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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Itching Despite Taking Probiotics For Bacterial Infection?

I have been dealing with a systemic fungal infection for the past year. T was finally diagnosed by my naturopath & I just finished my second month of Fluconazole. I ve also changed my diet drastically-no sugars not even fruit, no carbs just protein-meats eggs & nuts & veggies. I take daily probiotics & even a women s probiotic specifically for good vaginal bacteria. I still experience vaginal itching daily & also have recently developed an itchy, red, scaly area right below my coccyx in the crack . I m really frustrated & the itching is driving me crazy. I d like to get your input.
Mon, 29 Jun 2020
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General Surgeon 's  Response
Hello,

* As per my clinical experience, the severe infection with high level of itching vagina and coccyx area indicates possible drug resistant fungal infection or associated bacterial infection not diagnosed till now.

* My guidelines at present

- take extra care of vaginal and peri anal region hygiene
- wear loose, clean, cotton inner wears
- avoid prolong use of same tampons
- avoid tight jeans
- avoid sunbath at beaches
- avoid vaginal or anal sex if applicable.
- drink plenty of liquids
- control of blood sugar
- discuss the need of culture swab report of cervix and vagina, for further medicine guidelines

- Metronidazole and Clindamycin are best working medicine, in absence of other microbiological data.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Causes Vaginal Itching Despite Taking Probiotics For Bacterial Infection?

Hello, * As per my clinical experience, the severe infection with high level of itching vagina and coccyx area indicates possible drug resistant fungal infection or associated bacterial infection not diagnosed till now. * My guidelines at present - take extra care of vaginal and peri anal region hygiene - wear loose, clean, cotton inner wears - avoid prolong use of same tampons - avoid tight jeans - avoid sunbath at beaches - avoid vaginal or anal sex if applicable. - drink plenty of liquids - control of blood sugar - discuss the need of culture swab report of cervix and vagina, for further medicine guidelines - Metronidazole and Clindamycin are best working medicine, in absence of other microbiological data. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel