Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. VULVODYNIA is a chronic pain syndrome that affects the vulva area and often occurs without an identifiable cause or visible pathology. Hormonal treatment is best modality to combat this condition. However, hormonal pill is the main aggravating factor of repeated vaginal yeast infection. Therefore, I would suggest you to undergo one CULTURE and DRUG SENSITIVITY TEST of vaginal discharge along with Blood sugar (PPBS) and differential count of WBC to determine better drug treatment. Next thing, you have to ELIMINATE or CORRECT some additional predisposing factors like mental stress, lack of sleep, poor eating habits, using more steroid, weak immune system, Cervicitis, poor genital hygiene etc. To summarize, you have to modify all these things to get effective result. You can consult with your GYNECOLOGIST for proper guidance. TREATMENT: 1) Vaginal suppository with mixed Clindamycin and Clotrimazole can be used for 5-7 days. Supportive oral antibiotics can be given according to your culture test report. 2) Use vaginal moisturizer cream like RepHresh pH gel or VAGISIL cream to avoid repeated infection and maintain vaginal pH. Maintain genital hygiene properly. 3) Wear only cotton clothes. Don't wear any tight fitting cloths or pants to avoid repeated friction/ irritation. Take sound sleep adequately. 4) Take healthy diet as you have mentioned with anti oxidant (like Vitamin -E or C, Selenium, Zinc, Lycopene etc) supplements. Drink plenty of water or juice for better systemic circulation. You must avoid salty, sugary or fatty foods. 5) Avoid chemical cosmetics or soaps/ perfume or scented bath products around genital area. Keep the area mostly dry. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish your good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

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Brief Answer: FOLLOW THE ADVICE. Detailed Answer: Hello, Thanks for follow up queries. 1) You should undergo DRUG SENSITIVITY TEST (Blood) and Vaginal Swab Culture. It would determine corresponding drug treatment. 2) It is better to start ORAL Hormonal Pill instead of vaginal patch. Kindly, consult with your gynecologist regarding this. Hope, I have answered your query. Kindly, close the discussion. All the best and good luck. Regards, Dr Soumen

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Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for query. Local application of vaginal suppository (estrogen) may aggravate yeast infection. Therefore, you can take conjugated hormonal pill orally along with progesterone if you are overall healthy. Kindly, consult with your doctor for complete prescription. HRT patch can be used as alternative treatment. Blood pressure and sugar should be ruled out. Hope, it helps for you. Kindly, close the discussion. Regards, Dr Soumen

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