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What Causes Genital Infections With Whitish Discharge?

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Posted on Wed, 9 Apr 2014
Question: Hello I have had atleast one, usually 2 mild yeast infection a month since last october. monistat quit working so i went to an obgyn and he said it was a rare strain. i went to him after that 3 more times for yeast infections and all he ever prescribes me is terconazole and it doesnt work and itches the whole time i use it. the last time i went i started my cycle that morning and could not be examined and he said to wait on it and use replense vagisil wipes. i did not use the wipes but symptoms seemed to almost disappear. now i have had itching and watery white discharge for about a week and it has an alcohol smell sometimes. if i wait it out will it go away on its own? i dont plan on going back to him because i dont think he takes it seriously. whats my best route for a cure ive spent over 500 already in doctor visits and prescription and otc drugs. Im avoiding sugar, staying clean, etc. is there even any hope?
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Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer: Simple, easily treatable, No worries Detailed Answer: Thank you for asking! Genital infections with whitish discharge are very common presentation of a fungal infection and vaginitis is the most likely possibility as vaginal discharge and/or vulvar itching and irritation, and a vaginal odor all favour that. The three diseases most frequently associated with vaginal discharge are BV (replacement of the normal vaginal flora by an overgrowth of anaerobic microorganisms, mycoplasmas, and Gardnerella vaginalis), trichomoniasis (T. vaginalis), and candidiasis (usually caused by Candida albicans). Cervicitis can sometimes cause a vaginal discharge. It takes 7 to 10 days for the trouble to self resolve providing the clean hygiene and no more contact. It is usually advised to take Metronidazole 500 mg orally for 7 days twice a day or 0.75%,or metronidazole gel one full applicator (5g) intravaginally, once a day for 5 days or Clindamycin cream, 2%, one full applicator (5g) intravaginally at bedtime for 7 days with topical antimycotic like clotrimazoles, butaconazoles, itraconazole and terconazoles. Don't worry these are very common and easily treatable diseases of sexually active age. All it needs is some toilet and coital habits rehabilitation. Like peeing after coitus, wiping front to back one directionally the genitals areas after toilet, Using cranberry juices, Increasing intake of garlic, using protection in the coitus and sitz baths, avoiding digital manipulation of the genitals etc. The itching is addressed by antihistamines like cetirizine and ansy second generation drug. But these days most doctors including me suggest topical hypoallergenic gels like Biomousse gels, i have seen their effect. Rinsing them over genitals like a shampoo for 5 minutes as per needs makes the itching poof away. In nutshell, Metronidazole , some antimycotic, Some hypoallergenic gels, hygiene and coital rehab is all you need. It is not serious. it just needs protection. Seek a gynecologist if the problem persists. I hope it helps.Dont forget to close the discussion please. May the odds be ever in your favour. S Khan
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Genital Infections With Whitish Discharge?

Brief Answer: Simple, easily treatable, No worries Detailed Answer: Thank you for asking! Genital infections with whitish discharge are very common presentation of a fungal infection and vaginitis is the most likely possibility as vaginal discharge and/or vulvar itching and irritation, and a vaginal odor all favour that. The three diseases most frequently associated with vaginal discharge are BV (replacement of the normal vaginal flora by an overgrowth of anaerobic microorganisms, mycoplasmas, and Gardnerella vaginalis), trichomoniasis (T. vaginalis), and candidiasis (usually caused by Candida albicans). Cervicitis can sometimes cause a vaginal discharge. It takes 7 to 10 days for the trouble to self resolve providing the clean hygiene and no more contact. It is usually advised to take Metronidazole 500 mg orally for 7 days twice a day or 0.75%,or metronidazole gel one full applicator (5g) intravaginally, once a day for 5 days or Clindamycin cream, 2%, one full applicator (5g) intravaginally at bedtime for 7 days with topical antimycotic like clotrimazoles, butaconazoles, itraconazole and terconazoles. Don't worry these are very common and easily treatable diseases of sexually active age. All it needs is some toilet and coital habits rehabilitation. Like peeing after coitus, wiping front to back one directionally the genitals areas after toilet, Using cranberry juices, Increasing intake of garlic, using protection in the coitus and sitz baths, avoiding digital manipulation of the genitals etc. The itching is addressed by antihistamines like cetirizine and ansy second generation drug. But these days most doctors including me suggest topical hypoallergenic gels like Biomousse gels, i have seen their effect. Rinsing them over genitals like a shampoo for 5 minutes as per needs makes the itching poof away. In nutshell, Metronidazole , some antimycotic, Some hypoallergenic gels, hygiene and coital rehab is all you need. It is not serious. it just needs protection. Seek a gynecologist if the problem persists. I hope it helps.Dont forget to close the discussion please. May the odds be ever in your favour. S Khan