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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Epival For Seizure, Adderall For ADD, Have Secondary Ammenorrhea. Do I Have BV Or Yeast Infection?

Hi there. I am a 23 year old female. I take the following regular prescriptions; Epival for a seizure disorder, and Adderall for ADD. I have had secondary ammenorrhea since Jan.2012 and have yet to get my period. Around April 25, 2012 I began experiencing symptoms similar to BV and yeast infection . I have suffered from recurrent UTI s in the past and just recently upon feeling the symptoms again I took medication treating a UTI, and for yeast infections. I have not been relieved of any symptoms. I have been to my doctor regularly and she has ruled out diagnosing BV or Thrush. I have also had regular pap smears and have been in a monogamous long-term relationship. I have tested negative for any STD s however I did notice a few bumps months ago, and was diagnosed with HPV . There has been no treatment for my HPV, and the bumps disappeared by themselves before requiring freezing. Starting 3 weeks ago, I began to experience a heavy, consistent increase in discharge that is yellow and slightly thicker than normal, it flows in droppings and is especially heavy after I urinate. This is an abnormal amount of discharge, and my normal discharge is never yellow, it is usually white or clear. I also have an itchy, burning, aching, and sore vagina that is usually swollen. I experience extreme pain especially around the vaginal opening (ensued by a spread to all over my vagina) during intercourse and my vaginal walls swell up and become extremely tight even though I am well-lubricated when aroused. The symptoms never cease to go unnoticed, and my doctor is puzzled as well as to what it could be. She indicated last week when I had a cervical exam, that my vagina looks like it has literally had something fry the insides of it and this is extremely worrying.This statement was not followed by a diagnosis, instead she gave me another requisition for a blood test (even though I had done one the week before with low B12, ferritin, and hemoglobin levels and this is not something new). I am in severe pain and I m looking for possible suggestions that I can bring to her attention. If you could please let me know what your ideas regarding some possible diagnoses of these symptoms are, I d appreciate it and I know that regular visits to my physician are required and I have done this.
Fri, 30 May 2014
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General & Family Physician 's  Response
I would suggest u rule out Diabetes,which is a common cause for UTI and BV and vaginal candidiasis.
And don't forget to have your sexual partner reviewed for TV.
If the vagina is red / infected no sexual activity is recommended till it heals up, as trauma will exacerbate the inflammation / because of the infection.
Epival can produce a skin rash, so evaluate this possibility as well. It can also produce an increase in weight.The other drug adderal can also produce skin rashes.


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Taking Epival For Seizure, Adderall For ADD, Have Secondary Ammenorrhea. Do I Have BV Or Yeast Infection?

I would suggest u rule out Diabetes,which is a common cause for UTI and BV and vaginal candidiasis. And don t forget to have your sexual partner reviewed for TV. If the vagina is red / infected no sexual activity is recommended till it heals up, as trauma will exacerbate the inflammation / because of the infection. Epival can produce a skin rash, so evaluate this possibility as well. It can also produce an increase in weight.The other drug adderal can also produce skin rashes.