Sunday 3 May 2020

Abnormal vaginal discharge with irregular bleeding, not responding to mycoten and fluconazole

 A question was asked on abnormal vaginal discharge with irregular bleeding, not responding to oral and vaginal antifungals. Find below, my reply.
"Thank you for your email. By abnormal cycle, I believe you mean she has irregular bleeding. She seems to have received treatment only for fungal infection. In any case, irregular bleeding with abnormal vaginal discharge may be signs of chronic pelvic inflammatory disease. She needs complete workup including samples taken from the mouth of the womb(cervix) and vagina to check for the exact organisms causing this. She will then be given antibiotics based on the result. She should try and complete the treatment to completely get rid of the infection. If she is more than 21 years old and sexually active, she should get a pap smear done too."
I should add that if results point to a fungal infection, then causes of depressed immunity should be ruled out, including diabetes mellitus. 

4 comments:

  1. I meant a gyno he he told me there is something called elongated cervix that protrude to the surface of the virgina pls how true

    ReplyDelete
  2. Thank you for your question. Yes, it's true, there's an entity called elongated cervix.One may be born with it but it more commonly occurs in the context of genital prolapse. This is a condition where the support of the womb has been weakened, especially following chilbirth,causing the cervix to protrude into the vagina.

    ReplyDelete
  3. Salam, pls will a person with genital prolapse be able to conceive? Thank you.

    ReplyDelete
  4. Please I want your number I want to chat you privately

    ReplyDelete

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