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Jane ER again
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smjpain posted:
JaneThanks for your Reply! had to go to the ER last night the Doctor was the Head of the ER. He did a pelvic exam and told me I still have a yeast infection and that I was severly swollen and red he told me to call my GYN right away in the morning I tryed to get ahold of them all day and his nurse never called me last night they also gave me diflucan one dose. I also did get ahold of my GYN's nurse before going to the ER and she said I would have to come and see him on friday so he could see what's going on and the MRSA and other cultures were negative so she didn't know why I was still having discharge.
1 Replies |Watch This Discussion | Report This| Share this:Jane ER againJaneThanks for your Reply!<i> had to go to the ER last night the Doctor was the Head of the ER. He did a pelvic exam and told me I still have a yeast infection and that I was severly swollen and red he told me to call my GYN right away in the morning I tryed to get ahold of them all day and his nurse never called me last night they also gave me diflucan one dose. I also did get ahold of my GYN's nurse before going to the ER and she said I would have to come and see him on friday so he could see what's going on and the MRSA and other cultures were negative so she didn't know why I was still having discharge.</i>
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Jane Harrison Hohner, RN, RNP responded:
Dear smjpain: SO glad that the vaginal cultures were negative--especially for the MRSA. From what you have shared it sounds like you have had chronic and intractable yeast infections.

Frequent/recurrent yeast infections that do not respond to any of the prescribed treatments suggest a couple of POSSIBILITIES. First that yeast is not the culprit, or second that it is one of the atypical subtypes of yeast ("candida"). The easiest way to help unravel this question is to have the GYN do a yeast CULTURE the next time you have symptoms. If the culture is negative then yeast is not the cause.

If the yeast culture is positive, then the lab can identify which of the yeast subtypes may be the villain. Most yeast medications are developed for candida albicans --about 80% of yeast infections are due to this. The other 20% or so are uncommon subtypes (eg candid glabrata). To treat the less common subtypes clinicians may try boric acid vaginally or even painting with a gentian violet (very messy!).

If these are truly recurrent candida albicans you might again need repeat or prolonged treatments. A blood sugar or hemoglobin A 1C test can be considered to rule out diabetes. You mentioned you are a virgin. If you have ever had someone give you oral sex (or you use saliva for masturbation) you may be getting exposure to yeast. Yeast is present in the gut from the mouth to the rectum.

Yours,
Jane
Report This| Share this:Jane ER againDear smjpain: SO glad that the vaginal cultures were negative--especially for the MRSA. From what you have shared it sounds like you have had chronic and intractable yeast infections.<br /><br />Frequent/recurrent yeast infections that do not respond to any of the prescribed treatments suggest a couple of POSSIBILITIES. First that yeast is not the culprit, or second that it is one of the atypical subtypes of yeast ("candida"). The easiest way to help unravel this question is to have the GYN do a yeast CULTURE the next time you have symptoms. If the culture is negative then yeast is not the cause.<br /><br />If the yeast culture is positive, then the lab can identify which of the yeast subtypes may be the villain. Most yeast medications are developed for candida albicans --about 80% of yeast infections are due to this. The other 20% or so are uncommon subtypes (eg candid glabrata). To treat the less common subtypes clinicians may try boric acid vaginally or even painting with a gentian violet (very messy!).<br /><br />If these are truly recurrent candida albicans you might again need repeat or prolonged treatments. A blood sugar or hemoglobin A 1C test can be considered to rule out diabetes. You mentioned you are a virgin. If you have ever had someone give you oral sex (or you use saliva for masturbation) you may be getting exposure to yeast. Yeast is present in the gut from the mouth to the rectum.<br /><br />Yours,<br />Jane
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