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Maureen

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Candi,

I am sorry to hear that you are still in so much pain. Are you sure

that you still have the yeast though, and your itchiness and pain

isn't from the reaction to the creams you used?

I am taking 500000 u of nystatin for 14 days. I am on day 5, and

the itchiness is starting to subside, so I hope that means it is

working. I also have my period now, so that doesn't help. I

haven't started my Three Lac yet, I am actually afraid to. If it

brings on more itching due to die off, I will think the nystatin is

not working, so I think I will wait on that. I am taking one oral

acidophilus every day, but it is a cheap brand, so who knows if it

even has anymore of the live bacteria in it!

Keep me posted.

Maureen

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> If it was JUST the itching I would think either die off already or

from the skin peeling. But I am having that awful " cheesy " discharge

as well. I am continuing on with the ThreeLac and sure you may want

to wait until you finish your Nystatin. What makes you comfortable is

what you should do.

Have you had the discharge cultured? It may not be yeast. Cytolytic

Vaginosis looks just like yeast but using antifungals makes it

worse.

http://www.vulvarpain.icomm.ca/paavonen_1.html

Cyclic vovaginitis

Cyclic vulvovaginitis (CVV) is probably the most common cause of

vulvodynia. Pain is typically cyclic, being worst during the luteal

phase of the menstrual cycle. Pain onset in relation to coitus is

characteristic, i.e. symptoms flare up after intercourse, and pain is

usually worst the next day.3,9 Traditional courses of antimycotics

give temporary relief, but symptoms recur soon after the treatment.

Findings of CVV on speculum examination or colposcopic examination

are within normal limits, except that the swab test is usually

positive.

CVV is thought to be caused by a hypersensitivity reaction to

Candida antigen.3,9 However, Candida cannot be detected during the

symptomatic phase because of the body's immune response. If one is

seeking microbiological proof for the diagnosis of CVV, culture

specimens for Candida should be obtained during an asymptomatic

phase. Prolonged maintenance therapy with antimycotics, topically or

systematically, is usually effective, Therapy should be continued

three times per week for up to three months.

Lynn

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>

>

> Candi,

>

Well...I screwed that up! I posted cyclic vulvovaginitis which is

yeast infections that come with your cycle (get worse as you get

closer to your period each month.

I meant to post about Cytolytic Vaginosis

http://www.vulvarpain.icomm.ca/paavonen_1.html

Cytolytic vaginosis is caused by an overgrowth if lactobacilli.

Symptoms are very similar to those of women with vulvovaginal

candidiasis, i.e. itching, burning, whitish discharge, dyspareunia

and external dysuria. Symptoms are cyclic, and usually become worse

during the luteal phase. Most patients have been treated multiple

times for vulvovaginal candidiasis although the diagnosis has not

been confirmed by culture or other confirmatory tests. Before making

the diagnosis of cytolytic vaginosis it is important to exclude other

aetiologies. Examination usually shows whitish discharge and low

vaginal pH (3.5-4.0). Findings on wet mount examination

characteristically show heavy overgrowth of lactobacilli and

disrupted epithelial cells (i.e. cytolysis) in the absence of

Candida, clue cells or leucocytes. Sometimes heavily overgrown

lactobacilli appear as 'false clue cells' when lactobacilli cover

epithelial cells mimicking clue cells.

Treatment is directed toward reducing the quantity of

lactobacilli. One recommendation is vaginal douching with sodium

bicarbonate solution (50 g of sodium bicarbonate in one litre of warm

water) two to three times a week when needed. Careful counselling

cannot be overemphasized: assurance of the physiological nature of

the condition assists the patient to cope with the problem.

-------------------

That whole site has good stuff actually,

Sorry I messed that up!! I knew that women who have this are told to

use baking soda douches (be sure you don't have yeast first though).

Lynn

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