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Suggest Treatment For Recurrent Candidiasis And Bacterial Vaginosis

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Posted on Wed, 29 Apr 2015
Question: I have a problem with yeast infection and bacterial vaginitis. I have thick white discharge all the time it is very tart and sour from what my boyfriend says. It has effect my sex life. I can't have sex it doesn't feel good and my boyfriend says it just feel mushy like walk on the bottom of the ocean instead of wet and silky. I have gone to the dr. About it and they give me medicine for yeast and bacterial vaginitis. When I take it it goes away for like 2 days and then it comes right back. I'm desperate at this point.
I also have PCOS, do you think that might play a role in this problem?
doctor
Answered by Dr. Sameer Kumar (32 minutes later)
Brief Answer:
recurrent candidiasis and Bacterial vaginosis.

Detailed Answer:
Hello,
thanks for the query to HCM,
It appears that the treatment that you undertake for yeast and bacterial vaginosis is only for 2-3 days and not the complete course for 7 days.
You must use oral fluconazole tab 150mg once a week for 3 weeks and also vaginal anti fungal and antibacterial pessary ( clotromazole+ clindamycin) daily at night before sleeping for at least 7 days.
It is very important that your partner should also be treated along with you so that co transmission is prevented and reinfection doesn't occur from him when you are treated.
Another very important fact is that you are to avoid intercourse during the course of treatment completely.
PCOS is not related to these infections in any way. Please take a complete course for a week at least.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (2 hours later)
I have just finished a week of cream and the dr. Told me to do it once a week to see if that helps . I have done that and I still get it. I have not had intercourse during this or even afterwards because I thought maybe we were just passing it back and forth. Two days after I completed the cream for a week I got it again
Sometimes after we have intercourse he say his pee stinks and very yellow. Could it be possible that our chemical do match together?
He has been treated before, we both have. Is it possible that our chemical don't mix well together
doctor
Answered by Dr. Sameer Kumar (2 hours later)
Brief Answer:
recurrence..

Detailed Answer:
Hello,
Th only possible answer for contracting it again without resorting to intercourse is that there has been incomplete treatment foe candida and BV even for 7 days and you possibly require a longer course of medication. Because as soon as you stop , in 2 days if it regrows, there is a definite element of inadequate treatment. yOU need to get a high vaginal swab culture done to isolate clue cells and fungal spores to well establish the diagnosis of remnant disease after the course of medication.
Unfortunately there is no other treatment modality available besides these medications. However on the home front you may use apple cider vinegar diluted in water for vaginal washes thrice a day which can prevent further growth of fungus and bacteria.
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 Treatment For Recurrent Candidiasis And Bacterial Vaginosis

Brief Answer: recurrent candidiasis and Bacterial vaginosis. Detailed Answer: Hello, thanks for the query to HCM, It appears that the treatment that you undertake for yeast and bacterial vaginosis is only for 2-3 days and not the complete course for 7 days. You must use oral fluconazole tab 150mg once a week for 3 weeks and also vaginal anti fungal and antibacterial pessary ( clotromazole+ clindamycin) daily at night before sleeping for at least 7 days. It is very important that your partner should also be treated along with you so that co transmission is prevented and reinfection doesn't occur from him when you are treated. Another very important fact is that you are to avoid intercourse during the course of treatment completely. PCOS is not related to these infections in any way. Please take a complete course for a week at least. Regards