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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Vaginal Discharge

Hi, I started experiencing up-normal vaginal discharge somewhere in the middle of 2012. I went to the clinic and they told me I had an infection and couldn t give me anti-biotics since they found that I was also pregnant. I had a medical abortion about a week later and the discharge still continued. It was white sometimes, thick and yellowish other times and it was itchy. I went back to the clinic and the gave me anti-biotics, but still the discharge continued. I went back and did a pap-smear and it came back clean. I also did an HIV test and it came back negative. I continued to consult with different doctors until one prescribed me a vaginal cream to use for five nights. The discharge then disappeared for about a year and came back when I started to be sexually active again. Now I also experience brown discharge before and after periods. I tried not to use strong bathing soaps and drink a lot of water, but the discharge goes and comes back. Now my partner is also experiencing cracks on his penis. What should I do?. Do I stand a change of falling pregnant again? Really worried, please help...
Tue, 23 Feb 2016
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General & Family Physician 's  Response
Thank you for your query.
I would like you to clarify a few things for me.

1) Did you have an ultrasound done, after the medical abortion, to confirm what it was complete (no retained products of conception )? Did have a D&C ( surgical procedure to clean the inside of the uterus)?
2) were you clinically examined and the discharge tested for the type of infection it could be?
3) what vaginally cream did you use?
4)the discharge you have now - is it white/yellow or just the brown discharge that comes around the time of your period? Do you have itching?
Brown discharge can occur close to and after your period due to the staining of the normal vaginal discharge with old/residual blood.

If, however you have discharge that is yellow, white curd like, greenish or brown, I recommend that you see your OBGYN to test it. Fungal infection like candidates is common and Recurrent infections need to be treated with the appropriate medication for an appropriate time (too short a time could lead to recurrence).
Sexually transmitted diseases need to be ruled out as well. These can cause prolonged or recurring infection as well.

In most cases, the chances of getting pregnant is not affected.
In some cases, untreated infection can move up to the uterus and may cause pelvic inflammatory disease. This can lead to inflammation and adhesions in the reproductive tract that can hinder the chances of getting pregnant.
This can be easily avoided by timely and adequate treatment.

Please note that both, you and your partner need to be treated simultaneously to avoid transmitting between you both.
Please see your gynecologist/urologist. Make sure you tell them the complete history. You may be asked about your sexual history. You may also require a pelvic exam.

In the meantime, if you have severe abdominal pain, fever, vomiting or unexplained vaginally bleeding, visit the ER.
Hope this helps, please get back to is if you have further clarification.
Wish you good health
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Suggest Treatment For Chronic Vaginal Discharge

Thank you for your query. I would like you to clarify a few things for me. 1) Did you have an ultrasound done, after the medical abortion, to confirm what it was complete (no retained products of conception )? Did have a D&C ( surgical procedure to clean the inside of the uterus)? 2) were you clinically examined and the discharge tested for the type of infection it could be? 3) what vaginally cream did you use? 4)the discharge you have now - is it white/yellow or just the brown discharge that comes around the time of your period? Do you have itching? Brown discharge can occur close to and after your period due to the staining of the normal vaginal discharge with old/residual blood. If, however you have discharge that is yellow, white curd like, greenish or brown, I recommend that you see your OBGYN to test it. Fungal infection like candidates is common and Recurrent infections need to be treated with the appropriate medication for an appropriate time (too short a time could lead to recurrence). Sexually transmitted diseases need to be ruled out as well. These can cause prolonged or recurring infection as well. In most cases, the chances of getting pregnant is not affected. In some cases, untreated infection can move up to the uterus and may cause pelvic inflammatory disease. This can lead to inflammation and adhesions in the reproductive tract that can hinder the chances of getting pregnant. This can be easily avoided by timely and adequate treatment. Please note that both, you and your partner need to be treated simultaneously to avoid transmitting between you both. Please see your gynecologist/urologist. Make sure you tell them the complete history. You may be asked about your sexual history. You may also require a pelvic exam. In the meantime, if you have severe abdominal pain, fever, vomiting or unexplained vaginally bleeding, visit the ER. Hope this helps, please get back to is if you have further clarification. Wish you good health