Brief Answer:
Take a complete course and monthly prophylaxis.

Detailed Answer:
Hi Ms. XXXXXXX

Thanks for writing to us.

I can understand the amount of discomfort you have with the recurrent infection. First of all, allow me to throw some light on the origin of such a situation. Recurrent vulvovaginitis or infection of the vulva and vagina occurs when -
1. The initial treatment is incomplete. The local treatment should be taken for 14 days and oral medication should be taken for 7 days. When a shorter course is followed or treatment stopped as soon as symptoms subside, recurrences are common due to development of resistance.
2. Excessive use of antibiotics for other reasons can inhibit the natural resistance of the body leading to such infections.
3. Hyperglycemia. As is well known, diabetes mellitus can create immuno-compromised state leading to increased frequency of infections.
4. Use of local lubricants or spermicidal agents during sexual activity.
5. Sexual transmission through the male partner, rarely.
6. When there is lowered general immunity of the body.
7. Mechanical irritation to the part like tight fitting clothing or sexual intercourse, especially during the menstrual cycle.

If any of the above causes relate to you, you should get them sorted out. I would suggest culture test of the vaginal swab to see the drug sensitivity and go for the complete treatment. The treatment should be given to both of you and abstinence should be practiced until complete cure. Genital hygiene should be maintained during the menstrual period.

You should get urinalysis and get treated for urethritis as well. Urinary antispasmodic along with excessive intake of water can relieve the strangury (the urge to urinate often along with pain).

Your husband also would need an examination by a physician and if candidiasis is diagnosed, treatment of a complete course will cure the symptoms. Oral treatment will usually suffice.

Initial treatment should be followed by prophylactic treatment when there is recurrence. Prophylactic treatment usually implies monthly doses of oral anti-fungal agents for at least six months and several treatment protocols are available based on the consultant's discretion and the severity of the condition.

Meanwhile, improve your general immunity with good exercise, plenty of fruits, fresh vegetables and liquids. Use of probiotics can be tried.

Hope your query has been clarified. Please feel free to contact for further clarifications. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
Culture test is not mandatory.

Detailed Answer:
Hi,

Thanks for writing back.

If your symptoms subside with the anti-fungal treatment there is no need to go for the urine culture. If not, you may need to repeat the test. You should see a gynecologist for evaluation and your husband needs to see a physician and if suggested, by an XXXXXXX

Hope your doubt is clarified. Please contact for further queries. I will be ready to help.

regards,
Shanti.V.

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Brief Answer:
Please contact the Ambani Hospital.

Detailed Answer:
Hi Ms. XXXXXXX

Thanks a lot.

I am very sorry as I cannot guide you exactly to a good doctor in the place you specified as I do not live there. You can contact the Ambani Institute for help. You have very good gynecologists in Mumbai -Dr. Duru Shah is one of them and so is Dr. XXXXXXX Vaidya.

Hope your query is answered. Please feel free to contact me for any more queries. I will always be happy to help.

Wish you good health.

regards,
Shanti.V.

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Brief Answer:
Please go ahead; GOOD LUCK.

Detailed Answer:
Hi,

Thanks for your response.

Please go ahead as you plan and get back for any feedback if needed. You are always welcome.

Wish you good health.

regards,
Shanti.V.

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Brief Answer:
Repeat medication only under surveillance.

Detailed Answer:
Hi,

Thanks for your query.

The ointment Betnovate C is for your husband. The rest are meant for your use. There is an instruction for use of Zocon 150 after period for 6 months and this is for both of you. Please take Canditral with food and plenty of water. You should consult your doctor for repeat use of this prescription as the need can vary from time to time.

Hope all your queries are clarified. Please contact for further queries. I will be ready to help.

Wish you good health.

regards,
Shanti.V.

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Brief Answer:
Flavoxate can control the strangury.

Detailed Answer:
Hi Ms. XXXXXXX

Thanks for your query.

I can understand your anguish, so please do not feel sorry. The pain and the frequent urge to pass urine can be controlled with the urinary antispasmodic Flavoxate. Urinary alkalizing syrups can be used to reduce the burning sensation. While using urinary antibiotic, it is advisable to go for a urine culture test and use accordingly. Please take plenty of water.

Hope I have answered your query. Please feel free to contact for more queries. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
Based on the symptoms and body weight.

Detailed Answer:
Hi,

Thanks for your query.

Flavoxate is used in the doses of 100-200 mg. 3-4 times a day. The dosage can be adjusted based on the intensity of the symptoms and the body weight. If the symptoms are severe and you are overweight, you can go for the higher dose. If not, you may opt for the lower dose. Frequency of the dose also depends on the severity of the symptoms. You can adjust the treatment as per your needs but do not exceed the higher dose. Please take the medication with food and plenty of water.

Alkaline citrate can be taken thrice a day at the dose of 10 ml. diluted in 100 ml. of water approximately.

Please remember, it is always better to get a prescription after a check up as I can only give you approximations.

Hope your query is clarified. Please contact for more information. I will be available to help.

regards,
Shanti.V.

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