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Dr Owen
Dr Owen, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 55754
Experience:  Board certified Ob/Gyn
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Does BV always have an odour. If white discharge is not thrush

Resolved Question:

Does BV always have an odour. If white discharge is not thrush (checked out by doctor) and there is a lot of it, resulting in soreness but does not smell. What else can it be as its hard to know how to treat it. Same partner for 25 years.
Submitted: 3 years ago.
Category: OB GYN
Expert:  Dr Owen replied 3 years ago.

Dr Owen :

hello

Dr Owen :

hi

Dr Owen :

BV 'usually' has a fishy odor, but NOT always

Customer:

if test come back negative how do you treat this when you are told its not thrush or bv

Dr Owen :

I see you are 47, and a discharge could also be a bit of atrophy of the vagina - and hence he soreness you have

Dr Owen :

Then you can try an over the counter vaginal Moisturizer such as Replens

Dr Owen :

Also, you can try a prescription to an Estrogen suppository such as Vagifem

Customer:

yes i have had some atrophy and have tried lots of moisturisers they all result in build up and lots of discharge, really disgusting. i think i am in early menopause. cannot find a product that helps internally and exteranlly with dryness, then not sure what to do when heavy white disahrge happens

Customer:

tried all those they are vile and cause lots of leaking, and i mean a lot

Dr Owen :

Then what you should try is the Estrogen I mentioned

Dr Owen :

You mean you tried the estrogen

Customer:

i have tried vagifem and other estrogen creams they all build up and leak out.

Dr Owen :

did you deliver your children vaginally?

Customer:

i have no children due to 30 years of endrometeosis

Dr Owen :

oh...

Dr Owen :

What medications are you on?

Customer:

nothing

Dr Owen :

do you still have your uterus and ovaries ?

Customer:

yes

Dr Owen :

I would check to see What the what white discharge is - THIS requires a culture, a biopsy and just looking at the Cellular structure Under a microscope.....

Dr Owen :

That way you can tell what is going on.

Dr Owen :

You might also have this due to a structural problem - and hence sometimes solving this might just require a hysterectomy (removing the uterus and since you have endometriosis, also removing the ovaries at the same time).

Customer:

i have been to the gp and gyn many times and just had swabs that always come back negitrive, so what else can i ask then to do. the culture bit i understand

Dr Owen :

not just swabs.

Dr Owen :

You need

Dr Owen :

1. Culture

Dr Owen :

2. Biopsy

Customer:

i have been to the gyn about hysterectomy, but it is out of the question as i cannot tolerate hormones

Dr Owen :

3. Have the pathologist LOOK at the cellular content of the material UNDER the microscope

Dr Owen :

You do not need hormones

Dr Owen :

you are 47 - you do not need HRT - hormone replacement therapy

Customer:

not sure what else to say, what about the skin around the vulva does this cause any type of discharge or does it alway come from within

Dr Owen :

if you get symptoms of menopause after a hysterectomy - these symptoms CAN be controlled without hormones

Dr Owen :

When you are going through perimenopause / menopause you can get this discharge - - due to the sloughing off of the skin

Dr Owen :

and it sounds like that is what you have going on.

Dr Owen :

ON the outside - the Vulva area - you can to use a steroid cream such as mycolog, triamcinolone, or clobesterol to help

Customer:

any ideas about the inside to help vaginal atrophy inside

Dr Owen :

The inside -

Dr Owen :

1. you said you don't like the estrogens - there are many of them - vagifem - this is usually a suppository - so it should not be messy - I have never had anyone complain about this -

Dr Owen :

2. There are the estrogen creams - Estrace or Premarin

Dr Owen :

3. There are Probiotics such as RepHresh

Dr Owen :

4. VAginal moisturizers -

Dr Owen :

5. YOU can try Boric Acid Vaginal suppositories too -

Dr Owen :

Also you can try herbs - such as Chasteberry, Vitex, Black Cohosh or Dong quai - some women have success with that

Customer:

thats very interesting as there are loads of forums on the internet saying thate women are experiancing the same thing with these creams and the same with replens. i will have a look at the other things you mention

Dr Owen :

I understand - I read these forums too -

Dr Owen :

and I understand it is very frustrating

Dr Owen :

but do have your ob/gyn do what I have suggested..

Dr Owen :

I have taken care of many women over the years who have been treated for many things

Dr Owen :

and the common problem I see is that they do not have a 'clear' diagnosis

Dr Owen :

so the thing here is getting that Clear Diagnosis -

Dr Owen :

then once you have an Outstanding diagnosis - treatment is much easier than guessing what you have

Customer:

yes i see that, i don't know where you are from but trying to see GP etc when things are at there worst is impossible in the UK , I can wait 6 weeks for an appiontment. but I will continue to try and suggest what you have said.

Dr Owen :

Try to be understanding - it does take time, and finding a doctor who is compassionate to help you will work

Dr Owen :

I'm in the US

Dr Owen :

Getting into see a doc in the UK is just as horrendous in the US too -

Customer:

Thats true this situation for me has gone on for 4 years. I have no life at the moment and its slowing eating away at my marriage. But I am determined to find and answwer

Dr Owen :

finding an answer is the best thing

Dr Owen :

but try those things that I have suggested -

Dr Owen :

you can print them out

Dr Owen :

and try the herbs - some women do have success with that

Customer:

I will thank you. I thinks its time to go now. thankyou

Dr Owen :

I wish you well

Dr Owen :

Please click on Excellent for helping you

Dr Owen :

thank you

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