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What Causes Cottage Cheese-like Vaginal Discharge While Having Yeast Infection?

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Posted on Mon, 12 Sep 2016
Question: Hi gynaecologist, this has bothered me for a while and my health providers cannot figure it out as Well. After my period I have the ovulation period which is about 7 days and the discharge I have is sometimes clear , other times dark brown and mucoid. As soon as the ovulation period is over, I have a dark brown discharge sometimes like cottage cheese and sometimes slightly mucoid , that discharge goes on and on until my next period, it did not happen like that before but I have to say this has happened for a Year plus. I had a pap smear and cells where normal, and also had an HVS which showed a yeast infection and I was treated for that, just want to know what's wrong with my reproductive system perhaps you can advise me were to look , I am devastated.
Thanks and kind regards
XXXX
doctor
Answered by Dr. Soumya (15 minutes later)
Brief Answer:
Yeast infection

Detailed Answer:
Hi,

I understand your concerns.

The discharge you mentioned is typically seen in yeast infection. Since you were already treated once, the treatment seems to be ineffective or incomplete.

There are various other strains of yeasts that need to be identified and isolated. HVS culture and sensitivity test needs to be checked. This will indicate the antifungal medicines this strain is responsive to.

If it is combined infection with more than one strain of yeast or Combined infection of yeast with bacteria, it is difficult to treat with fluconazole alone and needs antibiotics along with antifungal medicines.

Therefore please request your gynecologist to send HVS for culture and sensitivity test for yeast as well as bacteria. You can take medicines accordingly.

Also request prescription for antifungal vaginal pessary like clindamycin which are more effective than oral medicines.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Soumya (5 days later)
Dear Doc,
I would like to thank you for the answer, but I have one small question. Years ago I had an ultrasound scan and the findings were endometriosis, could it be the reason why all this is happening (the dark brown discharge) . Is something erupting in the uterus causing this discharge? I have not told the gynaecologist anything about the endometriosis and just to add am new in this country.
Your response will be appreciated.
Thanks and kind regards
doctor
Answered by Dr. Soumya (36 minutes later)
Brief Answer:
This has nothing to do with endometriosis

Detailed Answer:
Hi,

This discharge has nothing to do with endometriosis. Don't worry about it.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Soumya

OBGYN

Practicing since :2010

Answered : 3106 Questions

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What Causes Cottage Cheese-like Vaginal Discharge While Having Yeast Infection?

Brief Answer: Yeast infection Detailed Answer: Hi, I understand your concerns. The discharge you mentioned is typically seen in yeast infection. Since you were already treated once, the treatment seems to be ineffective or incomplete. There are various other strains of yeasts that need to be identified and isolated. HVS culture and sensitivity test needs to be checked. This will indicate the antifungal medicines this strain is responsive to. If it is combined infection with more than one strain of yeast or Combined infection of yeast with bacteria, it is difficult to treat with fluconazole alone and needs antibiotics along with antifungal medicines. Therefore please request your gynecologist to send HVS for culture and sensitivity test for yeast as well as bacteria. You can take medicines accordingly. Also request prescription for antifungal vaginal pessary like clindamycin which are more effective than oral medicines.