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Recurrent vaginitis and UTI

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Hi! So I have been having problems for quite awhile now. First it started as random UTIsand yeast infections which I cleared up using medication. The yeast infections normally happened after my period. Then I got the combination of the two which would come and go frequently but no medications would clear it. I recently seen a doctor about my symptoms and they ruled out both a UTI and a yeast infection and then further tested me for bacterial vaginosis and prescribed me medication for it. They never called with results and the medication didn't work so I called and they said they aren't sure but to try a different type of medication. After trying that one it didn't work either. My symptoms are discharge, smell, rare itchiness, sometimes blisters, sometimes soreness, strong smelling pee, foggy pee, and sometimes pains in my uterus. My periods have been very delayed and I am not on birth control. All of the symptoms are sometimes all at once, and sometimes only a few at a time, and they come and go, but I never do not have any symptoms.

Category: OBGYN

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Category: Infertility Specialist
 28 Doctors Online

Hello,
Thanks for writing to DoctorSpring.com with your health concern.

I can think of the following -
1. If you are sexually active, get an STD screen for yourself and your partner.
2. Get your blood sugars tested, diabetes predisposes to recurrent infections.
3. Do not cleanse, douche, rub or scrub yourself vigorously. Refrain from perfumed and medicated soaps, cleansers, tampons, tissue paper, gels - all these interfere with the normal vaginal pH, making it prone to infections. Wear cotton undergarments, changing often to avoid dampness. Just clean the private parts with lukewarm water and pat dry gently.
4. Have protected sex till you get your results of the STD panel.
5. Get an internal examination - per vaginum and per speculum. Also a vaginal swab to confirm the exact infection. A pelvic ultrasound scan is in order as sometimes the infection maybe deep seated in the uterus. All your symptoms are highly suggestive of a lingering resistant infection.
6. Always urinate after sex.
7. Drink atleast 4 - 5 litres of fluids daily.
8. Get a urine culture done, and take a proper round of culture based antibiotics.
9, Try cranberry juice - taken regularly, it works wonders for the UTI

All the best.
Please feel free to discuss further with follow-ups.


Patient replied :

Thank you!
Just a few more questions....

I have had a vaginal examination, i dont use anything scented, i have had a urine culture, and have been tested for all STDs and still have not found answers.

Do you have any ideas of what it could be?


Hi again.
You then are just more prone to repeated infections.
That sometimes happens, just as some people are more prone to flu and common cold.
It will help to drink atleast 4 - 5 litres of fluids daily, will keep your urine flushed and clean.
Also, please take a course of Probiotics for 3 months, that will improve the vaginal flora, and make it resistant to infections.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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