Patient's question:
Medical Description: I am a 32-year-old female. For the past four years since using an intrauterine device (IUD), I have been experiencing recurrent gynecological issues. Initially, medication helped, but the condition worsened over time, requiring frequent changes in medication for relief. My last episode occurred around early May, with continuous bleeding that was not heavy enough to be considered a menstrual period. Repeated medication did not help, and the doctor eventually prescribed Gongxuening Capsules, Zhibei Bao Granules, Cefuroxime Axetil Dispersible Tablets, and Methylprednisolone Acetate Tablets. After taking them for three days, the bleeding stopped. Following the doctor's advice, I have continued taking Methylprednisolone Acetate Tablets. I was supposed to stop taking it on the 15th (I started the medication on July 13th), but on the 12th, my vaginal discharge turned yellowish-brown and was accompanied by mild abdominal pain. Today, I experienced bleeding again. What should I do? Could it be due to sexual intercourse (I had intercourse ten days after stopping the bleeding)? I had the IUD removed, and in the past, sexual intercourse had also easily caused inflammation. An ultrasound was done, and it showed no problems. Urine test results are pending.Doctor's answer:
In gynecological treatment, topical and oral medications should be used together for faster and more thorough recovery. Medication must follow a prescribed course—do not use it intermittently like "three days fishing and two days drying nets." If you stop using it after seeing slight improvement, the condition will return more severely and be harder to treat. Generally, topical treatments should be used for at least seven days. For example, clotrimazole vaginal effervescent tablets should be used every four days, but you must continue for three months to completely eliminate the yeast.Pay attention to personal hygiene and develop good habits. Wash underwear and socks separately, and separate adult and children's clothing. Wash and change frequently. Replace underwear every three months. Clean before and after sexual activity. During medication, avoid sexual activity, and refrain during menstruation to prevent cross-infection and worsen the condition.