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Discharge With Itching And Foul Smell. Reports Said Fungal Stain. Continue Clingen Suppositories During Period?

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Posted on Sun, 24 Jun 2012
Question: Hi docs.
I have had discharge since I was a teenager but didn't think much of it. Recently it has been more and a lot of itching and occasionally with a smell.
I just got my reports from the pathologist which said the following:
Fungal Stain - Gram stain: Vaginal Smear: "Few puss cells seen. Occasional Gram-positive Yeast-like cells (?Candida species) seen." Everything else was negative, all blood reports were negative too.
I have been using Clingen suppositories for the last 4 days and have 3 more to go. Is this ok?
My other question is: my period is due anytime now. Would it be all right for me to continue with the suppositories? How do I manage this? Will the suppositories just come out with the blood and be of no use? Please advise.
doctor
Answered by Dr. CS Narayan (33 minutes later)
Hello and thanks for your query.

I shall make an effort to provide you with good professional recommendations specific to your questions.

Yes, continue the suppositories to complete the course.

If they come out during your periods, yes it means that it is ineffective.

Hence, a topical preparation like ointment would help especially with the itching.

Also, you might need additional oral antifungals on prescription for another course if suppositories would not be effective because of the periods. So, you should consult your doctor regarding the same.

Vaginal thrush may be common, but hygiene helps. Keep the genital area clean and dry.

Let me know if I have missed out any other concern in your question.

Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions. Please accept my answer in case you have no follow up queries.

Sincerely,

Dr Sujeet N Charugulla,
MBBS, MD.
Consultant Physician.
Above answer was peer-reviewed by : Dr. Jyoti Patil
doctor
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Follow up: Dr. CS Narayan (22 minutes later)
How will I know if the course has been ineffective?
Also, I am taking Terbicil 250mg for a fungal infection I have on my toenail. Will this help with the yeast as well and take care of the discharge and itching?
doctor
Answered by Dr. CS Narayan (1 hour later)
Hello.

Thanks for the reply.

The discharge will remain in that case, and symptoms may worsen.

Terbinafine is ineffective for mucosal/systemic candidiasis. It will only help in superficial skin and nail infections.

I hope, this answers your query. Please accept my answer in case you have no follow up queries.

Wish you good health.

Regards.
Above answer was peer-reviewed by : Dr. Jyoti Patil
doctor
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Follow up: Dr. CS Narayan (29 hours later)
In that case, what medication would you recommend I take in the case that the infection doesn't clear up. Should one go for another smear test to be sure that infection is gone? Lastly, is it advisable to wait for my period to finish and then complete the remainder of the suppositories or should I continue while on my period? I got my period today, and I only have one suppository left.
doctor
Answered by Dr. CS Narayan (18 hours later)
Thanks for reply.

I am afraid, prescriptions are not allowed in here as per T & C.

Yes, another test after treatment would serve as an indicator.

No, just continue and finish the suppositories irrespective of falling out.

Sincerely,
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. CS Narayan

General & Family Physician

Practicing since :2004

Answered : 546 Questions

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Discharge With Itching And Foul Smell. Reports Said Fungal Stain. Continue Clingen Suppositories During Period?

Hello and thanks for your query.

I shall make an effort to provide you with good professional recommendations specific to your questions.

Yes, continue the suppositories to complete the course.

If they come out during your periods, yes it means that it is ineffective.

Hence, a topical preparation like ointment would help especially with the itching.

Also, you might need additional oral antifungals on prescription for another course if suppositories would not be effective because of the periods. So, you should consult your doctor regarding the same.

Vaginal thrush may be common, but hygiene helps. Keep the genital area clean and dry.

Let me know if I have missed out any other concern in your question.

Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions. Please accept my answer in case you have no follow up queries.

Sincerely,

Dr Sujeet N Charugulla,
MBBS, MD.
Consultant Physician.