Should I Continue Using Medication for My Gynecological Issues? - Obstetrics and Gynecology

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Should I continue applying the medication?


Hello: On September 24th of this year, I visited the gynecology department due to discomfort in the genital area, with symptoms including itching, frequent hair loss in the pubic area, a painful lump on the labia that appears and disappears, and yellow discharge from the genital area.
The doctor diagnosed me with a localized infection and prescribed the following medications: Wean tablets, Tetracycline, and Panadol, along with a topical ointment, Latyin (Tetracycline Ointment) 5g.
The doctor advised me to pay attention to the "swollen" area of the labia, and if the condition does not improve, a biopsy would be necessary.
At the time, I did not fully understand what illness I had, but I noticed that after applying the medication daily, the originally swollen and drooping labia gradually shrank, and the lump, which was the size of a small bean, also decreased.
I wonder if this indicates improvement in my condition? If I am feeling better, will continuing to apply the medication cause another issue? Should I finish the entire tube of ointment, or should I stop the medication if my condition improves? Additionally, I have experienced itching, frequent hair loss, and small red spots in the pubic hair area.
Should I consult a gynecologist or a dermatologist for this issue? Thank you for your response; I greatly appreciate it!

A Nai, 10~19 year old female. Ask Date: 2004/10/05

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: Based on your symptoms, it seems like folliculitis.
It may heal with anti-inflammatory medication and topical treatments, but it can recur.
You should continue the treatment until your physician advises you to stop.
Please consult Dr.
Cheng Jin-He at the Department of Obstetrics and Gynecology, Hsinchu Hospital, Department of Health.

Reply Date: 2004/10/05

More Info


When dealing with gynecological issues, it is crucial to follow your healthcare provider's recommendations closely. Based on the symptoms you've described—itching, hair loss in the pubic area, painful bumps on the labia, and yellow discharge—it seems you have been diagnosed with a localized infection. The medications prescribed to you, including Wean (likely an antifungal or antibiotic), Tetracycline (an antibiotic), Panadol (a pain reliever), and a topical ointment, are standard treatments for such infections.


Should You Continue Using the Medication?
1. Follow-Up on Improvement: Since you have noticed improvements, such as the reduction in swelling and the size of the bumps, it is a positive sign that the treatment is effective. However, it is essential to complete the full course of antibiotics or antifungals as prescribed, even if you feel better. Stopping medication prematurely can lead to a resurgence of the infection or contribute to antibiotic resistance.

2. Consult Your Doctor: If you are considering stopping the medication because of improvement, it is best to consult your healthcare provider first. They can assess your condition and determine whether it is safe to discontinue the medication or if you should complete the entire course. If the doctor advised you to monitor the swelling and bumps, it indicates that they want to ensure the infection is fully resolved before stopping treatment.

3. Potential Risks of Overuse: Using the ointment or any medication longer than necessary can sometimes lead to side effects or new issues, such as skin irritation or fungal overgrowth, especially if the medication alters the natural flora of the area. Therefore, it is crucial to balance the need for treatment with the risk of overuse.


Addressing the Hair Loss and Itching
Regarding the hair loss and itching in the pubic area, it would be advisable to consult a dermatologist. While gynecologists can address many issues related to the female reproductive system, dermatologists specialize in skin conditions, including those affecting the hair and scalp. They can provide a more targeted approach to diagnosing and treating skin-related issues, including potential infections, dermatitis, or other skin conditions that may be causing your symptoms.


Conclusion
In summary, continue using the medication as prescribed until you have consulted with your healthcare provider. They will guide you on whether to complete the treatment based on your current condition. Additionally, for the hair loss and itching, consider seeing a dermatologist for a thorough evaluation. Your health is paramount, and ensuring that you receive the appropriate care will help you achieve the best outcomes. Always prioritize clear communication with your healthcare providers to address any concerns or questions you may have about your treatment plan.

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