WOMENS-HEALTH Messages for April, 2009: Re: VAGINALITCHING: Prolonged Vaginal Itching

Re: VAGINALITCHING: Prolonged Vaginal Itching

From: dr.narayan patel (anonymous@obgyn.net)
Thu, 30 Apr 2009 01:21:42 -0500 (CDT)

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At Thu, 30 Apr 2009, Uncomfortable wrote: >
>I am a 36-year-old woman desperate for help--I have had vaginal itching
>ranging from mild to severe, both internally and externally, for at
>least 7 months now. I have been treated by a general physician and a
>gynecologist. Both doctors performed wet mount tests and lab tests and
>sometimes they find yeast and sometimes they don't. Twice a doctor has
>found enough bacteria to prescribe Flagyl. I have taken round after
>round of Diflucan. I have taken 7-day rounds of tercanozole and
>gyne-lotrimin, and used Mycolog for 10 days. I have used Monistat in
>the past, but refuse to use it again as it has caused incredible
>burning. When no yeast was found, the doctor prescribed Clobetasol
>first, and then hydrocortisone 2.5%. Other than the hydrocortisone,
>which helps a little bit, nothing has worked to stop the itching. During
>the first few months, I would just have some flare-ups, but for at least
>the last 5 to 6 weeks, I've gotten no relief from anything but Vagisil,
>which a doctor told me to try not to use, as it could be causing vaginal
>irritation. My most recent lab test checked for any unusual strains of
>candida, but found none.
>
>I have been diagnosed with Hashimoto's thyroiditis and take a low dose
>of Synthroid for this, and I recently was diagnosed with PCOS and was
>put on Glucophage--the doctor said that my blood sugar was slightly
>elevated and could be contributing to chronic yeast infections. The
>problem is, none of the yeast medication is helping at all! I am at my
>wit's end--what else could be causing this? What else can I ask a doctor
>about? What other medications could be used? How on earth can I get this
>fixed? I can't keep going on like this--the chronic itching is affecting
>my marriage and every aspect of my life. Please, if anyone has any
>suggestions or recommendations, I'd be grateful.

Most common cause of vaginal itching in non pregnant state and in non diabetic patient can be trichomonas infection. The drug of choice is Metronidozol-Flagyl 200mg. 3 times a day for 7 days fot both the parternes.and a second coures after 15 days. If the other partenr has not taken treatment and had not refrain of sexual activity for 7 days coure ,recurrence is always there.Trichomonas infection is transmited from and hence treatment of male partener is must to have permant cure. I had one patient who had 2 wifes, i came to know when there was recurrence.When second wife was treated,there was no further recurrence.

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