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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Of Pelvic Inflammatory Disease, Smelly Vaginal Discharge, Pain While Urinating And Itching. Treatment?

I was diagnosed of pelvic inflammatory disease and my vagina discharged a smelly liquid.my OB gave me cefixime ,amoxiicillin and clyndamicin and i have pain in urinating and my vagina is so itchy.after the medication for two weeks i was alright but after another two weeks i feel the same as before and that smelly discharged and vaginal itchy.please help i am a working wife i cant concentrate on my work due to this infection.my husband ang i were 3 years married still i cant bear child because of this disease.thanks and GOD BLESS.
Tue, 26 Nov 2013
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General & Family Physician 's  Response
Hello,

Thanks for posting on HCM,

The antibiotics are good if we only consider that the cause of the infection is of bacterial origin but they are other microbes that are not bacteria that can cause itchy and foul smelling vaginal discharge such candidosis or even parasitic infections which can complicate to PID. So saying, your treatment might need to withdraw amoxicillin from your antibiotics which promotes vaginal yeast infection or candidosis, hence further vaginal infection.
It will be best at this point to take sample of the discharge and do a laboratory analysis to identify the pathogenic germs that are present and that maybe responsible for your vaginal infection hence PID. If you are having problem of conception, this might mean that the PID must have caused severe tubal patency, hence inability to conceive. You might require surgical intervention if antibiotics fail to deocclude your tubes.
I am afraid you will only have to rely on your gynobs for further management. You need to exercise some patience as treatment of infertility can take time and can be complicated too.

Hope this help and God bless you too.
Dr. Nsah
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Diagnosed Of Pelvic Inflammatory Disease, Smelly Vaginal Discharge, Pain While Urinating And Itching. Treatment?

Hello, Thanks for posting on HCM, The antibiotics are good if we only consider that the cause of the infection is of bacterial origin but they are other microbes that are not bacteria that can cause itchy and foul smelling vaginal discharge such candidosis or even parasitic infections which can complicate to PID. So saying, your treatment might need to withdraw amoxicillin from your antibiotics which promotes vaginal yeast infection or candidosis, hence further vaginal infection. It will be best at this point to take sample of the discharge and do a laboratory analysis to identify the pathogenic germs that are present and that maybe responsible for your vaginal infection hence PID. If you are having problem of conception, this might mean that the PID must have caused severe tubal patency, hence inability to conceive. You might require surgical intervention if antibiotics fail to deocclude your tubes. I am afraid you will only have to rely on your gynobs for further management. You need to exercise some patience as treatment of infertility can take time and can be complicated too. Hope this help and God bless you too. Dr. Nsah