Vaginal Infections: Symptoms, Treatments, and Sexual Activity - Obstetrics and Gynecology

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Vaginitis


Doctor, I have a Candida vaginal infection.
At first, the doctor prescribed me a white suppository, and after using it, I experienced thick white discharge.
However, during my follow-up visit, there was no improvement, so the doctor switched me to a yellow suppository, and now my discharge has turned yellow and is very gritty.
Is this normal? Can I have sexual intercourse during the treatment period?

Ye, 20~29 year old female. Ask Date: 2015/07/08

Dr. Zhong Wenzhen reply Obstetrics and Gynecology


1.
Vaginal suppositories are antimicrobial agents used within the vagina, typically requiring a treatment course of several days.
Only the appropriate antibiotic formulation will yield significant results.

2.
The presence of a lot of discharge indicates that the antimicrobial process is still ongoing; it is advisable to continue using the suppositories for several applications (1-5 times) to complete the treatment course.

3.
If there are no significant symptoms such as redness, swelling, or congestion in the vagina, normal sexual activity is acceptable and will not affect the treatment process.
Wishing you health and safety.

Reply Date: 2015/07/08

More Info


Vaginal infections, particularly those caused by yeast (Candida), can lead to a variety of symptoms, including abnormal discharge, itching, and discomfort. The treatment for such infections often involves antifungal medications, which can come in various forms, including suppositories or oral medications.
In your case, it seems that you initially received a white suppository for treatment, which is commonly used for yeast infections. The white discharge you experienced could be a result of the medication itself, as antifungal treatments can sometimes cause changes in vaginal discharge. When your doctor switched you to a yellow suppository, the change in discharge to a yellow, chunky consistency may indicate a few things. It could be a normal reaction to the new medication, or it could suggest that the infection is not fully resolved or that there is another underlying issue.

It’s important to monitor your symptoms closely. If the discharge continues to change in color or consistency, or if you experience increased itching, burning, or any other discomfort, you should follow up with your healthcare provider. They may need to perform additional tests to rule out other infections, such as bacterial vaginosis or sexually transmitted infections (STIs), which can sometimes present with similar symptoms.

Regarding sexual activity during treatment, it is generally advised to avoid sexual intercourse while treating a vaginal infection. This is to prevent irritation and further complications, as well as to avoid potentially transmitting the infection to your partner. Additionally, if you are using antifungal suppositories, engaging in sexual activity may reduce the effectiveness of the treatment, as the medication may be expelled from the vagina during intercourse.

If you are in a committed relationship and your partner is asymptomatic, it is still wise to discuss the situation openly. You may want to consider using protection, such as condoms, to minimize the risk of transmission and irritation during treatment. Once your symptoms have resolved and your healthcare provider has confirmed that the infection is cleared, you can safely resume sexual activity.

In conclusion, while changes in discharge can be a normal part of treatment, it’s crucial to keep an open line of communication with your healthcare provider. They can provide guidance tailored to your specific situation, including whether further testing is needed and when it is safe to resume sexual activity. Always prioritize your health and comfort, and don’t hesitate to seek further medical advice if you have concerns about your symptoms or treatment.

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