Vaginal Infections: Treatment Options and Sexual Health - Obstetrics and Gynecology

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Gynecological issues


Since August 2021, I have been experiencing recurrent vaginal infections and inflammation.
Recently, there has been less discharge, and I thought I had recovered, but after sexual intercourse, I noticed yellowish streaks in my discharge.
I would like to ask the doctor if this situation can only be improved with suppositories? (I have gastroesophageal reflux disease, and taking antibiotics is harmful to my body and hasn't shown much improvement, so I haven't used that method.) Does this mean I should avoid sexual intercourse? Which type of probiotics would be most effective? Thank you for your help, doctor.

Xiao He, 20~29 year old female. Ask Date: 2021/12/19

Dr. Wu Xianghui reply Obstetrics and Gynecology


1.
"Vaginal infections" can cause abnormal discharge, perineal itching, odor, burning sensation during urination, frequent urination, and bleeding.
More severe cases may present with abdominal pain or fever.
"Treatment methods" vary depending on the symptoms and require proper health education; it is recommended to consult a gynecologist for examination and evaluation.
2.
It is advisable to use condoms to reduce the likelihood of vaginitis.
3.
Probiotics are not medications and do not have specific therapeutic effects.

Reply Date: 2021/12/19

More Info


Vaginal infections can be a recurring issue for many women, and understanding the treatment options and implications for sexual health is crucial. Based on your description, it seems that you have been experiencing recurrent vaginal infections since August 2021, and although the discharge has decreased, you are now noticing yellow streaks of blood after sexual intercourse. This situation raises several important considerations regarding treatment and sexual activity.

Firstly, it is essential to identify the underlying cause of your vaginal infections. Common causes include bacterial vaginosis, yeast infections, and sexually transmitted infections (STIs) such as chlamydia or gonorrhea. Each of these conditions requires different treatment approaches. If you have not already done so, I recommend consulting with a healthcare provider for a thorough evaluation, including a pelvic exam and possibly laboratory tests to determine the specific type of infection.

Regarding your question about treatment options, if you are hesitant to use oral antibiotics due to your gastroesophageal reflux disease (GERD), there are alternative treatments available. Vaginal suppositories or creams can be effective for certain types of infections, such as yeast infections or bacterial vaginosis. However, if the infection is due to an STI, oral antibiotics may be necessary, and it is crucial to follow your healthcare provider's recommendations.

As for the presence of yellow blood-tinged discharge after sexual intercourse, this could indicate several things. It may be a sign of irritation or inflammation in the vaginal or cervical area, possibly due to an infection or even trauma during intercourse. It is advisable to refrain from sexual activity until you have consulted with a healthcare provider to avoid exacerbating any potential infection or irritation.

In terms of probiotics, they can be beneficial for maintaining vaginal health and preventing recurrent infections. Look for probiotics that specifically contain Lactobacillus strains, as these are known to support a healthy vaginal microbiome. However, it's important to note that while probiotics can help, they should not replace medical treatment for an active infection.

In summary, here are some key points to consider:
1. Consult a Healthcare Provider: It is crucial to get a proper diagnosis for your recurrent vaginal infections. A healthcare provider can perform tests to identify the specific cause and recommend appropriate treatment.

2. Treatment Options: If you are concerned about taking oral antibiotics, discuss alternative treatments such as vaginal suppositories with your healthcare provider. They can help determine the best course of action based on your specific situation.

3. Refrain from Sexual Activity: Until you have been evaluated and treated, it is advisable to avoid sexual intercourse to prevent further irritation or potential transmission of an infection.

4. Probiotics: Consider incorporating probiotics into your routine, focusing on those with Lactobacillus strains, to help support vaginal health.

5. Monitor Symptoms: Keep track of any changes in your symptoms, and do not hesitate to reach out to your healthcare provider if you notice any worsening or new symptoms.

By taking these steps, you can better manage your vaginal health and reduce the risk of recurrent infections. Remember, open communication with your healthcare provider is key to finding the most effective treatment for your situation.

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