Vaginitis is the official term for vaginal infections, and there are many causes, but most are due to yeast, bacterial vaginosis or trichomoniasis.So far the study of vaginal infections has focused on the presence or absence of organisms. Eventually this may expand to the study of other molecules. The study of various compounds of metabolism in the cervix has just identified 313 biochemicals with in cervial and vaginal fluid, and the activity of the fluid probably has to do with what infections actually take hold, as was reported in a June 2015 article by Dr Jeny Ghartey and her coworkers in American Journal of Obstetrics and Gynecology. Most of vaginal infection conditions are straight forward, easy for your gyno to diagnose, and they resolve promptly, and do not need fancy analysis to determine the cause. On the other hand, there are those who seem to pop up with one infection after another and either fail to find a cause or a treatment, and this was the subject of a review in the
December issue of Obstetrics andGynecology. If you have struggled with what you think are chronic yeast infections
the authors wanted women to know than normal discharge, contact dermatitis and vestibulodynia were often a few causes that women had not considered. One in 20 women with a yeast infection will develop chronic and
recurrent infections. Gynos define recurrent and
chronic as more than 4 a
year. Most yeast infections are due to pesky and pervasive Candida albicans.
Some experts say Candida albicans are 95% of those infections we see, others knock that
percentage down to only 75 of all yeast infections. And random healthy women sampling find that 25% of
those women walking into any office at any time will culture positive for
yeast. If you have that yeast infection, you may or may not rate with the so
accurate TV physician Dr. House on the medical diagnostic accuracy scale. If
you try to self diagnose, you’re probably right somewhere between 1/3 and 50%
of the time. So if your symptoms don’t resolve promptly with your goo of choice,
inaccurate diagnosis can be the culprit as often as inaccurate treatment. And the first test that may be helpful is the pH test. If the pH is elevated your gyno will think about of other causes: even the presence of semen! It is also possible that hormone levels and cycles are related to the numbers of
infections. Women are more likely to get yeast infections in the second half
of the menstrual cycle, when estrogen is lower, and progesterone is more
dominant. Douching, more a cosmetic than a health practice, doesn’t cause yeast infections. In some studies receptive
oral sex causes more yeast infections, and in some studies not, but few studies
really culture the partner’s mouths! You can’t always eat your way to a healthy
vagina either. Dairy heavy diets, presumably teaming with probiotics,
Women’s HealthPractice. a few new options you may want to
consider: probiotic medication and a new antibiotic medication.
It is good news for these patients as they typically try many medications and
the good news is that they have brought back a sulfonamide cream for chronic
yeast.really haven’t changed the rate of yeast infection
in most women.
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