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Suggest Treatment For Recurrent Yeast Infection And Burning Sensation In Vulva
Question: Good morning! I have a question regarding vaginal health. I'm 49 years old and have had maybe 4 yeast infections in my life. I have had bacterial vaginosis more often. I've just finished a round of antibiotics yesterday for a respiratory infection (Ran-Clarithromycin 500mg 2x/day for 10 days). Yesterday I started experiencing a dry, burning, very warm feeling in my vulva with a white build up around my clitoral area. I am not getting any cheese like discharge from my vagina. It feels like my skin is burning off. Because of the antibiotics, I'm more inclined to think it's a yeast infection. Is this possible without the cheese curd-like vaginal discharge? Thank you for your time. XXXXXXX
Brief Answer:
Possible.
Detailed Answer:
Hi,
Thanks for posting your query.
Since you are in the peri-menopausal age group, it is more likely that the vagina remains dry most of the time and this also predisposes the part for infections. It is possible to contract infections of the vulva and the vagina without the typical presentation of discharge.
In the current scenario, I would ask for a local examination along with a pap smear and a vaginal swab. Urinalysis and tests for exclusion of diabetes also would be useful.
Use of the antibiotic is also likely to predispose to infection. Sometimes, there is also an associated urinary infection. Appropriate management can be given once the infection is diagnosed.
Please take adequate liquids and maintain proper genital hygiene.
Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Possible.
Detailed Answer:
Hi,
Thanks for posting your query.
Since you are in the peri-menopausal age group, it is more likely that the vagina remains dry most of the time and this also predisposes the part for infections. It is possible to contract infections of the vulva and the vagina without the typical presentation of discharge.
In the current scenario, I would ask for a local examination along with a pap smear and a vaginal swab. Urinalysis and tests for exclusion of diabetes also would be useful.
Use of the antibiotic is also likely to predispose to infection. Sometimes, there is also an associated urinary infection. Appropriate management can be given once the infection is diagnosed.
Please take adequate liquids and maintain proper genital hygiene.
Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your reply. I had a radical hysterectomy several years ago and take 1.25mg of Premarin daily. I don't have urinary urgency or burning upon voiding. I also do not detect anything malodorous. I've recently had a complete physical and no diabetes. I'm very usually healthy barring this recent 3 week respiratory infection. Any further thoughts based on this additional information?
Brief Answer:
Recent antibiotic usage seems to be the most likely reason.
Detailed Answer:
Hello,
Thanks for writing back.
As per the additional information you have furnished, the recent antibiotic usage seems to be the most likely reason for this possible infection. Peri-menopause and menopause are terms related to the ovarian function and since you had a radical hysterectomy, cannot be applied here. As you are taking hormone supplements, ample vaginal thickness and proper pH should exist. Only, if the hormone balance is not sufficient, predisposition to infections is increased. This is an angle to be thought of and should be discussed with your consultant.
Hope this helps.
regards,
Shanti.V.
Recent antibiotic usage seems to be the most likely reason.
Detailed Answer:
Hello,
Thanks for writing back.
As per the additional information you have furnished, the recent antibiotic usage seems to be the most likely reason for this possible infection. Peri-menopause and menopause are terms related to the ovarian function and since you had a radical hysterectomy, cannot be applied here. As you are taking hormone supplements, ample vaginal thickness and proper pH should exist. Only, if the hormone balance is not sufficient, predisposition to infections is increased. This is an angle to be thought of and should be discussed with your consultant.
Hope this helps.
regards,
Shanti.V.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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