Brief Answer:
Explain the discharge

Detailed Answer:
Dear XXXX,

Vaginal discharge causing itching is mainly either Trichomonal or Fungal infection (yeast).

Fungal infection caused by Monalia or Candida causes thick white discharge with flakes in it. The flakes get stuck to the vaginal wall and on removal may show puncta. It causes immense itching. Though it is usually sexually transmitted infection, it is very commonly found in commode users.

Trichomonal discharge is greenish white discharge which forms froth. It flows freely. This discharge also causes immense itching.

Will you please describe the discharge elaborately?

You seem to have either of these infections. The former one can be treated with any anti-fungal ointment locally or antifungal pessaries vaginally. The later infection is treated by Metronidazole. Along with these medicines, lactobacilli vaginal ovules or perineal wash helps speedy recovery and prevents recurrence.

You have been treated by VDM kit. Vdm Kit is indicated for the treatment of skin infections, intestinal amoebiasis, fungal infections, liver infection, urethral infection, vaginal infection and other conditions. Vdm Kit contains the following active ingredients: Azithromycin, Fluconazole, Secnidazole. In short it was give to you as a gunshot therapy to take care of bacterial, fungal and to some extent Trichomonal infection.

Since your vaginitis has relapsed, you need to precisely identify the causative organism and accordingly take the medicines. Many a times, Ticomonal and Candida infection co-exist together requiring treatment for both. Please submit the vaginal swab to laboratory for identifying the causative organism(s). It will be a wise step to report to a Gynaecologist.

Since these infections get transmitted sexually, it is imperative that both the partners are treated simultaneously.

Along with the medicinal treatment, please observe following tips (both of you) ; irrespective of any symptoms to the partner or not:

1. Observe total sexual abstinence till both of you are declared completely cured.

2. Clean shave the private parts.

3. Everyday boil the underwear.

4. (For you) Use panty liners. If the discharge is very copious, you may use pads also.

5. Clip the nails short. Avoid scratching.

With this advice, I am sure you will be relieved of the symptoms.

If you want any more information and/or advice, please feel free to ask me anytime. You may post a good review with 5 stars rating for me.

Dr. Nishikant Shrotri

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Brief Answer:
Follow the tips

Detailed Answer:
Dear XXXX,

So you seem to have fungal vaginitis. Some antifungal local medicine with Lactobacilli vaginal ovules will help treat it.

You had sexual abstinence, however, did both of you received simultaneous treatment? Have you observed the tips I have mentioned in my previous communication? Please do so now when you are going for fresh course of treatment.

If you want any more information, I am always available for you, XXXX.

DR. Nishikant Shrotri

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