YOUNG-WOMEN Messages for October, 2001: Re: Infection?

Re: Infection?

From: Richard Chudacoff, MD (anonymous@obgyn.net)
Sun, 21 Oct 2001 19:44:40 -0500 (CDT)

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In reply to: Lorraine: "Infection?"

At Sat, 20 Oct 2001, Lorraine wrote: >
>I am 23 years old and recently had my fist gynecologist visit this week.
>Unfortunately, since I went to a free clinic I don't think that I got
>the treatment that I deserved. Basically, the Dr. looked in me and
>said that I had an infection (Bacterial Vaginosis) and she could not do
>a pap smear. She expressed disbelief when I told her that I had NO
>SYMPTOMS. My question is, is it possible to have Bacterial Vaginosis
>without symptoms? Also, I don't know how long I've had it and what the
>effects of possibly having it for a long period of time. I am also a
>virgin. Is there anything to be concerned about? I have had other
>symptoms such as extremely painful periods etc. that cause me to be
>worried. My appt. was so rushed that I did not have the chance to ask
>the questions that I had.

My wife calls this the Nordstrom syndrome: you get what you pay for. You can have bacterial vaginosis without any symptoms, and you can have vaginal discharge without having bacterial vaginosis. I really try not to treat anyone without symptoms, because then you get into the tail chasing problem of treating bacterial vaginosis, then treating the fungal infection, then treating bacterial vaginosis, etc. etc. etc.

Spending the time, and money, to sit down with a private practitioner, especially at this was your first gynecological exam, is worth everything that it costs you. Pap smears can be performed in the presence of bacterial vaginosis, but often will need to be repeated in six months if there is an abnormality.

As far as your painful periods, we do have a treatment for that, which I like to call the decreasedpaindecreasedflowdecreasedbreastpaindecreasedPMS pills, but everyone else makes me call the birth control pills.

-- Richard Chudacoff, MD Chudacoff Obstetrics & Gynecology, PLLC Sugar Land, TX

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.

**Thank you for understanding :).**

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