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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurrent Bacterial Vaginitis

Hello, I am 29 and experiencing dark, foul-smelling and sticky vaginal discharge. This has been happening for some time. I am being treated for hypothyroidism by an Endocrinologist. I have always had discharge it especially over the past 2 years it has been tinged with blood and my periods are irregular/non-existent. I have been treated for bacterial vaginosis twice in the last year. However, I continue to have symptoms- my Endocrinologist tells me to go see my Gynecologist because it s a reproductive system issue and my Gynecologist tells me to go see my Endocrinologist because it s an endocrine system issue. I have been to both and they both blame the other while I am left continuing to suffer. Politics aside, my Gyno suggested daily probiotic with 2,000 IU vitamin D each day. I ve started that regimen for 9 months with no results. It is extremely embarrassing to have this discharge and I want it to stop. I have had my last Pap smear in late 2015 and thyroid ultrasound in 2015 both with no issues. I am obese (270 lb) and fear my chronic bacterial vaginitis (if that s what it is...) is being caused by bacteria from my urine (I m a little incontinent)? Any suggestions would help or even an idea of how to tackle the issues with my doctors! Thank you for reading
Tue, 27 Dec 2016
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General & Family Physician 's  Response
Hi,
Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:
1)Take Metronidazole 500 mg 3 times a day for 14 days.
2)Take Ceftriaxone 1gm IM daily for 3 days after it take Pancef 200mg twice a day with lactobacillus for 10 days.
3)Do pelvic ultrasound exam
4) Do check your urine for Pus cell if pus cell present do a culture.

I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me.
Wishing you all the best.
Thanks,
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Suggest Treatment For Recurrent Bacterial Vaginitis

Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-: 1)Take Metronidazole 500 mg 3 times a day for 14 days. 2)Take Ceftriaxone 1gm IM daily for 3 days after it take Pancef 200mg twice a day with lactobacillus for 10 days. 3)Do pelvic ultrasound exam 4) Do check your urine for Pus cell if pus cell present do a culture. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,