Christine F. asked

👶  Ob Gyn

I am in perimenopause and currently taking Oestrogen, Utrogestan, Testogel, and Vagifem for vaginal atrophy (VA). I experienced vaginal irritation with a tampon and have had recent vulvar irritation and slight watery discharge. A urine test showed leukocytes, no nitrites, and a little blood, possibly from my last cycle. The nurse suggested an antibiotic called Monotrim, but it's causing dizziness and abdominal pain. What could be causing the irritation, and is there a gentler antibiotic or a way to treat it without antibiotics? How can I differentiate between VA and a urinary tract infection (UTI)? Should I switch to oral Utrogestan, and if so, how many tablets should I take?

August 14th, 2023

Anthony W. answered

The irritation you're experiencing could be due to vaginal atrophy (VA) or possibly a mild infection...

August 14th, 2023

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