes from time to time. The gynecologist that
>initially diagnosed me was filling in for someone else and is retired so
>I cannot go back to him. The other one that I saw recently I almost
>didn't feel took me seriously so now I'm at loss about what to do. I'm
>considering going elsewhere for yet another opinion. I'm almost afraid
>that all of this is just in my head now and I'm paranoid about it. Does
>anyone have any advice? It took almost 6 months to get this all
>diagnosed and I am having a lot of anxiety problems since then. I saw 3
>GPs and none of them could diagnose anything except that they thought
>the irritation might be skin irritation problem. I have also seen the 2
>gynecologists--the one that diagnosed and treated me for cervicitis and
>followed up about a month ago with other one. She didn't see anything
>wrong and also seemed to question whether strep B had anything to do
>with my problem. I don't know what to do anymore. I'm considering
>getting another opinion but I'm just so tired of all of it.

--
 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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