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Vaginal discharge

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Hi,

I have a patient with a puzzling vaginal discharge that I'm not making

any progress with.

It's scanty, normally just staining really, and a caramel brown

colour, sometimes with what looks like dessicated coconut in it.

Bland, not irritating. She says it makes her clothes smell, either

fishy, or stale like ammonia. It seems to be least just after her

period, then gradually worsens during her cycle.

All tests for infection have been clear. It was unchanged/possibly

worse after surgery for cervical erosion. Anti-fungals have cleared

it while she was taking them, but it rebounded after the end of the

course. More puzzlingly, it also improved while she was taking

antibiotics for a chest infection, but again rebounded after the end

of the course.

All suggestions gratefully received.

Best wishes,

Natalia

Natalia Kerkham

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