Brief Answer: Coital and toilet and hygiene rehab would suffice Detailed Answer: Thank you for asking! Fluid filled labia might be simply an engorged labia which is a common and normal phenomenon during coituses due to increase in blood flow towards genitals due to clitoral stimulation. Just good toilet and coitl hygiene will help prevent the recurrences of such incidents. Recurrent bacterial vaginosis infections has one or more of the following reasons. Recent antibiotic use Decreased estrogen production of the host Wearing an intrauterine device (IUD) Douching Sexual activity that could lead to transmission (eg, having a new sexual partner or a recent increase in the number of sexual partners) Now the general basic principles for recurrent BV like in you case include following management. Antibiotics are the mainstay of therapy dietary supplementation with Lactobacillus (acidophilus) Asymptomatic women with G vaginalis colonization do not need treatment BV occurring in pregnant women should be treated Treatment before cesarean delivery, total abdominal hysterectomy, or insertion of an IUD is also recommended Uncomplicated cases typically resolve after standard antibiotic treatment BV that does not resolve after one course of treatment may be cured by giving a second course of the same agent or by switching to another agent (eg, from metronidazole to clindamycin or from clindamycin to metronidazole) Some women with recurrent BV may benefit from evaluation or treatment of G vaginalis colonization in their sexual partner (controversial) Patients should be advised to stop douching or using bubble bath or any other over-the-counter vaginal hygiene products Patients should wash only with hypoallergenic bar soaps or no soap at all and should avoid liquid soaps and body washes Surgery is not indicated Testing for other infections (eg, N gonorrhoeae, C trachomatis, or herpes simplex virus [HSV]-1) may be appropriate Therapy with metronidazole or clindamycin may alter the vaginal flora and predispose the patient to development of vaginal candidiasis You should stop douching or using bubble bath or any other over-the-counter vaginal hygiene products.Wash only with hypoallergenic bar soaps or no soap at all. Avoid liquid soaps and body washes. Prophylaxis with vaginal probiotic product (8 billion units of Lactobacillus rhamnosus, L acidophilus, and Streptococcus thermophilus per capsule) for recurrent bacterial vaginosis prevention is advised. The dosage regimen should consist of short-term use of 7 days on, 7 days off, then 7 days on. Consult with an infectious disease specialist or obstetrician/gynecologist to sort out nonresolving and/or recurring BV or more serious infections, such as endometritis, pelvic inflammatory disease, and chorioamnionitis( in case of pregnancy only). I hope it helps. Dont forget to close the discussion please. Take care S Khan

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Brief Answer: No worries :) Detailed Answer: Thank you for asking! Genital itch is very common post coitally. Continue using hypoallergenic hygiene gels for the genital hygiene. And to be sure exactly what it was it needed to be looked at and examined and assessed. What ever it was, good thing is its gone. Continue the contraception. Stay protected. Don't use soaps and any perfumes on genitals. They also lead to such episodes recurrences. A i mentioned in detail all the triggers for it. Rest assured, it will be fine. Just good toilet, coital and hygiene rehab, with alot of fluids intake, increased garlic intake and plenty of cranberry juices 10-12 ounces a day will keep you out of trouble. Post coital voiding and prevention of douching is advised. Seek a gynecologist for complete clinical correlation and a detailed and thorough assessment. Hope it helps.Close the discussion please and take good care of yourself. S Khan

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Brief Answer: Looks innocuous, no sex for next 10 days, Detailed Answer: Thank oyu for asking again XXXX! Its alright. Pictures are a part of better assessment of the situation.Now vanishing of these bumps on using of metronidazole / metrogel makes them more likely of a BV associated post coitally but it would be better to assess these fluid filled bumps for some other etiologies like cystic lesions of vagina ( bartholin cyst,pemphigus vulgaris, HSV-2 etc). But odds for it to be innocuous are pretty high. Just reduce the coital frequency for a while and use the above mentioned prescriptions and associated therapies. I am sure you will be fine and nothing to worry about. No sex for next 10 days and no digital manipulation. Lets see if it resolves or not, otherwise next step would be to visit a gynecologic facility and get a thorough assessment of the situation. Right now it looks innocuous and nothing to worry about.Just continue same treatment and add topical hypoallergenic gels like Biomousse gels to be added to the regimen. Every thing will be fine eventually. Take care Khan

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Brief Answer: Yes you can but get rid of the ring is better Detailed Answer: Thank you for asking! Nuvaring itself is a foreign body. I suggest you get rid of it and try some less invasive contraception technique. But yes if you intend you can use the metronidazole gel with the ring on. But i suggest get rid of it as it might be causing a foreign body stimulation leading to this all itch and bumps. Remember minimal invasive contraception is best for prevention of such trouble. Get on pills and use condoms. That will be fine. Take care and stop worrying. I can vouch for your health. Just do as i directed you to. You will be good as new Take care XXXX

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Brief Answer: :) Detailed Answer: Thank you for being so candor! I appreciate your compliance. Let me know what come up next. You can contact me on my cell phone too +0000 or inbox me at YYYY@YYYY . May the odds be ever in your favour. Dont forget to close the discussion please. Regards S Khan

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