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Persisting Vaginal infection - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   A couple of months ago I noticed a strong fish odor coming from my vagina. I went to visit a Gyn and she stated I had a bacterial infection. She gave me metro to take for 7 days(Tablets), and the smell did not go away then she prescribed me Cleocin and still the smell did not go away. This was back in may so in July i go to the hospital and they do a pap smear again the results were negative and they also said i had a bacterial infection. i was given pills and a shot as well as a prescription of metro gel. The smell still has not went away. I have irritation down there, the skin around my clitoris swells up and it itches a lot. I went to see another doctor this doctor told me I had a yeast infection. I treated the yeast infection and the smell is still there. My discharge has gotten thicker and its noticable.
Doctor :   hi
User :   h
Doctor :   please give me few moments to read what you have typed
User :   ok
Doctor :   was sensitivity also tested to see which antibiotic or which medication was best suited to eradicate infection?
Doctor :   when was culture test done?
Doctor :   are you sexually active?
User :   the first one was done in may the next was done in july then one is august and one in september
User :   yes i only have 1 partner though
Doctor :   the douching, bubble bath, tight undergarments, feminine sprays etc can all lead to worsening of the present infection. avoid using these
Doctor :   was your partner treated simultaneously along with you any of these times?
User :   well i dont douche no bubble baths no tight clothes or under garments
User :   the first time yes
Doctor :   was sensitivity also tested to see which antibiotic or which medication was best suited to eradicate infection? if yes, do you know the results?
User :   i dont know about that test at all
Doctor :   the vaginal infection with fishy smell can be related to bacterial, fungal or protozoal infection.
Doctor :   discuss with your treating gynecologist about getting a 'culture sensitivity test' done for all of these possibilities.
Doctor :   this will help to identify what the nature of organism is and which medications is best suited to eradicate the infection
Doctor :   once the infection is identified as bacterial, fungal or protozoal, then get started on the highest sensitive medication for both yourself and your partner
Doctor :   avoid having having intercourse while being on treatment course
Doctor :   are you using condoms during intercourse?
Doctor :   is there any other medication use present?
User :   see my issue is the nature and powerfulness of the smell nope i have been prescribed so much medicine for bv that at this point i dont feel comfortable using anything thing else until i am sure that is the infection causing the odor
Doctor :   yes I understand that, and hence it is very important to identify infection. the test that I suggested is to fisrt identify if infcetion is teh cause and if yes, then which is teh causative organism
Doctor :   unless these two things are clear, then only we can proceed to next step of identifying which drug to use before starting you on any treatment
Doctor :   so please go ahead with these test and get back to me if needed
Doctor :   it will help in answering your query for 'what is the cause of the smell'
Doctor :   was any test done immediately on the discharge from vagina in your office visit to doctor?
Doctor :   i mean to ask was discharge from vagina taken by a swab, put on slide and seen under microscope immediately?
User :   no sent to lad but they diaagnosed me with bv immediately
Doctor :   ok. if the smell has persisted after repeated antibacterial use, then other causes for infection should be thought about which include fungal and protozoal causes
Doctor :   have you made changes in your diet or lifestyle?
Doctor :   how much water do you drink per day approximately?
User :   no sex in 1 month lots of yogurt about 8 to 10 cus
Doctor :   ok. along with these, I would recommend to avoid using strong spices, oily food and non veg (meat) until the issues are solved
Doctor :   drink about 10-12 glasses (200ml each glass), per day
Doctor :   avoid caffienated beverages, tea, coffee. limit use to once a day.
User :   ok
Doctor :   stick to having more of salads both fruits and vegetables
User :   ok
Doctor :   without artificial dressing, use lemon juice as dressing
Doctor :   continue to use cotton undergarments, try not to use any when you are at home (if permissible)
Doctor :   leave for dryness in the area.
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else I can help you with?
User :   no
Doctor :   you can see my recommendations for specialist on right hand side of your chat window
Doctor :   they are our panel specialists, you can speak to them for a second opinion
Doctor :   and proceed with further care
Doctor :   or visit these links to contact them. they are available to answer you via e-mail and phone call
Doctor :   thanks for consulting me. bye for now.
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