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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Itching, Red Rash On Labia Minora With Small Pus Filled Bump Due To Use Of Metro Gel And Diflucan. Histroy Of Bv. Help

Hello about 4 weeks ago I was told I had bv from my obgyn. He prescribed flagyl for 7 days. Then last week I started my period and started to notice itching. I let it go a coupe days Bc I assumed it was from wearing pads. When it didn't stop I returned on Tuesday and they gave me metro gel and two diflucan. After taking one pill and using one night of the metro gel I was up with a really red rash on my labia minora and it looks like I also have a small pus filled bump and it only hurts when urinating???
Sat, 6 Jul 2013
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General & Family Physician 's  Response
Hello.

Your presentation is indeed that of an infection, but this will have to be confirmed with a physical examination and laboratory analysis (eg. Vaginal swab test or investigation of your vaginal discharge).

A general worsening of your symptoms and development of new symptoms is a sign of failure of treatment due to either of the following causes:
-Misdiagnosis and thus condition not being treated with the right medication
-Inadequate dosage of antibiotic used (too low dose used)
-Inadequate duration of use ( sometimes response can take time)
-Inappropriate antibiotic used (despite of an accurate diagnosis, some individuals can be resistant to certain antibiotics which could be the reason for your non-responsive state), so please do revisit your doctor and get a culture and sensitivity examination done which will provide information on the most effective and suitable antibiotic to completely and rapidly relieve you of your condition.

I hope this helps.

Best wishes.
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Itching, Red Rash On Labia Minora With Small Pus Filled Bump Due To Use Of Metro Gel And Diflucan. Histroy Of Bv. Help

Hello. Your presentation is indeed that of an infection, but this will have to be confirmed with a physical examination and laboratory analysis (eg. Vaginal swab test or investigation of your vaginal discharge). A general worsening of your symptoms and development of new symptoms is a sign of failure of treatment due to either of the following causes: -Misdiagnosis and thus condition not being treated with the right medication -Inadequate dosage of antibiotic used (too low dose used) -Inadequate duration of use ( sometimes response can take time) -Inappropriate antibiotic used (despite of an accurate diagnosis, some individuals can be resistant to certain antibiotics which could be the reason for your non-responsive state), so please do revisit your doctor and get a culture and sensitivity examination done which will provide information on the most effective and suitable antibiotic to completely and rapidly relieve you of your condition. I hope this helps. Best wishes.