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Vaginal Discharge


Yesheen (dr.) Singh Medical Doctor View profile

Dear K



Thank you for your question. Often we find the act of breast feeding will change the menstrual cycle, acting as a form of natural contraceptive. But in your case more than 9 months has passed between the cessation of breast feeding and the onset of your current symptoms so I don't think there is any relationship.



What you describe sounds most likely like a vaginal infection, most likely candidiasis. I would advise seeking professional help to confirm diagnosis and formulate both pharmaceutical and natural otions for treatment. You are welcome to contact me individually at www.healthnation.co.za for an appointment.



Many thanks and warm regards

Yesheen Singh

HealthNation

Yesheen (dr.) Singh Medical Doctor View profile

Dear N



Thank you for your question. It often takes up to a year for your body to get back to a normal regular cycle after the complete cessation of all forms of synthetic contraceptives. As such I think it is too early to draw any conclusions from the changes in the onset/duration of your cycle.



However the discharge you describe is not normal. From what you describe it sounds more like a candida infection more than any other form of vaginal discharge. You can confirm this by testing via a culture of the fluid. Any GP will be able to arrange this.



If it is indeed candida you have two options available:



1. A pharmaceutical approach that is supposed to kill the fungus (although today we are seeing a lot of drug resistance so I would ask the GP doing the culture to ask for a drug sensitivity before you begin the drug).

2. A wholistic approach using plant-based compounds that are as effective as the pharmaceutical but without the side effects. Examples here include products including grapefruit seed extract, berberine and garlic extracts. But as above I would wait to confirm the candida diagnosis before beginning treatment.



With either of these options I would also recommend high doses of a fridge-stored probiotic, at least 10 billion organisms per day.



I would also recommend looking at the rest of your body to look for symptoms of candida presence. Usually the vaginal discharge is the tip of the iceberg. If there are other symptoms then consider a good cleanse or detox program combined with immune-boosting supplements to enhance your immune system. Candida is a normal part of our flora but only becomes problematic when the immune system is compromised and the balance between healthy flora and unhealthy fungi like candida changes.



You are welcome to contact me via www.healthnation.co.za for a more personalised program.



Many thanks and warm regards

Yesheen Singh

Angela Lombard Nursing Practitioner View profile

Dear M

I sincerely apologise for the delay. Some of us have been on sabatical.

It would be a good decision to have a rest from the 3 month (12 week) contraceptive injection, as you have been on it for almost 3 years (you do not give exact dates). You should consider detoxifying for at least 6 months due to the length of time you were taking Depo-Provera, or perhaps you were on the generic alternative which is Petogen. The same applies.

It is normal not to experience a period when on the contraceptive injection after a lengthly time span. However, the 'funny smell' you describe should be checked out. I suggest that you have an annual cervical smear (pap smear) so as to diagnose any possible infection in the vaginal area. An appointment can be made with your gynaecologist, or alternatively with our Kloof Clinic in Cape Town for a cervical smear to be done.

Kind regards

Angela

Angela Lombard Nursing Practitioner View profile

Dear R

Thank you for your new question. Your signs and symptoms indicate that you need to have a Pap smear (cervical smear) done so as to rule out a vaginal infection. I suggest that you have a urinalysis done as well, so to check for a urinary tract infection.

You are welcome to make an appointment with the Kloof Clinic on telephone number 021-4875435, or 4875420 between the hours of 09h30 - 16h00, Monday to Friday (excluding public holidays). Alternatively, you could see your GP or gynaecologist.

Kind regards

Angela

Angela Lombard Nursing Practitioner View profile

Dear P

I suggest that you contact your medical doctor for an appointment as from the description given of the odor you will probably require a pharmaceutical antibiotic due to a possible vaginal and or urinary tract infection. The sooner this is resolved for you the better for your health.

Please make this responsible appointment soon.

Warm regards

Angela

Angela Lombard Nursing Practitioner View profile

Dear A

Thank you for your query. I suggest that you make an appointment to see your medical doctor as I suspect an infection. Your doctor may suggest doing diagnostic tests, inclusive of a cervical smear. Depending on your results, an antibiotic may be prescribed. The causes could be one of an assortment of reasons, e.g. a vaginal infection, bad eating habits, not drinking sufficient water, even using a harsh soap with a high pH level.

Warm regards

Angela


Sean (dr.) Gomes Medical Doctor View profile

Your doctor is treating you for a suspected Candida infection. This can be more prevalent in pregnancy and can be one of the reasons for the recurrence. It could also be that you have a stain that is more resistant. The other cause could also be reinfection by your partner.As the treatment has not worked a second time now, I would recommend you visit your doctor again. It may be necessary that he tries a different medication (such as a oral medication) to treat both you and your partner. Kind regards Dr Sean Gomes

Sean (dr.) Gomes Medical Doctor View profile

From the sounds of the medication that you have described it sounds as though your doctor may be treating a Candida yeast infection (otherwise known as thrush). This normally responds well to this treatment, but you will need to finish the course of treatment. In the meantime, I would recommend that you abstain from intercourse. There is also the possibility that your partner may also have the infection and not know about it. In cases where regular re-infection occurs it may be necessary for both you and your partner to take oral medication. I would recommend that you finish the course of treatment and if it has still not passes that you visit your gynae or GP again. Regards Dr Sean Gomes

Sean (dr.) Gomes Medical Doctor View profile

It is not uncommon for women to often have some form of discharge. This can either be pathological (infective) or physiological (related to normal hormonal cycle). This can be associated with ovulation. Typically, odorous discharge is indicative of a infection or an imbalance in the natural bacteria that inhabit the vagina. An infection could either be bacterial or fungal. You are practising the correct measures by wearing cotton underwear and no longer using soaps. As you have not changed your contraception recently, I would recommend that you do visit your doctor for a check-up. They will be able to do some simple swabs which will help exclude any form of infection that may need treatment.

Kind regards

Dr Sean Gomes

Sean (dr.) Gomes Medical Doctor View profile

Yellow sclera (the whites of your eyes), could indicate that you are suffering from jaundice. This is difficult to tell without examining you and performing some basic blood tests. To rule this out I would recommend that you see your doctor to perform a Full Blood Count and Liver Function tests, which will be able to exclude this. It could be a result of other factors as well, but it is difficult to tell without ruling this out first. Take care and hope you feel your usual self soon. Kind regards Dr Sean Gomes

Angela Lombard Nursing Practitioner View profile

The Clomid tablet is a fertility drug prescribed by a medical doctor for a patient who has had a problem conceiving and would like to do so. Abdominal discomfort is a side effect of taking Clomid. What does your mucus discharge look like, i.e. colour, consistency and odour? Should the mucus have an unpleasant odour you would need to contact your doctor. Your hormonal cycle will be upset as a result of the increase of hormones in your systems due to taking this fertility medication. I suggest you contact your doctor again should you continue to be concerned. Kind regards, Angela, Nursing Practitioner.

Angela Lombard Nursing Practitioner View profile

This does seem to be a possible vaginal infection. I suggest that you definitely make an appointment to visit one of our Well Clinics. Two procedural diagnostic tests should be done for you with the signs and symptoms you are experiencing. A pap smear will determine a vaginal infection and the probable organism causing the infection. Then the correct antibiotic and any other medication required can be prescribed for you where necessary. A direct referral can be made to a medical doctor/specialist should a heavily scheduled antibiotic be recommended by a pathology laboratory, once the pap smear results have been received by our clinic. I also recommend a urinalysis so as to out rule a urinary tract infection as well. Please attend to this problem soon. Kind regards, Angela, Nursing Practitioner.

Angela Lombard Nursing Practitioner View profile

First of all, the Nordette contraceptive pill will not have caused your ‘white thick sticky discharge’, nor the constant sensation of being ‘wet’. You most definitely do need to visit one of our Well Clinics for a consultation and have a urinalysis done from a urine specimen, and at the same appointment request a pap smear. Please ask for a time allocation of an hour for this appointment. The urine specimen can be tested in the clinic to determine if there is a urine infection which could be the cause of you urinary frequency. The pap smear would be sent to a pathology laboratory for analysis to determine any infection and cell changes of the cervix. These procedures are both diagnostic and would determine the extent of your problem and if medication is required to relieve the above mentioned signs and symptoms. You should be able to continue with Nordette, and I suggest that you keep taking it in the meantime. Alternatively, you can visit your general practitioner or gynaecologist. Kind regards, Angela, Nursing Practitioner.

Sean (dr.) Gomes Medical Doctor View profile

The use of Vagifem could predispose you to a yeast infection such as Candida. This can be treated with an antifungal such as Canisten. A fish like odour cold also be typical of a bacterial infection such as Bacterial Vaginosis. This would require an antibiotic. It would be best to see you doctor for an examination and swabs so as to make an accurate diagnosis and to treat accordingly. Regards Dr Sean Gomes MD


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