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How Long Should One Continue Femilon For Endometriosis?

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Posted on Thu, 8 Jan 2015
Question: Hello,
My daughter is on Femilon (oral contraceptive pill) for over a year to treat suspected endometreosis. She is 22 years old. She has found good relief using this OCP tablet. She is currently doing her masters in the UK and in this crucial stage of her life, she feels having a painless period is very important. How long can she be on this treatment? (She has been advised 2-3 years of this treatment.) Although she has adjusted well to this medication, she suddenly seems to have developed thrush like itching in her vagina. Her doctor has prescribed Canestan cream, which doesn't seem to be doing much to help. Could Femilon be a cause for this, and would you suggest something better? Thanks.
doctor
Answered by Dr. Soumya (2 hours later)
Brief Answer:
Repeat Swab test required

Detailed Answer:
Hello,

I have gone through your query and I understand your concerns about white discharge and OCP .

Following is my reply:

1. Your daughter seems to have developed new strain of antifungal infection that is resistant to canestan hence no relief.

2. Since she is not responding to the earlier medicines i would recommend you to get another swab test for culture and sensitivity to detect the organism.

3. This time she is likely to need oral antifungal medicines. This decision can be taken after seeing the new report only.

4. Femilon is not the reason for this. Let her continue the femilon.

5. After culture and sensitivity report, your doctor is likely to recommend you combination of oral antifungal and vaginal pessaries. Now i cannot prescribe any medicine as it is not required.

I hope your doubt is clarified. Let me know if you wish any other information.

Regards,
Dr. Soumya
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Soumya (1 hour later)
Thank you doctor. My daughter has a doctor appointment today. Hopefully, they will follow this line of treatment. Also doctor, how long do you think my daughter can be on Femilon? Is it safe?

Thank you.
doctor
Answered by Dr. Soumya (2 hours later)
Brief Answer:
Femilon is safe

Detailed Answer:
Hi

Femilon is safe. She can continue as long as she likes. No problem.

Let me know what happens at doctor's appointment and any suggestions if you need
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Soumya (2 hours later)
Hello doctor. She is being treated for thrush. They have given her an oral tablet and cream. If there is no improvement in 7 days, they will put her on medicines for 6 months.
doctor
Answered by Dr. Soumya (6 minutes later)
Brief Answer:
Thats what i predicted

Detailed Answer:
Hi

This is what I had predicted previously. I am happy that she is on right treatment.

Raising immunity with regular exercise, more fruits in diet and hygienic food and clean drinking water will help with thrush.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Soumya

OBGYN

Practicing since :2010

Answered : 3106 Questions

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How Long Should One Continue Femilon For Endometriosis?

Brief Answer: Repeat Swab test required Detailed Answer: Hello, I have gone through your query and I understand your concerns about white discharge and OCP . Following is my reply: 1. Your daughter seems to have developed new strain of antifungal infection that is resistant to canestan hence no relief. 2. Since she is not responding to the earlier medicines i would recommend you to get another swab test for culture and sensitivity to detect the organism. 3. This time she is likely to need oral antifungal medicines. This decision can be taken after seeing the new report only. 4. Femilon is not the reason for this. Let her continue the femilon. 5. After culture and sensitivity report, your doctor is likely to recommend you combination of oral antifungal and vaginal pessaries. Now i cannot prescribe any medicine as it is not required. I hope your doubt is clarified. Let me know if you wish any other information. Regards, Dr. Soumya