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What Causes White Vaginal Discharge Post Recovery From Yeast Infection?

Posted on Wed, 27 Apr 2016

Question: I have been treated for a yeast infection with 14 days of fluconazole but there still seems to be some white discharge from the vagina (as shown on picture) could the infection still be there my inner labia are really sore and I have an irritated urethra

Answered by Dr. Dr. Kakkar (22 minutes later)

Brief Answer:
Need more information

Detailed Answer:
Hello. Thank you for writing to us

I am Dr. Kakkar (MD, skin and STDs). I have read your question and I have also reviewed the Image.

I can see some white grey discharge in this image.

I would like to gather some more information from you in order to be able to guide you better.

Are you sexually active? If yes, with single or multiple sexual partners? When was your last sexual contact? Does it smell fishy or foul?

I suspect a possibility of gonorrhea/ chlamydia (if you are sexually active) Or bacterial vaginosis (more common in sexually active or can sometimes happen even otherwise)
Yeast infection is unlikely as the discharge is often thick creamy/ curdy in yeast infection rather than thin, whitish or greyish. Moreover yeast infection should have resolved with Oral fluconazole.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (11 minutes later)

I am not sexually active at all and there is no odour

Answered by Dr. Dr. Kakkar (10 minutes later)

Brief Answer:
Bacterial vaginosis is very likely

Detailed Answer:
Hi. Thank you.

This is likely due to bacterial vaginosis which is due to alteration of vaginal bacterial flora. Though, bacterial vaginosis is more common in sexually active females however it can happen in females who are not sexually active. The discharge is thin, whitish or greyish in bacterial vaginosis.
I would treat you empirically for bacterial vaginosis. I suggest a tablet of metronidazole 400mg, three times daily, for a week.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (1 hour later)

I will see my doctor about BV, can you have thrush and BV at the same time? and could my yeast be resistant to fluconazole?

Answered by Dr. Dr. Kakkar (8 hours later)

Brief Answer:
Resistance is not a problem in immunocompetent indiividuals

Detailed Answer:
Hi.

They can happen in an individual, at different sites. Did your thrush respond? Resistance to fluconazole is not much of a problem in imunocompetent individuals. However, candida can be come resistant in immunocompromised individuals e.g Hiv Or organ transplant recipients.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (5 hours later)

I would say the yeast has responded because as you can see there is no clumpy white discharge but it is still itchy, how long will it take for the skin to heal and not be sore. I had the infection a long time because it wasn't picked up by the doctors

Answered by Dr. Dr. Kakkar (17 hours later)

Brief Answer:
Metronidazole for a week

Detailed Answer:
Hi.

Yes, the discharge is more like thin, whitsh/ greyish rather than clumpy. This is not due to yeast. This is most likely bacterial vaginosis and as I suggested, Oral metronidazole should take care of it within a week. Moreover, you have already taken treatment with Oral fluconazole for 2 weeks and with this yeast infection should have resolved within a week.

Regards

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Prasad