Suggest treatment for persistent vaginal discharge and ulceration in the vulva
Need more details and a photo of ulceration as following....
Hi my dear,
I have gone through your medical history carefully and understood your concern.
Can you please provide a photo of the ulceration you are having?
Have you done any test so far to confirm: herpes? or other stds (e.g. gonorrhea? chlamydia?)
Any swab culture or testing for stds or biopsy of the ulceration?
Can you please also provide the names of the drugs you've been using to treat this ulceration orally and/or locally?
As you are HIV positive, you are taking truvada and aluvia. Unfortunately, these drugs cannot cure the ulceration.
Looking forward to have the requested info and photo in to help you further.
I have been on acyclovir since 1986. Both the high dose and the prophylactic does. But it goes and comes back. I have also taken the second line antiviral (I don't remember it's name). I am now on Thalidomide 1 capsule daily. It appeared that this gave it some relief for two weeks it has now come with a vengeance. I don't know what to do.
I am still taking the thalidomide.
I can't take a picture now because I am uncomfortable doing that. But it starts with the prodrome I get the tingling and then the ulceratiom starts. I am in sanitary towels at least 9 out of 12 months.
Biopsy of ulceration advised...
Hi back my dear,
Sorry for the late reply.
I am also sorry to know that you can't provide the photo.
That could have helped more.
However, as the ulceration is not getting better, I'd advise biopsy to determine the right causative factor and treat it correctly.
Please take note, that being HIV positive makes you more prone to infection due to low immune system/defense. Furthermore, it will take a few more time to get completely healed, more than for other non-HIV-positive persons.
Wish fast recovery!
ok,can you send the full biopsy report?
Ok, then, can you please send the full biopsy report to? And can you mention all meds you have specifically used for the ulceration (orally or locally)? Try to send a photo to me.
If ulceration persists, then, should revise the treatment and change treatment strategy.
If I was your caring doctor would specify if the ulceration is really herpetic or bacterial in order to suggest appropriate treatment.
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