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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Vaginal Discharge And Irritation. History Of UTI. Which Is The Best Therapy To Get Cured?

.A 38-year-old woman turned up to your family practice center complaining of vaginal discharge and irritation. She gave history of a urinary tract infection 10 days ago, with resolution of her symptoms. Which of the following is the best therapy for her condition? a.Oral metronidazole b.Vaginal metronidazole c.Oral fluconazole d.Oral clindamycin
Thu, 19 Jul 2012
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  User's Response
Hello,
Thank you for your query.
Medicines that you wrote is for bacterial and fungal infection, or at this stage you can’t be sure the women has bacterial or fungal infection. As you know many incorrect therapies ( wrong selected medication)develop resistance that lead to difficulty to treat infection. My best advice is to make antibiogram ( while laboratory will do culture test will determine exactly antibiotic ) and fungal microscopic test, additionally urine analysis and culture. After all these test you can choose right and most effective treatment.
Take care and if you have additional queries , don’t hesitate to ask.
I find this answer helpful
  User's Response
Dr. dhara shah's  Response
hi welcome to hcm.see first you have to suggest take plenty of fluid plus avoid sexual intercourse untill infection heal. i think oral metronidazole + vaginal clotrimazole passary 4 6days,and cetrizine for itching complaints.also advice to sit on leukwarm water add dettol in it ans sit for 10 min which also relive her symptoms.
thanks
dr.dhara
dhara.shah84@yahoo.in

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Having Vaginal Discharge And Irritation. History Of UTI. Which Is The Best Therapy To Get Cured?

Hello, Thank you for your query. Medicines that you wrote is for bacterial and fungal infection, or at this stage you can’t be sure the women has bacterial or fungal infection. As you know many incorrect therapies ( wrong selected medication)develop resistance that lead to difficulty to treat infection. My best advice is to make antibiogram ( while laboratory will do culture test will determine exactly antibiotic ) and fungal microscopic test, additionally urine analysis and culture. After all these test you can choose right and most effective treatment. Take care and if you have additional queries , don’t hesitate to ask.