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Vaginal Order
First of all I would like to start by saying I have no insurance and no money for a doctor visit. I have been having a foul vaginal odor for months now with a white discharge. The odor sometimes smells like garlic sometimes it smells like a septic tank other times it smells like I've had sex. Even though I have not had sex in weeks. After reading many message boards as this one I thought I might have BV. I tried H20H douche and that took the garlic smell away but left me smelling like a septic tank. At that point I went to the pet supply store and picked up K-Flex. These capsules contain 250MG Cephalexin Monohyrate - I took 1000MG daily for 12 days. I have yet to have any relief from my symptoms. Last night I was told that I smelled like sex. I have not had sex in two weeks. I shower twice a day however I can not get rid of this smell. As I mentioned I have no insurance and no money for a doctors appointment and there are no free clinics near by.

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replied June 6th, 2010
Sexual Health - Women Answer A12935
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the foul vaginal odour with white discharge also called as leucorrhea. You have also made a mention of having taken cephalexin 1000 mg daily for 12 days.
The commonest presentation of sexually transmitted disease is vaginal discharge. Amongst women, the common causes of vaginal discharge are trichomonal vaginitis, candidial vaginitis and bacterial vaginosis. However, cervicitis caused by Gonorrhoea and Chlamydia trachomatis also cause vaginal discharge. Although cervicitis causing vaginal discharge is less common, it is a more serious cause as it may lead to infection ascending in the uterine cavity, fallopian tubes and peritoneal cavity causing pelvic inflammatory disease and related complication. Majority of times, vaginal infection is polymicrobial in nature.
Untreated sexually transmitted disease is more prone to disease spread and runs a higher risk of contracting HIV. Chlamydia increases replication of HIV, gonorrhoea helps excretion of HIV in semen, while trichomoniasis and bacterial vaginosis facilitate HIV transmission and acquisition. Thus, sexually transmitted diseases increase the risk of HIV by 10 fold.
In 1988, World Health Organization introduced the concept of ‘Syndromic management’.
In syndromic management, diagnosis and treatment is not based on specific diseases identified by testing but rather on syndromes, which is a group of clinical findings. Treatment is generally given for all or at least most commonly seen diseases that could cause that syndrome.
Since most commonly encountered aetiologies of vaginal discharge are trichomoniasis, moniliasis, bacterial vaginosis, chlamydial infection and gonorrhoea, according to the principles of syndromic management, treatment should be directed against all these diseases.
For the above treatment, you must consult your gynecologist as the diagnosis and management cannot be confirmed online.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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