Splash Test: Not Just Itching for Determining Diagnosis: Just Be sure It's What You Have

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, it'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, none the less, relapses are too common and frustration and lost sex often is the result! One point I like to make to my patients is that facts in this case might sometimes help case management and sometimes not. In the few studies of long term medication use that have been done, one thing seems to be consistent: clinical cure is not microbiological cure! That is medical jargon for: you may no longer itch, but you may still have yeast present. And if ITCH is what is bothersome, then that is the goal of treatment by most gynos. In the summer it can be just too much shaving, and in some cases laser hair reduction can improve the overall resistance to infections as you are always more likely to introduce bacteria with shaving. See your gyno to get the whole story, it's much more involved!

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