Brief Answer:
Please get proper evaluation.

Detailed Answer:
Hello,

Thanks for posting your query.

From the description, I presume that you have been self-medicating. I would suggest a proper clinical evaluation by an expert along with vaginal swab tests and urinalysis. You also may need to test for raised blood glucose levels and vaginal atrophy if you have attained menopause.

Culture tests can give you the exact cause of the infection and help in planning proper treatment. Systemic medication also is needed when resistance is encountered along with prophylaxis after cure has been achieved. If you are sexually active, your partner may also need evaluation and treated if necessary.

If vaginal atrophy is detected, application of local estrogen creams and/or estrogen oral supplements help lessen infections. Treatment of urinary infections also helps.

Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
Get investigated as suggested.

Detailed Answer:
Hi,

Thanks for your feedback.

You can get further investigated as suggested to isolate the cause. Vaginosis can take some time to heal. Some amount of white discharge is natural, but, an association of itching and burning suggest infection. Isolated burning can also be due to vaginal atrophy.

Hope this helps.

regards,
Shanti.V.

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Brief Answer:
Atrophy is the decrease in the cells.

Detailed Answer:
Hi,

Thanks for writing again.

Atrophy is the decrease in the amount of cells produced, here, in the lining of the vagina, since you have approached the perimenopausal age. This, along with alterations in the pH of the vagina, makes it more vulnerable to infections.

With a non-specific infection, you would need a broad spectrum drug, preferably taken orally. this should be combined with vaginal medication.

Fluconazole, if the organism responds well to it, usually is effective after the first week of treatment, but, maintenance treatment should be continued for 6 months.

In addition, you should also follow certain precautions like avoiding vaginal douches and use of strong soap solutions. Use cotton undergarments and avoid tight clothing. Sitz baths can also be helpful. If vaginal atrophy is also seen, you may benefit from the use of estrogen creams.

Hope this helps.

regards,
Shanti.V.

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Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for writing.

Here are your answers:

1. Metronidazole usage does not interfere with the menstrual cycle; it is the infection that is being treated that is responsible for such period disturbances. the breast tenderness could be a premenstrual symptom due to water logging. This usually subsides as you attain a period.

2. As you use the vaginal pill, some amount of discharge is common. This is due to the dissolved pill as well.

3. Gynodaktarin need not be used along with fluconazole.

4. Broad spectrum antibiotics are those which are active against both aerobic and anaerobic organisms.

5.The vaginal dryness consequent to the infection and pill usage can cause the burning sensation. This will subside in course of time.

6. It is difficult to say whether oral pills will help in the tackling of infection.

Hope this helps.

regards,
Shanti.V.

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Brief Answer:
The discharge could be from the healing infection and often noticed.

Detailed Answer:
Hello,

Thanks for your query.

Though you have not used a vaginal pill now, oral use of Fluconazole is often associated with increased vaginal discharge as often reported by patients. This is possibly due to the shedding of the fungal cell components as part of the healing process. Yet, you should also make sure that the infection has not returned. This can be done by follow up vaginal and cervical swab tests.

Hope this helps.

regards,
Shanti.V.

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