
Suggest Treatment For Thick Whitish Vaginal Discharge

physiological cervical discharge...following cryosurgery
Detailed Answer:
Hello,
Thanks for the query to hcm,
It is indeed very painful for a patient to undergo so many procedures but i feel after being diagnosed with HPV infection, it was right to do a cervical conisation surgery after colposcopy which resulted in negative HPV. It is actually normal to have excessive copious vaginal non foul smelling and non itchy discharge after either conisation, or cryosurgery simply because its a natural physiological reaction causing increased cervical secretions in response to surgical iatrogenic injury to the cervix. This can usually lasts for a few weeks before the raw cervical tissue is healed completely.
Now again in april you underwent polypectomy and cryosurgery again which actually was not required, the cryo part as the erosions were not evident. Polyp removal is understandable as it would have caused irregular bleeding in intermenstrual periods.
Now that the cryo has been done again, the physiological copious discharge should have restarted and can last for a few weeks again and more so towards the menstrual days and ovulation period ( where naturally cervical secretions increase). This shall settle in due course of time and no medication or antibiotics is needed or for that matter any surgery anymore. This is not an infection as there is no itching or foul smell or change in colour of secretions. Hence just relax whatever is done now is enough and the secretions shall reduce over next few weeks.
Regards


Vaginal candidiasis.
Detailed Answer:
Hello,
Thick white curdy discharge is though classical of a yeast or fungal infection when accompanied with vaginal itching and often some features of vaginitis as well. If this discharge was present before the polypectomy, then it is likely that it was fungal in nature owing to its consistency.
If you have not been treated earlier for fungal infection then it is likely that your partner may be harboring the fungal spore and each time you have unprotected intercourse, the infection would reoccur if only you were treated and not as a couple.
Nevertheless, presently the best way to confirm the diagnosis would be to opt for a high vaginal swab culture test to isolate the causative organism. If fungal then you should be placed on vaginal antifungal pssaries for a week + oral FLUCONAZOLE tab ( 300mg once a week for 2 weeks). It would be important that your partner should also get a urethral and prepuceal swab test done to rule out harboring spores of fungus and should be co-treated with oral antifungals in order to prevent inter-transference of infection. It is important to avoid intercourse completely during treatment and till repeat cultures are negative again.
So, to cut the long discussion short, this is more a fungal discharge and needs antifungal treatment for both of you together.
Regards

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
