Conversation: The conversation between human and AI assistant.
[|Human|] I have been experiencing recurring BV and yeast infections for the last 3 months. My doctor says my PH is off due to cycle because that s always when it occurs. I was put on 7 day dose of Flagyl pills followed by twice weekly gel for 4 months. After second dose and third I have been noticing dime size clumps of wet paper looking yeast (I assume). Very little itching on outside and no discomfort or other discharge. Is this common and since I have 3 1/2 months of gel to go, should I be on Diflucan long term? This is all very frustrating!
[|AI|]  Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. There is need for confirmation of the present diagnosis. I advise you should do Grams staining from the discharge. Grams staining can confirm the diagnosis whether it is bacterial, yeast or other infections. Bacterial vaginosis is bacterial infections and requires a Doxycycline and metronidazole combination. While in fungal infections requires fluconazole tablet. There are some vaginal tablets available, which requires to be inserted in the vagina. This acts locally, and cab help treat the infections. Please maintain good local hygiene. Avoid sexual intercourse or can do protected intercourse. If the male partner have the same infections as both requires the same concurrent treatment. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.