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Bacterial vaginitis

Bacterial vaginitis

Question:

- I was diagnosed in May with bacterial vaginitis, I did treatment but it seems I feel the same. From what I read on the net between Calmydia and bacterial vaginitis there is not much difference, I mean the symptoms. I have pain at sexual contact and bleeding after several acts, as well as a bleeding before mediation for a week. I did Pap test, came out 2 and bleeding treatment before the cycle with Duphaston. Is the diagnosis wrong? I want to get pregnant. What analysis could I do? The doctor told me it was something hormonal because after the gynecological consultation everything seemed OK.

Answer:


Bacterial vaginitis is the inflammation of the vagina caused by a bacterial infection; The bacteria involved may even be Chlamydia trachomatis. The result of the Pap smear test class 2, confirms the existence of vaginal inflammation. Recurrence of symptomatology after treatment can mean either incorrect or incomplete treatment or a reinfection - usually caused by the untreatment of the sexual partner. Proper treatment of bacterial vaginitis is established following a gynecological consultation accompanied by cytobacteriological examination of vaginal secretion, secretion culture and antibiogram - investigations that can accurately detect the type of bacteria involved and the antibiotic to which it is sensitive.
However, if it is a bacterium called Chlamydia, it can only be determined by a special test for Chlamydia, which is also performed by vaginal discharge. The treatment should be followed completely, as long as it has been prescribed by the attending physician, even if the symptoms disappear sooner; treatment of the partner is obligatory and sexual contact is avoided during the treatment.
Duphaston's treatment for metrorrhagia is correct; Duphaston is a progesterone preparation that is administered for the purpose of regulating hormonal secretion, whose imbalance is probably responsible for the bleeding you present.
As for your desire to become pregnant, the problem is complex and a simple gynecological consultation is not enough to determine the cause of infertility.
First of all, the diagnosis of infertility is made in case a couple fails to obtain a pregnancy after a period of at least two years of tests materialized through normal, regular, correctly coordinated heterosexual contacts regarding the ovulation period (it is the most fertile, usually located in the middle of the period between two menses).
Once this diagnosis is established, the case is investigated. for this purpose it is carried out:

  • a complete clinical examination and a complete history that will include your family history and health status; also during this first consultation will be able to perform tests such as: cytobacteriological examination of vaginal discharge, Pap test, urine summary; an abdominal and genital ultrasound, which has the role of visualizing the internal organs and of signaling any structural anomaly evidenced ultrasound
  • hysterosalpingography, offers radiographic images regarding the uterine cavity and the degree of permeability of the uterine tubes, an occasion where minor or partial decomposition of the fallopian tube can be performed
  • hysteroscopy and laparoscopy, the latter being able to have an interventional role and not only a diagnosis
  • the analysis of the functionality of the reproductive system will be made following the results of tests such as: dosing of gonadal hormones (sexual), inflammatory tests in order to identify germs responsible for diseases that have as an associated manifestation of infertility (chlamydia, ureaplasma, mycoplasma)
  • a spermogram: your husband will have to come to the cabinet with you and besides common exams such as clinical examination, family history and health, ultrasound examination, he will have to perform sperm analysis in order to see establishing its fertility.
    Once a cause of the couple's infertility has been established, a decision can be made regarding the therapeutic conduct.
    Dr. Ciprian Pop-Began
    - Obstetrics and Gynecology -
    Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu