Persistent Symptoms After Ozone Treatment: Possible Causes and Concerns

After taking ozole, the symptoms did not improve, and there are brownish secretions mixed with blood clots?

Hello, I am currently studying abroad.
I had an episode of thrush around June 2, which was treated with medication prescribed by a local doctor (fluconazole 150 mg and simplotan 500 mg), and everything was fine afterward.
However, I have been experiencing some mild symptoms for the past two to three months (a foul-smelling discharge with some yellowish clumps sticking to the vaginal walls).
I went to the pharmacy and obtained over-the-counter (azole 150 mg) medication three times; each time, my symptoms improved after three days of use.
The most recent treatment was six days ago, and I felt the symptoms had lessened.
However, after having sexual intercourse two days ago, I experienced immediate lower abdominal pain (similar to menstrual cramps) and diarrhea.
The next day, I noticed some discharge resembling menstrual blood (even though my period is not due for another five days).
I use a menstrual cup, and when I removed it, I found that most of the contents were light brown liquid (with an odor) and some small blood clots, which did not resemble what my menstrual period typically looks like (approximately 8 ml over 12 hours).
The doctors here seem indifferent to patients (they only focus on the screen throughout the consultation), and medical expenses are very high, making it difficult to seek care.
I would like to know what possible issues I might be facing.
Could it be that it has never been thrush?

Mei, 20~29 year old female. Ask Date: 2015/09/26

Dr. Lü Lizheng reply Obstetrics and Gynecology

Indeed, you have a fungal (Candida) infection, and treatment with fluconazole 150 mg is effective; however, it has recurred after a few days.
If there is an unusual odor to the discharge and you are experiencing lower abdominal pain, it is important to consider uterine inflammation or pelvic inflammatory disease as a priority.
It is recommended to seek medical evaluation for confirmation and treatment.
If it is indeed uterine inflammation or pelvic inflammatory disease, azole medications are only effective against fungi (Candida) and will not be effective for uterine or pelvic inflammatory disease, which requires different antibiotics for treatment.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/09/26

More Info

Based on your description, it seems you are experiencing a complex set of symptoms following a history of thrush (candidiasis) and subsequent treatments. The symptoms you are currently experiencing, including foul-smelling discharge, yellowish clumps, abdominal pain after sexual intercourse, and unusual menstrual-like bleeding, suggest that there may be more than just a simple recurrence of thrush at play.

Firstly, it's important to note that while fluconazole is effective for treating candidiasis, recurrent or persistent symptoms after treatment can indicate several possibilities. One potential cause could be a persistent yeast infection that has not fully resolved, which can happen if the initial treatment was not sufficient or if there is an underlying condition that predisposes you to recurrent infections, such as diabetes or a weakened immune system.

Another possibility is that the symptoms you are experiencing could be due to a bacterial vaginosis (BV) or a sexually transmitted infection (STI). BV is characterized by an imbalance of normal bacteria in the vagina and can lead to a foul-smelling discharge. STIs, such as chlamydia or gonorrhea, can also present with similar symptoms and may require different treatment approaches.

The abdominal pain you experienced after sexual intercourse could also indicate pelvic inflammatory disease (PID), which is an infection of the reproductive organs that can occur if an STI is left untreated. PID can cause significant discomfort and may lead to complications if not addressed promptly.

The presence of brownish discharge with a foul odor and slight blood clots is concerning, especially if it does not resemble your typical menstrual flow. This could indicate several issues, including hormonal imbalances, remnants of an infection, or even potential complications such as endometriosis or fibroids, which can cause abnormal bleeding.

Given the complexity of your symptoms and the limitations you are facing with healthcare access, it is crucial to seek medical attention as soon as possible. While I understand that healthcare costs can be prohibitive, it is essential to prioritize your health. If possible, consider seeking care from a different healthcare provider who may be more attentive to your concerns. You might also explore community health clinics or telehealth options that could provide more affordable care.

In the meantime, here are some steps you can take:
1. Maintain Hygiene: Keep the genital area clean and dry. Avoid using scented products that can irritate the area.

2. Track Symptoms: Keep a detailed record of your symptoms, including the timing, nature of the discharge, any associated pain, and any other changes. This information can be valuable for healthcare providers.

3. Avoid Irritants: Refrain from using douches or other vaginal products that can disrupt the natural flora of the vagina.

4. Consider Probiotics: Some studies suggest that probiotics may help restore the natural balance of bacteria in the vagina, potentially reducing the risk of infections.

5. Seek Medical Attention: If symptoms persist or worsen, it is crucial to consult a healthcare professional for a thorough evaluation, including possible laboratory tests to identify the underlying cause of your symptoms.

In conclusion, while your symptoms may initially seem related to thrush, the persistence and nature of your symptoms suggest that further investigation is warranted. It is essential to address these concerns with a healthcare provider who can provide a comprehensive evaluation and appropriate treatment.

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