GynoFiles

Not all infections that are not yeast are BV. We also forget that technically BV is polymicrobial and an imbalance of normal. This is why most culture tests wouldn't be useful, because it's not what bugs, but what level of bugs. And when there is normal pH (it's more basic or higher number with BV) and it looks a bit like a yeast infection with the chunky white discharge, but there is no odor and only increased WBCs under the microscope then what is it? CV. Cytolytic vaginosis. No code for it exists in the official manual of diagnoses so your gyno just doesn't think of it. And it's not so clear what triggered it or what can cure it, also frustrating for all. But if you have been on the no-cure-vaginal-infection bandwagnon. Throw this diagnosis at your gyno .

Dr. Charles Penrose of the Gynecean Hospital published his Textbook of Disease of Women in 1900 and eloquently described effective treatments for vulvar itching or other discomforting diseases of the external genitalia that included mercury, bitter almonds, lead or just a solution of pure cocaine used locally. Often copious powders, opium or morphene, all used topically, were employed as well. Exciting reading in those old texts!

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, i t'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...