WOMENS-HEALTH Messages for January, 1998: Re: bacterial vaginosis and lactobacillus

Re: bacterial vaginosis and lactobacillus

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sat, 31 Jan 1998 13:44:38 -0600 (CST)

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In reply to: Liz: "bacterial vaginosis and lactobacillus"

At Sat, 31 Jan 1998, Liz wrote: >
>I was diagnosed with a yeast infection and bacterial baginosis and was
>treated with two different types of medications (both vaginal). I get
>this infection once a year generally.
>
>I went back to the doctor the first time, and it had not gone away so he
>prescribed two different medications (both oral).
>
>After 8 days, I still didn't feel back to normal, so went back...he said
>the bacteria and yeast were gone, but now the good bacteria
>(lactobacillus) was not present.
>
>My questions are:
>
>1) Why don't I feel back to normal (somewhat sore) and still have some
>discharge if the bacteria are gone?

If there is an imbalance in hte vaginal ecosystem, then you may still feel sore.

He recommended I douche with water >and vinegar to increase acidity, but I have been reading everywhere that
>one shouldn't douche with any type of infection. And if so, how often
>should I douche, or what other things can I do to increase lactobacillus
>bacteria?

Douching ONCE to increase the acidity is ok. Other ways to increase acidity are too drink cranberry juice (the yuckky organic, unsweetened kind) or to take cranberry capsules or extract. Acidophilus (lactobacillus acidophilus) supplements may also help repopulate your system with this beneficial bacteria. Yogurt with active cultures is another way of getting the acidophilus. >
>2) He assured me that PID wasn't a possibility (I had a vaginal culture
>that came back negative for certain types of infections) but how is one
>absolutely sure...I have read that it is difficult to test...should he
>do more tests for this since I still feel like I have the infection?

PID is infection in the tubes and would be expected to cause pelvic and abdominal pain and often a fever and just feeling downright sick.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

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