Hello Doctor,
I'm Lakshmi, 24 yrs old.
My boyfriend and I have been together from the past 6 months and we are monogamous (I am for certain).
2 months back, I had severe UTI (my first time) and once bled during intercourse.
Doctor did a urine culture and found E.coli. I became fine right after taking my antibiotics.
Since i bled, I also got tested for HIV and VDRL and both came negative.
Last month, I developed itching in my vagina (no discharge or foul smell). I applied curd and washed with vinegar (no douching) for 3 or 4 days, the itching went away but came back after a day.
After a day or two I devloped mild pain in inner thigh joint and thighs and I consulted a obgyn. She examined and said it's yeast (my first time) and prescribed FAS-3 kit. No tests were done.
The pain went away after taking the meds, itching susided but never felt 100%.
I bled again during the intercourse but this was 2 days before i got my period and the blood this time looked like menstural blood.
I waited for 2 weeks and saw a different obgyn when the itching increased. She examined without tests and said it's yeast and prescribed candida-CL vaginal tabs and Forcan-150 (1 tab a week for 3 weeks).
I finished with candida last tuesday and done with 2 forcan tabs. Itching subsided 90% when i took candida but it's back again now. It is not intolerable but it's there. itches 4 or 5 times a day.
I saw my obgyn again and I got blood CBC, urine analysis and pap smear. She said it has to be yeast.
I'm not sure on how we can rule out other infections with just these tests. Maybe I'm being paranoid.
My questions are
1. No WBC in urine and blood confirm i have no bacterial infection? Can i rule out clyamedia, gonnoria?
2. My Pap smear is normal but the note says Cervical Smear Showing Non Specific Lesion. What can i rule out apart from HPV here?
3. Should i trust my gyn and just relax and not worry too much? I am just worried because I find it hard to believe yeast takes a month to go away completely.
4. once in a while my right abdomen next to naval hurts when walking. Got a full abdominal ultrasound and nothing wrong.
I also have lower back ache, which i have always had but not as much. So i can't decide if it's due to this or not.
Results:
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1. No diabetis.
2. No elevated WBC in both blood and urine
Lymphocytes 37.10 20 - 40 %
WBC/Pus Cells 1-2 0 - 5 /hpf
Pap results :
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DEPARTMENT OF LABORATORY MEDICINE
TEST NAME RESULT
PAP SMEAR /CERVICAL SMEAR
Source of Specimen Cervical Smear -Conventional
i) Specimen Adequacy Identified
ii) Clincial Information Provided
iii) Technical Interpretability Well Preserved cells covering more than 10% of area of side
iv) Cellular composition and sampling of b) Not Sampled
Comments Satisfactory but limited by absence of endocervical cells
II. General Categorization Negative for intraepitelial lesion or malignancy
Epithelial abnormalities Absent
Note Cervical Smear Showing Non Specific Lesion.
Appreciate your help.
Thank you