
BV/uti/yeast- advice needed
Last month I was diagnosed and treated for my first ever uti (E. faecalis) along with a vaginal yeast infection. I am a long time sufferer of chronic yeast infections & have had a few issues with BV, but never a UTI. I completed a round of Macrobid and a couple doses of diflucan, but was still experiencing some burning. I went back to the clinic and got a culture done. The clinician treated me for yeast based on my vaginal swab & sent off my urine again. It came back positive for a uti with the same bacteria. I luckily had an appointment with a new OBGYN the day after my cultures came back so I went in and explained my issues and they again took cultures, but sent me off with amoxicillin. I’ve been on it for about 3.5 days and all but the lingering burning symptoms have cleared. I did start my period on Sunday (day 3 of the antibiotics), which may or may not be important here.
That brings me to today, where the gynecologist office called me to say that there’s actually no uti, and no yeast infections, but likely BV so they prescribed me metronidazole pills. I was advised by the medical assistant (not the doctor) to continue the amoxicillin and then start the metro. She explained my results show that my microbiome is in a “transitional state” due to lactobacillus iners and that BV treatment is common protocol.
All of this to say, I do not want to take another 3rd round of antibiotics if it isn’t absolutely necessary. I know it’s going to trigger a debilitating yeast infection again and I’m not even sure that I need to be taking antibiotics in the first place? I take a daily oral probiotic, and use boric acid and vaginal suppositories as needed. If you have any advice on this, please help!!!
I was negative for the following on my most recent culture:
Atopobium vaginae*
BVAB1 *
BVAB2 *
BVAB3 *
Bacteroides fragilis *
Candida alhicans *
Candida glabrata
Bifidobacterium breve *
Gardnerella vaginalis *
Megasphaera species (Type1,Type2) :
Mobiluncus curtisii *
Candida kruse *
Candida parapsilosis *
Mobiluncus mulieris *
Prevotella bivia *
Sneathia sanguinegens *
Streptococcus anginosus *
Candida tropicalis*
Enterococcus faecalis *
Escherichia coli *
Group B Streptococcus (GBS) *
Staphylococcus