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What Does Persistent Vaginal Discharge Indicate?

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Posted on Wed, 3 Jun 2015
Question: I am 73 years old, very healthy and active, my problem is that I have vaginal discharge for 3 months and my doctor recommended estrogen's but it does not work, I already have 2 applications and every thing
continue even now with little blood and then the yellow discharge again, can you help me?
my e-mail: YYYY@YYYY . Thank you very much. (Dr. did a ultrasound of my utter and is was
perfect #2) Thanks for every thing. XXXX
doctor
Answered by Dr. Dr. Soumen Patra (30 minutes later)
Brief Answer:
Vaginal infection should be treated properly.

Detailed Answer:
Hello,

Thanks for writing to us.

According to your information, yellow discharge (for long time) with little bleeding is MOSTLY due to vaginal infection (bacterial/ protozoal). Uterine or cervical pathology is ruled out through scan. A pap smear is needed.

I suggest you to use Vaginal Suppository or Capsule (combined Clindamycin, Tinidazole and Clotrimazole) like CLINGEN FORTE etc at bed time for 5 days. You should STOP estrogen cream for short period.

1) Use VAGISIL cream to avoid vaginal infection and maintain genital hygiene properly.

2) Wear only COTTON clothes. Don't wear tight fitting clothes to avoid friction/ irritation. Take sound sleep adequately.

3) Take healthy diet with anti oxidant (like Vitamin -E or C, Selenium, Zinc etc) supplements. Drink plenty of water or juice for better systemic circulation. You must LIMIT Salty/ Sugary/ Fatty foods.

4) Avoid chemical cosmetics, perfume or scented bath products around genital area. Keep the area 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 S Patra

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Soumen Patra (1 hour later)
Dr. Patra,

Hi, this is XXXX, and I am XXXX's daughter. I have been monitoring my mother's condition for well over 3 months since this discharge first began in mid-January 2015. Briefly, let me just state that she has had various other reactions that are rash and skin related that happened in conjunction with the vaginal discharge. Those rashes slowly went away but then were followed by symptoms of erythema nodosum which were treated by a local rheumatologist. My mother was seen by her ObGYN who did pap smears, ultrasounds and all necessary tests to determine if there was an infection but nothing was found. Miconazole vaginal cream was initially begun with no results. Her uterine wall lining was in perfect condition. The rheumatologist, addressing the erythema symptoms, placed her on Methylprednisolone to start with some success followed by Prednisone which she is slowly being weaned off of at this time. At this moment, she is still on Prednisone 5mg, two tablets at night. And, initially the rheumatologist evaluated urine samples several times to determine infection which at one point was evident but then went away with an additional CIPRO cycle. After the CIPRO cycle, and still seeing that the only remaining ongoing symptom at this time is the vaginal discharge, the rheumatologist concluded that the vaginal discharge had nothing to do with the other rash/skin/erythema symptoms. Last discussion with the ObGyn was to try the Estrogen vaginal cream, called ESTRACE cream, for the next 3 months with two applications per week. So, my mother was worried because she saw some red in her last discharge and now the doctor is recommending she use a lubricant when applying as this may just be a temporary effect. I know this is a lot to cover and the ObGyn did tell us that if the cream does not resolve the problem we should seek out another opinion. I look forward to hearing your comments/suggestions based on this information.
doctor
Answered by Dr. Dr. Soumen Patra (4 hours later)
Brief Answer:
One culture test is advisable.

Detailed Answer:
Hello,

Thanks for your update.

As per present scenario, I can suggest to undergo one Culture of vaginal discharge and drug sensitivity test to determine underlying pathogen and drug treatment.

Until then, vaginal suppository (as mentioned earlier) can be used for next 5 days and she should STOP using estrogen cream.

Right now, she can use VAGISIL cream to prevent irritation and maintain genital hygiene. Follow rest of the advices.

Hope, I have answered your query. Kindly, close the discussion.

All the best and good luck.

Regards,
Dr S Patra
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
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Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4060 Questions

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What Does Persistent Vaginal Discharge Indicate?

Brief Answer: Vaginal infection should be treated properly. Detailed Answer: Hello, Thanks for writing to us. According to your information, yellow discharge (for long time) with little bleeding is MOSTLY due to vaginal infection (bacterial/ protozoal). Uterine or cervical pathology is ruled out through scan. A pap smear is needed. I suggest you to use Vaginal Suppository or Capsule (combined Clindamycin, Tinidazole and Clotrimazole) like CLINGEN FORTE etc at bed time for 5 days. You should STOP estrogen cream for short period. 1) Use VAGISIL cream to avoid vaginal infection and maintain genital hygiene properly. 2) Wear only COTTON clothes. Don't wear tight fitting clothes to avoid friction/ irritation. Take sound sleep adequately. 3) Take healthy diet with anti oxidant (like Vitamin -E or C, Selenium, Zinc etc) supplements. Drink plenty of water or juice for better systemic circulation. You must LIMIT Salty/ Sugary/ Fatty foods. 4) Avoid chemical cosmetics, perfume or scented bath products around genital area. Keep the area 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 S Patra For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326