Fungi, Obstetrics and Gynecology FAQ

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Understanding Vaginal Bacterial Culture Results: Staphylococcus aureus and E. coli

Vaginal bacterial culture and identification test (including culture and identification of general bacteria, fungi, and protozoa, excluding acid-fast bacilli)? Hello Doctor: I have been experiencing some discomfort in my vagina, with minimal discharge. My gynecologist performed a...


Dr. Cao Guotao Reply:
Hello, it seems to be inflammation, which can be treated in obstetrics and gynecology. Wishing you good health.

[Read More] Understanding Vaginal Bacterial Culture Results: Staphylococcus aureus and E. coli


Can Pelvic Inflammatory Disease Cause Upper Abdominal Discomfort?

Can pelvic inflammatory disease cause upper abdominal discomfort? Hello Dr. Wu, I visited a gynecology clinic on November 16 due to urethritis and was prescribed a 10-day course of antibiotics. After finishing the medication on November 26, I felt fine, but starting November 29...


Dr. Wu Xianghui Reply:
1. Vaginal infections can cause abnormal discharge, itching, fever, bleeding, and lower abdominal pain, which are among the most common symptoms in women. The causes are numerous, and treatment should be accompanied by comprehensive health education. It is recommended to visit an...

[Read More] Can Pelvic Inflammatory Disease Cause Upper Abdominal Discomfort?


Could HPV and Fungal Test Results Vary Due to Doctor's Technique?

HPV and fungal sampling failure? Hello, doctor. I mainly want to ask if the results of HPV and fungal tests at the hospital could vary due to differences in the doctor's technique. At the end of 2018, I had my first HPV test, referred to a large hospital A by a trusted priva...


Dr. Wu Xianghui Reply:
There are several possible reasons, including: 1. Autoantibody production. 2. Insufficient sample collection or absence of HPV virus in the specimen. 3. Issues with the testing equipment, among others. It is recommended to consider switching to a different laboratory every other ...

[Read More] Could HPV and Fungal Test Results Vary Due to Doctor's Technique?


Managing Recurring Yeast Infections: Tips and Treatment Options

Mold issues I have been troubled by itching in my private area recently. Last Friday, I visited a nearby gynecologist, who diagnosed me with a fungal infection. I was prescribed a 3-day course of oral medication and a topical cream (triple-action). After finishing the medication ...


Dr. Huang Yiwen Reply:
Hello Ms. Sandy: If your symptoms do not improve, you should definitely consult your doctor again to determine whether to continue the medication or change the treatment approach. Vaginal infections caused by fungi are characterized by their tendency to recur, and the typical tre...

[Read More] Managing Recurring Yeast Infections: Tips and Treatment Options


Understanding Yellow Discharge After Oral Fluconazole for Vaginal Yeast Infection

Oral 150 mg fluconazole? Hello, doctor. After a consultation, I was diagnosed with vulvovaginal candidiasis. After completing the treatment with suppositories, my discharge was clear and normal. I then continued maintenance treatment with oral fluconazole 150 mg once a week. Howe...


Dr. Cao Guotao Reply:
Hello, oral fluconazole generally does not cause secretions that are slightly yellow; it may indicate inflammation. If you continue to feel unwell, it is advisable to consult a gynecologist. Wishing you good health.

[Read More] Understanding Yellow Discharge After Oral Fluconazole for Vaginal Yeast Infection


Understanding HPV and Genital Warts: My Journey Through Diagnosis and Treatment

Regarding the origin of cauliflower and normal HPV testing? I'm sorry to hear about your situation. It sounds quite distressing. You mentioned that you have been experiencing recurrent vaginal yeast infections and fungal infections, visiting the gynecologist almost every mon...


Dr. Huang Jianzhong Reply:
I previously experienced recurrent vaginal infections caused by Candida and fungi, almost having to visit the gynecologist every month. Yesterday, I felt itchy again and went to see a gynecologist. I also wanted to inquire about a small growth in the perineal area that seemed to ...

[Read More] Understanding HPV and Genital Warts: My Journey Through Diagnosis and Treatment


Understanding Treatment Options for Genital Warts: Laser vs. Photodynamic Therapy

Concerns regarding the treatment of cauliflower (cauliflower ear)? Hello Doctor, two weeks ago my girlfriend discovered warts near her anus and vulva. Due to the size and extent of the lesions, the doctor decided to use laser treatment as the first step, which was performed on th...


Dr. Huang Jianzhong Reply:
Treatment I. Destruction of the genital tract: 1. Surgical excision: Under local anesthesia, excision surgery can be performed for solitary lesions, especially for lesions with a broad base (>1 cm), large condylomas, or drug-resistant tumors. Pathological examination can also...

[Read More] Understanding Treatment Options for Genital Warts: Laser vs. Photodynamic Therapy


Understanding HPV Types: Can Other Strains Cause Warts?

Will it develop into cauliflower? Hello Dr. Huang, In December 2014, I discovered I had genital warts. In January 2015, I underwent HPV DNA testing, which identified type 11. After a year of treatment, by 2016, I had no visible warts. In November 2016 and May 2017, I had Pap sm...


Dr. Huang Jianzhong Reply:
Ans: The following is extracted from the Taiwan Society of Obstetrics and Gynecology newsletter. The most accurate information regarding external genital warts in women indicates that approximately 90% are caused by infections with human papillomavirus (HPV) types 6 and 11. These...

[Read More] Understanding HPV Types: Can Other Strains Cause Warts?


Post-Sexual Bleeding: When to See a Gynecologist?

Experiencing bleeding after each sexual intercourse? Good evening, I would like to ask about some embarrassing issues related to my health. 1) I always experience bleeding after sexual intercourse, even though the process is not vigorous and there is no foreplay. Should I see a...


Dr. Huang Jianzhong Reply:
1) Experiencing post-coital bleeding consistently, regardless of whether it is pre- or post-delivery (I just gave birth last November). The intercourse was not vigorous and there was no foreplay. Should I see a gynecologist? I feel a slight pain in that area and it is often infla...

[Read More] Post-Sexual Bleeding: When to See a Gynecologist?


Can Fungal Infections Lead to Pelvic Inflammatory Disease and Infertility?

Can a fungal infection lead to pelvic inflammatory disease? What is the recurrence rate of chocolate cysts? Doctor: Hello, I would like to ask about my long-term recurrent vaginal yeast infections that have been happening for two years! On average, it occurs once a month. Each ti...


Dr. Huang Jianzhong Reply:
1. I have been experiencing recurrent vaginal yeast infections for two years! On average, it occurs once a month. Each time I have inflammation, I go to the gynecologist for an examination, and the doctor prescribes a week of oral antibiotics, suppositories, and ointments. Usuall...

[Read More] Can Fungal Infections Lead to Pelvic Inflammatory Disease and Infertility?


Understanding Pain During Vaginal Suppository Use for Yeast Infections

Vaginal suppositories for vaginitis? Hello, doctor. A few days ago, I visited the gynecology clinic due to itching and pain in the vagina. I'm not sure if a suppository was inserted during the examination, but I experienced severe pain during the consultation afterward. It w...


Dr. Tian Yiwen Reply:
It is possible that due to individual differences in constitution, this medication may cause a stronger irritation to your vaginal skin. If the pain persists, it is advisable to return to your original physician's office to see if a medication adjustment is necessary.

[Read More] Understanding Pain During Vaginal Suppository Use for Yeast Infections


Understanding Persistent Vaginitis: Causes, Treatments, and Solutions

Recalcitrant Vaginitis Hello Doctor: I have been undergoing treatment for vaginitis for seven years. I only stop taking medication when instructed by my doctor and have never stopped on my own. However, after treatment, I typically have no discharge for two to three days, and the...


Dr. Li Yueyuan Reply:
Hello: Recurrent vaginal infections are not uncommon. If you have been treated multiple times, you should consider testing for Chlamydia. If the result is positive, your sexual partner should also be treated. Li Yueyuan

[Read More] Understanding Persistent Vaginitis: Causes, Treatments, and Solutions


Recurring Vaginal Yeast Infections: Causes and Solutions

Recurrent fungal infections Hello, I have been suffering from vaginal yeast infections for a long time. Every time after intercourse, I definitely get infected, even though we always use condoms. After intercourse, the infection recurs, along with a urinary tract infection. I tak...


Dr. Lü Lizheng Reply:
There are several possible reasons for this issue. Please check the following: 1. Excessive washing can lead to recurrence, so please reduce the frequency and extent of cleaning; only wash the external genital area and avoid deep cleaning. 2. There may be drug-resistant fungi p...

[Read More] Recurring Vaginal Yeast Infections: Causes and Solutions


Understanding Recurrent Vaginal Candidiasis: Causes, Treatments, and Prevention

Candidal vaginitis Hello Dr. Chang, I had sexual intercourse with my boyfriend in early June last year, after which I developed a urinary tract infection and a vaginal yeast infection. After receiving treatment and using suppositories, I recovered. However, after having sexual i...


Dr. Zhang Kunmin Reply:
Hello, here are the responses to your questions: 1. Approximately 3-7 days. 2. It is suppressed because there are often symbiotic fungi present in the environment and on the surface of the human body. 3. It is not very common, but it tends to recur more frequently. 4. In Asia, it...

[Read More] Understanding Recurrent Vaginal Candidiasis: Causes, Treatments, and Prevention


Understanding Yellow-Green Discharge: Causes, Treatments, and Concerns

Yellow-green discharge This issue with abnormal discharge has actually been ongoing for a long time. For about seven months, I have seen many doctors, each treatment lasting about two weeks, but there has been no improvement, so I switched doctors. Some said it was a bacterial in...


Dr. Lü Lizheng Reply:
The persistent vaginal inflammation may have the following possible causes: 1. It could be a fungal infection; however, there is already resistance to the current antifungal medication, necessitating the use of second-line drugs. 2. There may be more than one infection present, p...

[Read More] Understanding Yellow-Green Discharge: Causes, Treatments, and Concerns


Understanding Recurrent Yeast Infections After Safe Sex Practices

Fungal infection Hello Doctor: Previously, during sexual intercourse with my girlfriend, we always used condoms throughout and showered beforehand. However, due to her excessive washing of the vaginal area, she developed a yeast infection. She visited a gynecologist who prescribe...


Dr. Lü Lizheng Reply:
1. It is likely not an issue with condoms, nor is it related to any specific disease. 2. There are many possible reasons; here are some possibilities for reference: (1) Being overly hygienic and excessive cleaning, especially if rinsing inside the vagina, may wash away natural d...

[Read More] Understanding Recurrent Yeast Infections After Safe Sex Practices


Understanding Bartholin Gland Inflammation: Symptoms, Treatment, and Recovery

Bartholin's gland swelling or inflammation? Hello, after my menstrual period, I went to soak in a hot spring. A couple of days later, I started to feel some discomfort in my genital area—it's not painful or itchy, and there are no discharge, but when I saw a doctor, the...


Dr. Lü Lizheng Reply:
The response suggests that there may be localized subcutaneous tissue inflammation. A thorough examination is necessary to determine the cause of the inflammation. Possible reasons for lack of improvement include the presence of multiple bacterial strains, which may require treat...

[Read More] Understanding Bartholin Gland Inflammation: Symptoms, Treatment, and Recovery


Understanding Abnormal Discharge: Causes and Concerns in Women's Health

Abnormal secretion? In recent days, the discharge has been yellow-green and has an unpleasant odor, but there is no itching. I usually use panty liners. I had a fungal infection previously but completed the medication as directed by my doctor. I have had sexual intercourse; could...


Dr. Lü Lizheng Reply:
The response indicates that it may not be a fungal infection, but rather a bacterial infection, and the treatment medications differ. Please discuss the possibility of a bacterial infection with your physician and undergo treatment. It is recommended to minimize the use of panty ...

[Read More] Understanding Abnormal Discharge: Causes and Concerns in Women's Health


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 simp...


Dr. Lü Lizheng Reply:
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 inflammati...

[Read More] Persistent Symptoms After Ozone Treatment: Possible Causes and Concerns


Pain Near the Perineum After Sexual Activity: Possible Causes and Solutions

Pain near the lower end of the labia minora close to the perineal area? Two days ago, I had sexual intercourse, and now I feel a slight pain in the area just above the anus, approximately at the perineum. It feels like it's part of the labia, and the discharge is normal in c...


Dr. Lü Lizheng Reply:
The pain in the genital area is likely due to localized inflammation. To determine the specific type of inflammation, it is best to seek medical attention for confirmation. Mupirocin is a comprehensive ointment that contains anti-inflammatory, antibiotic, and antifungal component...

[Read More] Pain Near the Perineum After Sexual Activity: Possible Causes and Solutions


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