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To better understand abnormal vaginal bleeding, we first review normal vaginal bleeding. Do you know when uterine blood is normal, or not?...
What are the signs and symptoms of abnormal vaginal bleeding? When should you seek help?...
Prepare yourself and know what to expect when you visit your doctor for vaginal bleeding. We review the medical tests and diagnostic procedures frequently used....
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Q: Vaginal infections
asked by: DoctorQuestion on April 21st, 2008
Can you please advise in your opinion is this just a stuborn infection that may need another course of antibiotics to clear it up?


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Dr. Nikola Gjuzelov , MD
replied on April 29th, 2008
Vaginal Health Answer A4004
There are various types of vaginal infections. Therapy (antibiotic choice) depends upon the type of infection. You didn’t tell me which infective agent was isolated in the microbiological vaginal cultures. Metronidazole is efficient against certain types of infections but not against all types of vaginal infections. Vaginal infection can be also mixed so metronidazole may need to be combined with additional antibiotics. Certain types of vaginal infections (Chlamydia, Mycoplasma, Ureoplasma…) can’t be identified with standard microbiological methods (culture) so additional diagnostic procedures need to be done to completely identify all the infections.


A Pap-test is basically used to reveal precancerous (dysplasia) and cancerous lesions of the cervix. It can also reveal certain types of infections but that is not its primary purpose. A mild degree of dysplasia can be due to bacterial infection and such dysplasia usually vanishes after overcoming the infection.


You may want to consult your gynecologist about all these possibilities I mentioned.





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