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What Do These Following Lab Reports Indicate?

Posted on Wed, 3 May 2017

Question: In March, I was diagnosed with bv, given an antibiotic and advised to use rephresh gel after having burning and a significant amount of daily discharge. After finishing the antibiotics and starting the rephresh, I developed a yeast infection ( no itching, just the constant burning and cottage cheese like disharge) and was prescribed 2 tablets of dulfican and an antifungal steriod ointment to be applied twice daily in addition to otc Rephresh Pro-B daily probiotic pill. I am due to take the second dulfican pill tomorrow. The discharge is beginning to clear however the burning is still present in addition to these bumps (picture attached). Ive had a large range of std testing done so negative for herpes, chlamydia, etc. I asked my dr if she thought it could be genital warts but she didnt seem to think so after examining the area. Any idea on what the bumps could be? She said it could be irritation of some kind. The skin on my labia seems to be turning brownish as well from the usual pink. Im at a loss here and at my wits end to be XXXXXXX I have been married for 8 years with one screw up one time, unprotected, last September. Any new insight to the issue is much appreciated.

Answered by Dr. Vjollce Mbiarra (3 hours later)

Brief Answer:
It is a vulvar or vestibular papilomatosis

Detailed Answer:
Hi dear and thanks for your query at healthcare magic.

I have read your question carefully and seen report attached .

From your report you have attached all these small bumps are called vulvar papillomatosis .
Vulvar or vestibular papillomatosis (VP) are small fingerlike projections on the vulva or vestibule of unknown origin.
Or, they could be due to HPV infection.
We’re not sure .
Vestibular papillomatosis is not transmittable or pathological.

They doesn't need to be treated ,hence don't worry.

Hope I have been helpful and please feel free to discuss further .

Best regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Vjollce Mbiarra (34 minutes later)

Thank you very much! Im assuming by this answer, theyre not genital warts? Also, could they be contributing to the burning I'm having? I experienced very watery discharge with mild burning daily prior to the bv and yeast infection. Is there a test for the hpv that i can have done to determine what is going on? I believe my gyn has checked everything except that. I had my yearly pap smear done about 3 weeks after my indescretionary encounter. Also, my husband finished chemotherapy in Mid January for his lymphoma-- we didnt have intercourse until March which afterwards is when I had the bv-- could the chemicals from the chemotherapy somehow added to all of this? We've only had intercourse twice in March and nothing since last XXXXXXX Was unsure if the drugs couldve altered his sperm? Thanks in advance!

Answered by Dr. Vjollce Mbiarra (12 hours later)

Brief Answer:
They aren't genital warts

Detailed Answer:
Hi dear back!

As I have explained above they are vulvar papilomatosis and aren't genital warts or condilloma .
Hence be calm.
Yes ,you can do HPV test ,it should be done very 5 years .
Hence you can do it when you will go to do Pap-smear .

Vulvar papilomatosis can cause itching and burning sensation .
Meanwhile you have both burning and itching sensation you can try :

Sitz baths with warm water adding iodine solution ( one liter of water add 2 table spoon (10 ml )iodine solution .
use cotton loose underwear

Yes ,some type of medications of chemotherapy can cause alteration of semen .

Hope I have been helpful and please feel free for further discussion.

Best regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Vjollce Mbiarra (3 hours later)

In regard to the burning and watery discharge, is there anything else that you know of that i can test to fix that? I never had any type of vaginal imbalance/problem before september. That was when i had one night of unprotected sex followed by the plan b pill. Ive been dealing with the burning and discharge ever since. As I said previously, my gyn has tested me for just about every std she can test for aside from the hpv as far as i know. I also read women who are not pregnant can contract the strep b virus in the vagina as well? The burning is on and off, mild to severe and the discharge, although watery, causes my vulva to look almost the same as in the picture. The first few times i visited the doctor after my September encounter, she was positive it was yeast until the tests all came back negative. My mother suggested that the plan b pill may have caused long term severe dryness after throwing off my vaginal flora. Any suggestions will be a tremendous help. I've spent quite a bit of money trying to get to the bottom of the issue since last fall and Ive become rather desperate to find a solution.

Answered by Dr. Vjollce Mbiarra (7 hours later)

Brief Answer:
Unprotected intercourse and I-pill can cause vaginal bacterial imbalances

Detailed Answer:
Hi dear again!

I understand your health concern and I will try to help.

Yes both ,unprotected intercourse and use of I-pill can cause bacterial vaginal imbalances .
Bacterial vaginal imbalances is the most common reason of bacterial vaginosis .
Than use of antibiotics can cause yeast infection an vice versa and in this way is created a vicious circle .

Hence to treat these issue you should try:
1.probiotics for a period of month
2.use lactic acid gels such as Relactgel because it restores and maintains the natural acidity of the vagina to create a suitable environment for lactobacilli to grow
3.use cranberry teas for a period of month
4.use Sitz baths adding iodine solution
5.have genital hygiene ,use water after every going to bathroom and than dry
6.use cotton underwear
7.do not use vaginal douches

Hope I have been helpful and please feel free for further discussion.

Best regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Vjollce Mbiarra (2 days later)

Thank you for all of your advice!! My last question is about this raised area i noticed after the yeast infection cleared. I didnt notice it until yesterday. Any idea as to what it could be? Still dealing with persistent burning. Was unsure if it was a reaction to the steriod ointment? I've been applying it twice a day for 8 day (Photo attached)

Answered by Dr. Vjollce Mbiarra (6 hours later)

Brief Answer:
You should contact with your gynecologist

Detailed Answer:
Hi, back dear!

I have seen the report you have attached and there is nothing to worry because it is a normal part of vaginal mucosae.

But it is more prominent from the swelling of the yeast infection you have had.

Meanwhile, if the burning persists you should contact with your follow-up gynecologist because you may need for a second course of antifungal treatment.

Please do not stop using Sitz baths and cranberry teas.

Hope I have been helpful and please feel free for further discussion.

Wish you a fast recovery

Above answer was peer-reviewed by : Dr. Arnab Banerjee