Dr. Shubadeep Debabrata Sinha
Infectious Diseases
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Patient's Query
Hello doctor,
For the past two months, I have had a wriggling sensation in my vagina. The doctor I consulted was of no help as they gave me a ton of creams which offered no relief. In the end, I bought myself a microscope to have a look. Last week I had a very strong sensation, so I looked and found two worms in the folds of my vagina, between the pubic area and the fold of the vulva. The main worm seems to be depositing eggs, but the second one is not. They cannot be seen without the microscope and with the naked eye. There are no worms in my feces. I used threadworm medication twice that has Mebendazole in it, but that has given me no relief, either. Currently, I am taking Amitriptyline, Omeprazole, Famotidine, and Noriday.
Kindly advise.
Hello,
Welcome to icliniq.com.
May I suggest you show the same to a pathologist locally or provide a sample to the local pathologist to examine? Worm infestations in the vagina are uncommon and unlikely without primary loci elsewhere. If Mebendazole does not help, we can switch to another set of antihelminthic medicines. However, a pathologist's diagnosis is necessary before suggesting any further medications. In certain countries, Trichomoniasis is a common parasite affecting the vagina and reproductive tract, transmitted by men affected by the same parasite during sexual intercourse. Trichomoniasis can cause a foul-smelling vaginal discharge, genital itching, and painful urination in women. If you are sexually active, do you have any partners possibly having this parasitic infestation? You have mentioned a few other medications. Kindly share the medical records and prescriptions of the same.
Patient's Query
Hi doctor,
Thank you for your response.
I have been married for 11 years, I did go to a sexual health clinic, and I had swabs done. That all came back negative for anything, the doctor also did swabs for different things, and that came back clear. I only have discharge when ovulating. I am leaning towards strongyloidiasis or threadworm as you can only see the worms with a 40x scope or magnifying glass, and apparently, threadworm and pinworm are actually two different things that require treatment of ivermectin which I cannot get as I am out of the country.
Hi,
Thanks for your clarification.
Strongyloides usually occurs in immunocompromised states and have different primary source and infection sites. Trichomoniasis vaginalis is a more common parasitic infection and needs a specific diagnosis. Diagnosis requires certain blood tests, including CBC (complete blood count), NAAT (nucleic acid amplification test), and local swabs. Treatment may require using Tablet Metronidazole and Albendazole.
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Infectious Diseases
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