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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Worsening Of Mycosis While On Antibiotics?

Dear Doctors,    I m a 28 years old female -from Algeria, Africa- and I ve been suffering from what it s been diagnosed as a mycosis in my intimate area since the age of 14. I went to a specialist twice when I was a teenager, but now I m too shy and embarrassed to let anyone see this part of my body, so every time it appears  I just take what the doctors prescribed me: Saforelle Gentle Cleansing Care and Mycocide (an antifungal that contains Triamcinolone,Néomycine and Nystatine). When I apply the cream for a week the swollen spots get better but the dark things on my lips (I can t tell which ones minor or major) never went away. I m too scared to know the truth about my condition but I can t stay indifferent anymore. What I noticed during all those years is that it gets worse when I take antibiotics to treat other minor health problems. For the record, I clean this area with water everytime I use the toilet and with soap once a day. I also never had any sexual contact or relations in my life, but I got recently engaged and I m frightened to let my fiancé get close to me.  I don t have a camera but I ll try to take a picture of it if necessary. Please, help me.  All my regards
Tue, 9 Apr 2019
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General & Family Physician,  's  Response
Hello,

Now, what you are experiencing is a fungal infection of your genitals due to antibiotic use. This is completely normal. So, no need to be afraid to get close to your fiance. There is nothing serious and nothing you should worry about.

Can apply Clotrimazole vaginal cream. You can have sexual intercourse with your fiance, then, wash your genitalia well, then, apply clotrimazole cream locally.

I think it's time you should take oral antifungal treatment too (e.g. Fluconazole or Itraconazole). But you need a prescription from your doctor for that.

Take probiotics orally to stabilize intestinal and genital flora to ease the symptoms.

Once again, your problem is not serious, just normal fungal overgrowth after antibiotic use.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Albana Sejdini, General & Family Physician
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What Causes Worsening Of Mycosis While On Antibiotics?

Hello, Now, what you are experiencing is a fungal infection of your genitals due to antibiotic use. This is completely normal. So, no need to be afraid to get close to your fiance. There is nothing serious and nothing you should worry about. Can apply Clotrimazole vaginal cream. You can have sexual intercourse with your fiance, then, wash your genitalia well, then, apply clotrimazole cream locally. I think it s time you should take oral antifungal treatment too (e.g. Fluconazole or Itraconazole). But you need a prescription from your doctor for that. Take probiotics orally to stabilize intestinal and genital flora to ease the symptoms. Once again, your problem is not serious, just normal fungal overgrowth after antibiotic use. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician