Persistent Vaginal Odor and Discomfort: Exploring Causes and Treatments

Q: Persistent Vaginal Odor and Discomfort: Exploring Causes and Treatments

Hello, the questioner： Mycoplasma hominis may be a causative agent of pelvic inflammatory disease in women, but there is no evidence to suggest that Ureaplasma urealyticum has a similar effect. <br>It is recommended to consult a physician to check for other types of mycoplasma in

Vaginal odor and itching, with yellowish discharge, have not improved after three months of treatment?

Hello Doctor, I have been experiencing related issues for three months, and they remain the same.
Since July 6 of this year, I have had seven days of abnormal vaginal bleeding.
I later learned that my boyfriend frequently visited sex workers and had sexual relations with others while we were together, so I am concerned about sexually transmitted infections (STIs).
During this period, I visited multiple clinics and hospitals.
Initially, I was diagnosed with a yeast infection, bacterial infection, and trichomoniasis.
However, during a pelvic examination, the clinic doctor stated that no abnormalities were observed, but there was still an odor, and I was advised to go to a larger hospital for further testing.
At the larger hospital, tests for gonorrhea and chlamydia came back negative.
Both vaginal and abdominal ultrasounds were normal, and blood tests for FSH, LH, CRP, RPR, WBC, RBC, PLT, TSH, and HCT were all normal.
Recently, the results of a pelvic examination indicated no issues (but I still have an odor and severe itching).
In the last pelvic exam, STIs were ruled out, and I was prescribed a suppository (policresulen) to use every five days, with the doctor suggesting that the main issue is dietary, advising me to avoid spicy foods.
Recently, I tested positive for "Ureaplasma urealyticum" at a testing facility.
Is the vaginal infection related to Ureaplasma urealyticum? Does it require specific treatment, or can it resolve on its own without treatment? I have heard that there are very few clinics that offer treatment for this organism.
Which clinics provide medication for this infection? Is it possible for vaginal inflammation to last this long? Could there be other underlying causes? Thank you.

Niming, 20~29 year old female. Ask Date: 2023/07/17

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the questioner: Mycoplasma hominis may be a causative agent of pelvic inflammatory disease in women, but there is no evidence to suggest that Ureaplasma urealyticum has a similar effect.
It is recommended to consult a physician to check for other types of mycoplasma infections to assess whether treatment is necessary.
Thank you! Wishing you safety and health.
Dr.
Chang

Reply Date: 2023/07/17

More Info

Persistent vaginal odor and discomfort can be distressing and may indicate an underlying issue that requires attention. Based on the symptoms you've described, including abnormal discharge, persistent odor, and discomfort, it is essential to consider several potential causes and treatment options.

Firstly, the presence of a persistent odor and discomfort can be indicative of various infections, including bacterial vaginosis (BV), yeast infections, or sexually transmitted infections (STIs) such as trichomoniasis. Your previous diagnoses of fungal and bacterial infections, along with trichomoniasis, suggest that these are possibilities. However, the fact that subsequent tests have ruled out STIs and other infections is a positive sign, yet it does not eliminate the possibility of other conditions.

The mention of "ureaplasma" or "ureaplasma urealyticum" is particularly noteworthy. Ureaplasma is a type of bacteria that can inhabit the urogenital tract and is often associated with various symptoms, including abnormal discharge and discomfort. While ureaplasma infections can sometimes be asymptomatic, they can also lead to complications if left untreated, particularly in women. Treatment typically involves antibiotics, and it is crucial to consult a healthcare provider who is familiar with this type of infection.

In your case, since you have been experiencing symptoms for an extended period, it is advisable to seek further evaluation from a specialist, such as a gynecologist or an infectious disease expert. They can provide a more comprehensive assessment and may recommend specific tests to identify any underlying issues that have not yet been addressed.

Regarding the treatment of ureaplasma, it is essential to note that not all healthcare providers may be familiar with this organism, and treatment options may vary. Some antibiotics that are effective against ureaplasma include doxycycline and azithromycin. It is crucial to discuss your concerns with your healthcare provider, who can prescribe the appropriate medication based on your specific situation.

In addition to infections, other factors may contribute to persistent vaginal odor and discomfort. These can include hormonal changes, particularly if you have recently experienced abnormal bleeding, as hormonal fluctuations can affect the vaginal flora and lead to imbalances. Stress, diet, and hygiene practices can also play a role in vaginal health. For instance, avoiding irritants such as scented soaps, douches, and tight-fitting clothing can help maintain a healthy vaginal environment.

Dietary changes, as suggested by your healthcare provider, may also be beneficial. A balanced diet that includes probiotics can help restore the natural flora of the vagina. Foods rich in probiotics, such as yogurt, kefir, and fermented vegetables, can support vaginal health.

Lastly, it is essential to maintain open communication with your partner regarding sexual health, especially considering your concerns about potential exposure to STIs. Using protection during sexual activity can help reduce the risk of infections and promote overall sexual health.

In summary, persistent vaginal odor and discomfort can arise from various causes, including infections, hormonal changes, and lifestyle factors. It is crucial to seek further evaluation from a healthcare provider who can offer targeted treatment options. Addressing any underlying infections, maintaining good hygiene practices, and considering dietary changes can all contribute to improving your symptoms. If ureaplasma is confirmed, appropriate antibiotic treatment should be initiated. Always prioritize your health and well-being, and do not hesitate to seek a second opinion if you feel your concerns are not being adequately addressed.

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