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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Vaginal Infection Be Treated?

Hello. I am a 66 year old woman with symptons of a vaginal yeast infection. (I haven’t had one in 20 year.). I used the one-day Monistat treatment this afternoon and, not surprisingly, the discharge, burning and itch has increased. My concern is that I am also now experiencing mild bloody spotting. Is this also a symptom? Thank you!
Wed, 25 Apr 2018
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General & Family Physician 's  Response
Hello,

My answer is as follows:

Firstly, I am addressing the sign that is more important to me: Bloody spotting.

A woman in menopause should normally not have any bleeding (also called postmenopausal bleeding - PMB). Even a small amount of bleeding, or spotting, is a reason to consult with your gynecologist.

The need to see a specialist is mostly to rule out malign conditions. About 10% of women experiencing PMB are diagnosed with endometrial cancer or atypical hyperplasia.

Of course, your mild bloody spotting could be due to yeast infection, but it is always wise to consult with your gynecologist to rule out any malign condition.

Secondly, returning to your yeast infection, you could use alternatives of Monistat, such as Clotrimazole (Lotrimin), or Terconazole (Terazol), which are other anti mycotic and anti-yeast drugs.

Please note that these drugs have to be used with caution because they may be toxic to kidneys and liver, and therefore you have to consult with your doctor before taking them. He/she can also indicate you the right dose and way of using them.

On the other hand, vaginal yeast infections could be enhanced by your diet: consumption of too much sugars and low consumption of vegetables and fibers could cause or boost a vaginal yeast infection. Use of oral probiotics, such as yogurt, could also reduce the risk of yeast infection or fight it. Therefore, please take into account your diet too.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ervin Toçi's
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How Can Vaginal Infection Be Treated?

Hello, My answer is as follows: Firstly, I am addressing the sign that is more important to me: Bloody spotting. A woman in menopause should normally not have any bleeding (also called postmenopausal bleeding - PMB). Even a small amount of bleeding, or spotting, is a reason to consult with your gynecologist. The need to see a specialist is mostly to rule out malign conditions. About 10% of women experiencing PMB are diagnosed with endometrial cancer or atypical hyperplasia. Of course, your mild bloody spotting could be due to yeast infection, but it is always wise to consult with your gynecologist to rule out any malign condition. Secondly, returning to your yeast infection, you could use alternatives of Monistat, such as Clotrimazole (Lotrimin), or Terconazole (Terazol), which are other anti mycotic and anti-yeast drugs. Please note that these drugs have to be used with caution because they may be toxic to kidneys and liver, and therefore you have to consult with your doctor before taking them. He/she can also indicate you the right dose and way of using them. On the other hand, vaginal yeast infections could be enhanced by your diet: consumption of too much sugars and low consumption of vegetables and fibers could cause or boost a vaginal yeast infection. Use of oral probiotics, such as yogurt, could also reduce the risk of yeast infection or fight it. Therefore, please take into account your diet too. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ervin Toçi s