Patient's question:
Divorced for 3 years without pregnancy, menstruation has been lasting 8-10 days for the past two months, with many blood clots in the first 5 days, and foul-smelling menstrual discharge. Vaginal itching, no dysmenorrhea. Test results:On July 20, 2011, vaginal discharge smear results: Yeast positive, trichomonas negative, vaginal cleanliness III (few vaginal bacilli, more cocci, few squamous epithelial cells, 15-30 neutrophils or leukocytes per high-power field). Report: Fungal infection.
Ultrasound examination: Uterus is anteriorly positioned, uterine body dimensions 5.74.35.7 cm, cross-sectional morphology normal, clear contour lines, uniform arrangement of echogenicity in the muscular layer, visible 2.41.7 cm strong echo mass in the uterine cavity, clear boundaries. Right ovary size 2.81.8 cm; left ovary size 2.91.4 cm.
On July 27, re-examination of vaginal discharge still showed slight yeast, squamous epithelial cells ++/LP, leukocytes +/HP. Treatment and outcomes: The doctor prescribed clotrimazole effervescent tablets, nifuratel metronidazole vaginal soft capsules, and other solutions. After use, there was no effect, but vaginal itching was slightly relieved. Currently self-prescribing soft capsules and sodium bicarbonate solution, with reduced itching.
1. Based on the test results, do I have candidal vaginitis and endometrial polyps?
2. How should I treat the vaginitis now?
3. Can I use sodium bicarbonate solution to rinse the vagina?
4. With 3 years of infertility, what further tests do I need to conceive?
5. The doctor recommended dilation and curettage, but I’m afraid it will interfere with conception. Is there a better and safer alternative?
6. If I undergo hysteroscopy, do I also need tubal iodine oil contrast?
7. How much does hysteroscopy surgery cost? What are the complications?
Doctor's answer:
Hello, according to your description of the white discharge test, it is indeed mold. The medications mentioned above can be used. As for endometrial polyps, it's hard to say—only a pathological examination can diagnose them. I suggest you don't worry too much and have a hysteroscopy with curettage for pathological diagnosis. The above advice is for the question "Can I still get pregnant with endometrial polyps and candidal vaginitis?" I hope it helps you. Wishing you good health!