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Suggest Treatment For Recurrent Vaginal Discharge
Hi Doctor,
Urgent request -
I am suffering from recurrent vaginal discharge from Sep 2015 and had always been on different anti fungal therapy. After each therapy, the infection used to recur within a month and now its recurring even within few days. Eventually, I was tested for culture and sensitivity.
My reports of vaginal swab show many gram negative gacilli and heavy growth of Candida albicans.
Sensitivity report shows resistance to fluconazole, variconazole and amphotericin B and sensitive to Caspofungin, micafungin and flucytosine.
I was on itraconazole and fluconazole treatments repetitively from last 8 to 9 and now eventually sensitivity report has been done.
Could you please suggest the right anti fungal therapy on the basis of my sensitivity report results and also please tell me if growth of many gram negative bacilli is normal or not ?
Many thanks
Urgent request -
I am suffering from recurrent vaginal discharge from Sep 2015 and had always been on different anti fungal therapy. After each therapy, the infection used to recur within a month and now its recurring even within few days. Eventually, I was tested for culture and sensitivity.
My reports of vaginal swab show many gram negative gacilli and heavy growth of Candida albicans.
Sensitivity report shows resistance to fluconazole, variconazole and amphotericin B and sensitive to Caspofungin, micafungin and flucytosine.
I was on itraconazole and fluconazole treatments repetitively from last 8 to 9 and now eventually sensitivity report has been done.
Could you please suggest the right anti fungal therapy on the basis of my sensitivity report results and also please tell me if growth of many gram negative bacilli is normal or not ?
Many thanks
Sat, 3 Sep 2016
Hello.
Thank you for contacting HCM.
You seem to be suffering from Vaginitis. If I was your treating physician I would perform a urine complete analysis, vaginal swab culture and urine culture first of all to reach the confirm diagnosis and its type.....it may be either of three ( bacterial, fungal or trichomoniasis).
then my treatment plan would be according to the culture reports. As you have mentioned that you have already taken treatment for vaginitis, i would suggest that you now consult your gynecologist for further treatment as excessive use of all drugs will make the causative organism resistant which will make it even harder to cure.
The treatment for recurrent infection may require medicines for a longer period of time.
Meanwhile take extra care of hygiene of genital area, wear cotton undergarments and frequents changing of tampons.
I hope this answers your query. Please feel free to contact HCM again if you have any concerns.
Wishing you good health.
Thank you for contacting HCM.
You seem to be suffering from Vaginitis. If I was your treating physician I would perform a urine complete analysis, vaginal swab culture and urine culture first of all to reach the confirm diagnosis and its type.....it may be either of three ( bacterial, fungal or trichomoniasis).
then my treatment plan would be according to the culture reports. As you have mentioned that you have already taken treatment for vaginitis, i would suggest that you now consult your gynecologist for further treatment as excessive use of all drugs will make the causative organism resistant which will make it even harder to cure.
The treatment for recurrent infection may require medicines for a longer period of time.
Meanwhile take extra care of hygiene of genital area, wear cotton undergarments and frequents changing of tampons.
I hope this answers your query. Please feel free to contact HCM again if you have any concerns.
Wishing you good health.
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