Vaginal Suppositories: Common Concerns and Solutions

Vaginal suppository concerns?

Hello doctor, my condition involves two diagnoses of vaginitis.
After the first treatment with a 7-day suppository of Anco, I noticed a paper-like discharge at the vaginal opening, which was quite itchy.
Coincidentally, this occurred right after my treatment ended and during my menstrual period.
A month later, after my second menstrual period, it seemed to have recurred.
When I visited the doctor for an internal examination, they mentioned that I had a lot of thick, cottage cheese-like discharge, but I didn't feel it because it wasn't easily flowing out.
The doctor performed a cleaning and prescribed Aidi vaginal suppositories, which I am currently using.
The doctor advised me to use them intermittently: first for four days, then wait for my period, and then use them for two more days.
During this process, I noticed a significant amount of white, cottage cheese-like discharge visibly coming out of the vaginal opening, with some sticking inside.
Is this normal, or am I using the suppositories incorrectly and they are ineffective? Additionally, the discharge has not decreased; in fact, it has increased, and the recurrence of my condition after the first treatment was even more pronounced.
After treatment, do I need to perform vaginal cleaning again, or can I use lactic acid suppositories for protection? Thank you very much for taking the time to respond, doctor.

Kris, 20~29 year old female. Ask Date: 2016/06/10

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the treatment for vaginal candidiasis primarily involves the use of suppositories and topical creams.
If there is no improvement with continued treatment, it is advisable to consult a physician for further examinations, such as microscopic examination of secretions and microbial cultures.
For patients with drug resistance and recurrent infections, oral medications may be considered.
During the treatment period, it is recommended to temporarily refrain from sexual intercourse.
It is best to have a healthcare professional instruct on the proper use of suppositories, and the use of lactobacillus-based products should be guided by the treating physician's judgment and recommendations.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2016/06/10

More Info

Understanding vaginal suppositories and their effects can be quite complex, especially when dealing with recurrent vaginal infections. Your situation, involving multiple episodes of vaginitis and the use of antifungal suppositories, raises several important points that need to be addressed.

Firstly, the presence of "paper-like" discharge after using a suppository, such as the one you mentioned (安可治), is not uncommon. This discharge can be a result of the medication itself, as some suppositories may not fully dissolve and can leave behind residue. It's generally safe to clean the area gently, but you should avoid aggressive scrubbing, as this can irritate the sensitive vaginal tissues. If the itching is severe, it may be a sign of irritation or an allergic reaction to the medication, and you should consult your healthcare provider for advice.

Regarding your second episode of vaginitis, it’s crucial to understand that recurrent infections can occur for various reasons, including hormonal changes, antibiotic use, or underlying conditions such as diabetes or immune system issues. The "tofu-like" discharge you described is often associated with a yeast infection, which can be persistent and may require a more extended treatment course or a different medication.

When you mentioned that your doctor performed a cleaning and prescribed艾娣 (a common antifungal suppository), it’s essential to follow the prescribed regimen closely. The recommendation to use the suppository during specific times, such as before your menstrual cycle, is likely to maximize its effectiveness. The increase in discharge you observed could be due to the medication working to clear the infection, but if it continues to worsen or if you experience additional symptoms like increased itching, burning, or discomfort, you should return to your healthcare provider for further evaluation.

In terms of using a lactobacillus suppository after treatment, this can be beneficial. Lactobacillus helps to restore the natural flora of the vagina, which can be disrupted during an infection or after antibiotic treatment. However, it’s best to consult with your healthcare provider before starting any new treatment to ensure it’s appropriate for your specific situation.

Lastly, if you find that your symptoms persist despite treatment, it may be worthwhile to explore other underlying causes. Conditions such as bacterial vaginosis, sexually transmitted infections, or even skin conditions can mimic or complicate the presentation of vaginitis. A thorough examination and possibly additional testing may be necessary to rule out these possibilities.

In summary, while some discharge and irritation can be normal after using vaginal suppositories, persistent or worsening symptoms should prompt further investigation. Always communicate openly with your healthcare provider about your symptoms and treatment responses, as they can provide tailored advice and adjustments to your treatment plan as needed.

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