Doctors Lounge - Gynecology Answers
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Forum Name: Gynecology
Question: Birth control & discharge problems
|scotty71 - Thu Jan 05, 2006 8:36 pm||
I had been on birth control pills for many years until about 1.5 yrs ago when I was having problems with secretion. My dr tested it & found anal bacteria which usually is only seen in pregnant women. At the time the only thing that stopped this secretion was discontinuing the pill. I am not a fan of barrier methods & would like to be on something like the pill again.
Has anyone heard of this problem?
Is a progestin-only pill an option?
Not sure if this affects any answer but, I had a non-cancerous polyp removed from my uterus about 2 months ago.
|Dr. Tamer Fouad - Fri Jan 06, 2006 3:25 pm||
It has been reported that oral contraceptive use versus other contraceptive methods is associated with a greater or similar frequency of candidiasis, increased numbers of anaerobic microorganisms, an increased or similar frequency of chlamydia trachomatis, and a reduced frequency of bacterial vaginosis and trichomoniasis.
The impact of contraceptive steroids on cellular and humoral immunologic factors may explain these observations. 
On the other hand, high dose oral contraceptive pills (OCP) have also been associated with vulvovaginal candidiasis. No link has been established with low dose OCPs.
You should discuss the option of using low dose oral contraception with your doctor.
1. Roy S. Nonbarrier contraceptives and vaginitis and vaginosis. Am J Obstet Gynecol. 1991 Oct;165(4 Pt 2):1240-4.
2. Nelson AL. The impact of contraceptive methods on the onset of symptomatic vulvovaginal candidiasis within the menstrual cycle. Am J Obstet Gynecol. 1997 Jun;176(6):1376-80.
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