Q. I am trying to conceive with recurrent vaginal yeast infection. Please help.

Answered by
Dr. Nawajsharif G Mujawar
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Apr 14, 2020

Hello doctor,

I am 32 years old. We are planning to extend our family whenever I will be perfect in health so that there should not be any health issues to the baby and the mother. I would like to elaborate on my health condition so that you can advise us on how to improve my health condition.

Please note that the below tests have conducted before three months and after that, I have gone through some medication for one and a half months.

1. Iron, vitamin D, and hemoglobin: My hemoglobin remains low every time I go for annual health check-up (for the past seven years). Currently, it is 10.8. Iron - 18, TIBC - 492, transferrin saturation – 3.66, vitamin D - 19.91.

2. Yeast infection in vagina: I have been suffering from recurrence of yeast infection in the vagina for the past one year. It comes again and again and I am taking Fluka every week one tablet. After taking Fluka, I feel no itching and no yeast infection but within a week or so it happens again.

3. Boobs itching and enlargement of area around nipples: for the past four to five years, I have been observed that area around my nipples has enlarged, and that area is really very dry and itchy. Although, there are no lumps in the breast and armpit.

I visited a gynecologist but they told that it is a dermatology issue. Hence, I also visited a dermatologist and the doctor suggests that it is just because my skin is extremely dry and it can be cured after applying good moisturizer in the long run. But I have not seen any improvement till date. I really want to be healthy and want to get rid of the above issues before conceiving the baby.

Dr. Nawajsharif G Mujawar

Obstetrics And Gynaecology
#

Hi,

Welcome to icliniq.com.

First thing, I would like to tell you that you are a healthy individual. Even though you were anemic before, now you have made good progress in your hemoglobin.

Now coming to your recurrent fungal infection in the vagina, it seems that you have adequately taken antifungal and antibiotics. I would recommend you to get done your

1) Blood sugar level.

2) Thyroid profile test.

Now coming to soreness and itching at nipples, yes, it happens due to dry skin and micronutrients and minerals deficiency. I would like to suggest you to apply the moisturizer and take nutrients supplement.


The Probable causes:

Nutritional deficiency.

Investigations to be done:

Blood sugar levels. Thyroid profile test.

Differential diagnosis:

Multicomponent deficiency.

Treatment plan:

Tablet Azithromycin 500 mg once a day for three days, Candid V6 pessery every night intra vaginal for six days, tablet Omeprazole 20 mg twice a day for three days.

Preventive measures:

Avoid sexual intercourse until recovery from infection.

Regarding follow up:

Follow-up with the above said investigation after 3 days.


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