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Vaginal discharge due to bacterial vaginosis

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Hello, I've been prescribed Dalacin cream to treat bacterial vaginosis over 7 days. I somewhat delayed the treatment and eventually got vaginal thrush (due to the bacterial imbalance in the genitalia) which resulted in burning sensations and itching in the genital area. I thereafter starting using the cream, I also took a Canestan pill for the vaginal thrush (which is meant to take effect over 48 hours - has not been the case). The cream hasn't relieved the burning sensation (it has been three days now). If anything, the itching and burning seems to have increased. Is this normal? Also, although I use the cream right before bedtime, I still manage to get cream discharge during the day, is this normal too? Thanks.

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Category: Family Physician-GP
 31 Doctors Online

Hello, With reference to your complaint, that you are already having bacterial vaginosis and is an treatment with Dalacin cream for the last 7 days or so. In the mean time you developed vaginal thrush as well which is nothing but a yeast infection caused by candida albicans. Usually your body provides bacteria that keep candida in check. But when candida multiplies and exceeds the body's ability to control it, vaginal thrush can occur which usually happens when you are ill or under a lot of stress. It can also develop when you take antibiotics or contraceptive pills containing estrogen. In addition to this, if you use contraceptive diaphragms, coils and sponges increase the chances. It is not a ST infection but likely to develop after having sex. Common symptoms are pain, itching and irritation. A thick white or a watery vaginal discharge is also common. So when you have these problems, your GP will take a vaginal swab to confirm. Regarding treatment, topical cream or pissing may cause burning or irritation, instead you can have antifungal treatment orally. If you are suffering from diabetes, or with weakened immune systems or if you suffer from fever or more vaginal yeast infections in a year, then you should seek medical advice. Prevention can be done by wearing cotton or silk underwear which allows excess moisture to evaporate, wash and dry your underwear thoroughly and change it often to prevent dampness which increases chances of vaginal thrush. Avoid using feminine deodorant sprays which increases the chances of vaginal yeast infection and lastly using sanitary towels may increase your chances of getting vaginal thrush. Some women eat yogurt, which contain active cultures helps to prevent thrush. They are often causes of vaginal itching, burning and discharge, you should rule out bacterial vaginosis, trichomoniasis cervical infections, and threadworms. A tampon or coil left in the vagina too long, herpes, and gonorrhea. All these conditions can be diagnosed by your GP after thoroughly examination and laboratory investigations. Thank you.

Dr. John Monheit
Category: Family Physician-GP
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
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