Bleeding After Candida Infection Treatment: What to Do? - Obstetrics and Gynecology

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Candidiasis with bleeding?


I saw the doctor on Monday, and they prescribed me a suppository.
On the third night, I suddenly experienced bleeding, and there was no bleeding in the previous two days.
I noticed the bleeding when I was about to insert the medication, and the amount was similar to a menstrual period.
Should I stop using the suppository? Is the bleeding normal? (I didn't insert it very far because I couldn't.)

Nu Hai, 20~29 year old female. Ask Date: 2022/09/29

Dr. Lin Manying reply Obstetrics and Gynecology


Girl: Hello, if the bleeding lasts longer than your menstrual period, it is advisable to stop.
Typically, using a suppository should not cause significant bleeding, at most just a small amount.
It is recommended to return for a check-up to determine if there are any menstrual irregularities or cervical issues.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2022/09/29

More Info


Bleeding after treatment for a Candida infection can be concerning, especially when it occurs suddenly after using a suppository. It’s important to approach this situation with caution and to understand the potential causes and necessary actions.

First, it’s essential to recognize that while some bleeding can occur with the use of vaginal suppositories, especially if there is irritation or if the suppository is not inserted properly, significant or unexpected bleeding should not be ignored. The fact that you experienced bleeding on the third day of using the suppository, especially if it resembles menstrual flow, warrants further evaluation.

Here are some considerations regarding your situation:
1. Possible Causes of Bleeding:
- Irritation or Trauma: If the suppository was not inserted properly, it could have caused irritation or minor trauma to the vaginal walls, leading to bleeding.

- Infection: If there was an underlying infection or inflammation, the treatment could have caused the tissue to become more sensitive, resulting in bleeding.

- Hormonal Changes: If you are near your menstrual cycle, hormonal fluctuations can also lead to unexpected bleeding.

- Other Medical Conditions: Conditions such as polyps, fibroids, or other abnormalities could also cause bleeding and should be ruled out.

2. What to Do Next:
- Stop Using the Suppository: Given that you are experiencing significant bleeding, it is advisable to stop using the suppository until you have consulted with your healthcare provider. Continuing to use it may exacerbate any irritation or underlying issues.

- Monitor Symptoms: Keep track of any additional symptoms, such as pain, increased bleeding, or any unusual discharge. This information will be helpful for your healthcare provider.

- Consult Your Doctor: It is crucial to reach out to your healthcare provider as soon as possible. They may want to perform an examination to determine the cause of the bleeding and ensure that there are no complications from the treatment.

3. When to Seek Immediate Care:
- If you experience heavy bleeding (soaking through a pad in an hour), severe pain, or any signs of infection (such as fever or foul-smelling discharge), seek immediate medical attention.

4. Follow-Up Care:
- Once you consult with your healthcare provider, they may recommend alternative treatments for the Candida infection or provide additional instructions based on the findings from your examination.

In summary, while some bleeding can occur with the use of vaginal suppositories, significant or unexpected bleeding should be evaluated by a healthcare professional. It is best to stop using the suppository and consult your doctor to ensure that there are no underlying issues that need to be addressed. Your health and safety are paramount, and timely medical advice is essential in managing your symptoms effectively.

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