Skip to main content

Splash Test: Not Just Itching for Determining Diagnosis: Just Be sure It's What You Have

Some women cannot exactly differentiate yeast infections from bladder infections. If a patient has recurrent infections of either there are various signs that can be confusing. Symptoms such as pain with intercourse (could be either), thick white discharge (yeast), burning with urination (bladder infection). Other signs you might want to look for, is "splash dysuria" this is pain as you urinate and some urine touches the outside of your skin, but its not specifically painful to just urinate. But ultimately, an examination, and medical tests, such as cultures have to be done to determine what is going on.For those who have multiple infections, it's time to see the gyno and not continue to rely on self diagnosis. Recurrent yeast infections are defined as four or more infections per year. Solutions have varied from the bizarre: garlic inserts? Does the series Twilight factor too prominently in your life? To effective: weekly prescribed fluconazole oral tablets. But, none the less, relapses are too common and frustration and lost sex often is the result! One point I like to make to my patients is that facts in this case might sometimes help case management and sometimes not. In the few studies of long term medication use that have been done, one thing seems to be consistent: clinical cure is not microbiological cure! That is medical jargon for: you may no longer itch, but you may still have yeast present. And if ITCH is what is bothersome, then that is the goal of treatment by most gynos. In the summer it can be just too much shaving, and in some cases laser hair reduction can improve the overall resistance to infections as you are always more likely to introduce bacteria with shaving. See your gyno to get the whole story, it's much more involved!

Comments

Popular posts from this blog

Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously.  It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods  Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...