What do you recommend? I conclude that the medication has unbalanced my vaginal flora, is this possible?

32-year-old woman3 years ago
Hello I am 6 weeks post partum. I started medication for a urinary tract infection 3 days ago (E coli bacteria, Cephalexin 4x/day for 7 days) Since 1 day, I have had symptoms of vaginal infection (itching, feeling of heaviness, irritation). What do you recommend? Please note that I am breastfeeding, I am intolerant to bacteria and I have skin reactions to Penicylline. Thank you in advance
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Alexandre Chagnon · 3 years ago
Hello,
It is indeed possible for antibiotics to create yeast vaginitis. Symptoms of yeast vaginitis can include: white, granular or clumpy vaginal discharge, tingling, itching, redness and swelling in the vagina and vulva.
If you do think this is the case, you may want to do a course of Canesten, which can be found on pharmacy shelves. There are several treatments available, examples: ovules, cream with intra-vaginal applicator, cream, etc. There are also different lengths of treatment. If you have symptoms mainly in the vagina, you can go with the ovules or the intra-vaginal applicators. If the symptoms are more in the vulva, you can apply the cream on the vulva. All treatments are equally effective, regardless of the form or duration of treatment, but treatments with shorter durations, such as 1 or 3 days, may be more irritating. Canesten treatments are compatible with breastfeeding.
If you need help once you get to the pharmacy, feel free to ask your pharmacist.
However, I would advise you to wait until the antibiotic treatment is finished before starting the Canesten treatment, because if you start the Canesten right away, the infection may come back since you are still taking the antibiotics, the likely cause of the infection.
The treatment should take effect in 1-3 days. If you still have symptoms 3-4 days after starting the treatment, I would advise you to see a doctor, as it may not be yeast vaginitis.
I hope this answers your questions.
Catherine Deslandes pharmacy student
Supervised by Alexandre Chagnon pharmacist

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