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Suggest Better Treatment For Vaginosis

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Posted on Fri, 20 Mar 2015
Question: vaginosis tryed antibiotic 2x does not work have it since a year was about every month but more now use perfem
doctor
Answered by Dr. Sameer Kumar (1 hour later)
Brief Answer:
Its a mixed vaginosis...explained

Detailed Answer:
hello,
Hello
Thanks for contacting HCM,
If you have been continuing with vaginosis symptoms for over a year now , then it is not bacterial vaginosis alone , it is a mixed vaginosis then with a possible fungal element as well. You may get a high vaginal swab culture done to isolate the fungal spores or bacterial organisms and then take combined anti fungals and antibacterials for a week for complete treatment.
ALSO very important is to treat your partner at the same time to dis allow cross infection and re-infection after treatment.
use clotrimazole + clindamycin combination vaginal pessaries intravaginally each night for 7 days .
give your partner tab luconazole 150mg stat for co treatment.
regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (43 hours later)
saw md prescribeb metronidazole will start tonight if does not work he will take swab next month if still fishy I will use perfem in meantime or should I insist on swab before next app. March 24 he is VERY busy app. are gold !!
thankyou
I have no partner also why do you always show XXXXXXX & Twyla it is my grandson but I don't see why it comes to me hope they are not informed of my problem
doctor
Answered by Dr. Sameer Kumar (1 hour later)
Brief Answer:
answered...

Detailed Answer:
hello,
its perfectly fine for you to be started on metronidazole which can cover anaerobes as well . you may use it and see the effect and the swab may be taken again after 2 weeks or so if the treatment fails or is unresponsive.
there is no point insisting on swab if he is busy and you shall try metronidazole and see the effects first.
regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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Suggest Better Treatment For Vaginosis

Brief Answer: Its a mixed vaginosis...explained Detailed Answer: hello, Hello Thanks for contacting HCM, If you have been continuing with vaginosis symptoms for over a year now , then it is not bacterial vaginosis alone , it is a mixed vaginosis then with a possible fungal element as well. You may get a high vaginal swab culture done to isolate the fungal spores or bacterial organisms and then take combined anti fungals and antibacterials for a week for complete treatment. ALSO very important is to treat your partner at the same time to dis allow cross infection and re-infection after treatment. use clotrimazole + clindamycin combination vaginal pessaries intravaginally each night for 7 days . give your partner tab luconazole 150mg stat for co treatment. regards