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Diagnostic tests for vaginal infections - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   i seem to have thrush caused by penis head is reddish and sore and sometimes itchy. i have been using Nizaral ointment but it works sometime and sometimes it takes 3-7 days to go away. what other ointment or tablet or both can i use
Doctor :   Hi
User :   hi
User :   the reddness and soreness happens after intercourse
Doctor :   Since when are you having these symptoms?
User :   with my spouse
User :   maybe a year
User :   its on and off
Doctor :   For hos long do these symptoms last?
Doctor :   may I know your age?
User :   2-5 days
User :   42
Doctor :   Do you have history of diabetes?
User :   no
User :   parents have it sugar is under contro;
User :   was wondering if i should use another intment and oral medicine
User :   its only slightly red and sore...not excessive
Doctor :   Ok
User :   no discharge at all
Doctor :   Do you have associated symptoms such as burning sensation/pain while urination?
User :   no
Doctor :   Ok
Doctor :   let me explain to you.
Doctor :   Redness and soreness following sexual intercourse can occur due to 2 causes
Doctor :   1. Infection - yes probably yeast infection
Doctor :   2. Due to inflammation secondary to irritation/friction.
User :   it cold be the second as lubrication is low sometimes
Doctor :   Both are possible.
User :   yes
Doctor :   yeast infection can be ruled out only after a smear test.
User :   my wife did visit a gyne a while back and she tole her to use nizaral
User :   thats why im using nizaral
Doctor :   If yeast infection is diagnosed, you will need to reassess you sugar levels.
Doctor :   You may use local antifungal creams such lotrimin creams if yeast infection is proved.
User :   is lotrimin a brand name
Doctor :   Yes, lotrimin contains clotrimazole which is an antifungal cream.
User :   any tablet as well?
Doctor :   Oral tablets are not OTC
User :   so i should stop nizaral and start lotrimin
Doctor :   You will need prescription from a doctor to avail the medications.
User :   yes but which oral tablet...will get a pres
Doctor :   Based on the physical examination and smear test, the appropriate medication will be decided.
User :   ok
User :   thanks
Doctor :   Do you have any other query?
User :   no thanks
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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