Vaginal condition treatment update: Men should get treated, too

Jeff S

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Seems like a straight forward and benign ask...

Cue up an unfortunate percentage of American men that don't want to be either inconvenienced or associated with a treatment related to vaginas in 3... 2... 1...
And probably throw into that also some sort of nonsensical claim that boils down to slut shaming and claiming that it won't be an issue for people who only have sex with their spouse (even though, sounds to me, like even in an actually faithful marriage, this could still be a problem, if the woman first develops an imbalance that leads to BV, not due to sexual activity, but then her husband picks up the bacteria from her and keeps reinfecting her?)

Then on top of that, the whole, "Ignoring doctors is how you pwn the libtards" mentality of part of this country. . .
 
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numerobis

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That medication is also used to treat Giardiasis and from the experience of a long course can be rather unpleasant so I might understand increasing noncompliance near the end of a long course. I don't think you can drink alcohol while taking metronidazole which might also be a factor.
No alcohol, ok sure that sucks.

But worse: no yogurt.
 
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numerobis

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Potentially interesting observation: after giving birth this seems to have completely reset my wife’s microbiome in this region and all symptoms/discomforts she used to have for years just completely disappeared (for five years already).

Note I did not research any supporting evidence for this observation, it is an observation and nothing more.
I had a colonoscopy to investigate IBD. It came back clean, no polyps, no damage to the intestine, everything is fine.

My IBD disappeared after the colonoscopy and has never returned.

I’m fairly certain that it’s not an approved treatment plan, but it sure seems to have worked.

Edit: oh yeah, and the IBD started that time I couldn’t eat yogurt for ten days because of the amoebic dysentery treatment. I’ll never know if it was the dysentery or the treatment that sparked it of course.
 
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SethNS

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This is yeast infection right? Way back during college my girlfriend got it at one point and it spread to me mainly just minor itching. She went to doctor and I believe the doctor prescribed her enough pills so she could have me take some. He also suggested to stop having sex till both cured. Well that didn't happen so I believe it bounced back and forth one more time before finally despelling it.

I believe my genius doctor recommendation at the time was telling her to eat more yogurt and get some vagisil.
 
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Great article Beth! Now if only men had better hygiene for their hands and .... [] most of the problems of VB and UTI's in women would suddenly disappear... I guess basic hygiene in sex-ed class in highschool is too much to ask for...
Ha! Sex-ed! That's a great joke!

We are basically legally prohibited from teaching sex ed in my state. I have to get opt-in consent to teach the reproductive system in Anatomy and Physiology, with the special prohibition that I can't talk about contraception or anything sex-ed-like.
 
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Veritas super omens

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Ha! Sex-ed! That's a great joke!

We are basically legally prohibited from teaching sex ed in my state. I have to get opt-in consent to teach the reproductive system in Anatomy and Physiology, with the special prohibition that I can't talk about contraception or anything sex-ed-like.
The worst timeline...
 
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Seems like a straight forward and benign ask...

Cue up an unfortunate percentage of American men that don't want to be either inconvenienced or associated with a treatment related to vaginas in 3... 2... 1...
If it means more sex, they’d do it. Not sure why this isn’t the standard for all nominally STDs. Is it so hard to imagine that jock itch isn’t passed back and forth for example?
 
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Ha! Sex-ed! That's a great joke!

We are basically legally prohibited from teaching sex ed in my state. I have to get opt-in consent to teach the reproductive system in Anatomy and Physiology, with the special prohibition that I can't talk about contraception or anything sex-ed-like.
"So you have now completed your first lab rat dissection successfully and have learned all about the neuromuscular, vascular and lymphatic systems, congratulations on your progress! Now we will move onto the reproductive system – you see, a bird & a bee walk into a bar…"

Apologies, I feel for you. Anybody still teaching in the US of A should be commended, as I do you. It's just that I can't process the Talibanisation of once a great nation without a joke or two, since the reality of it is just too grim otherwise!

Have a 🫂 for keeping up the good fight in education, even if everything sounds so skewed against it!
 
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PlinyTheYounger

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It's the same issue with oral antibiotics; you kill all the bacteria inside you, including the beneficial ones in your gut. It can lead to needing a fecal transplant from someone with a healthy gut microbiome, which is as gross as it sounds... but works to re-establish a colon-y of beneficial bacteria.

While the principles at play are the same, I don't know how you'd go about determining a healthy donor for (re?)colonizing a cooch.
This comment repeats a common misconception and needs clarification and correction. No antibiotic is effective against or kills “all bacteria.” Every antibiotic targets or is effective against groups of bacteria that share certain characteristics. For example, some antibiotics are effective against gram positive cocci (like Streptococcus and Staphylococcus species). Others are effective against anaerobic bacteria (those that primarily rely on non-oxygen based respiration). Many are effective against more than one type of bacteria. Those that are effective against many types of bacteria are often referred to as “broad-spectrum” antibiotics.

It is true that when are person takes antibiotics, both pathogens and non-pathogenic bacteria that share characteristics targeted by that antibiotic are killed, and this is often why providers recommend taking probiotics to replace the “good bacteria” that are killed while on antibiotics (though to be honest, the evidence for the benefit of probiotics in this context is not particularly strong). Overuse of antibiotics, particularly broad spectrum antibiotics, can cause significant imbalances in the microbiome and give rise to opportunistic, often multi-drug resistant infections including C. difficile, which can in extreme cases be treated with fecal transplant, though this is very rare in the United States. Other infections associated with frequent or prolonged use of broad spectrum antibiotics include Vancomycin Resistant Enterococcus (VRE) and to a lesser extent MRSA.
 
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The Lurker Beneath

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This comment repeats a common misconception and needs clarification and correction. No antibiotic is effective against or kills “all bacteria.” Every antibiotic targets or is effective against groups of bacteria that share certain characteristics. For example, some antibiotics are effective against gram positive cocci (like Streptococcus and Staphylococcus species). Others are effective against anaerobic bacteria (those that primarily rely on non-oxygen based respiration). Many are effective against more than one type of bacteria. Those that are effective against many types of bacteria are often referred to as “broad-spectrum” antibiotics.

It is true that when are person takes antibiotics, both pathogens and non-pathogenic bacteria that share characteristics targeted by that antibiotic are killed, and this is often why providers recommend taking probiotics to replace the “good bacteria” that are killed while on antibiotics (though to be honest, the evidence for the benefit of probiotics in this context is not particularly strong). Overuse of antibiotics, particularly broad spectrum antibiotics, can cause significant imbalances in the microbiome and give rise to opportunistic, often multi-drug resistant infections including C. difficile, which can in extreme cases be treated with fecal transplant, though this is very rare in the United States. Other infections associated with frequent or prolonged use of broad spectrum antibiotics include Vancomycin Resistant Enterococcus (VRE) and to a lesser extent MRSA.

Metronidazole, as used in the trial, has broad-spectrum action against anaerobic bacteria, which include a lot of helpful gut bacteria.
 
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PlinyTheYounger

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At a very minimum, no malpractice insurer is going to let a provider write a prescription for someone they haven't examined and gotten a full medical history packet from.

Beth's right that doctors hand out antibiotics too freely, but they hand them out to patients they see in their practice, not patients' family that aren't in the room.
This is such a weird comment that betrays a fundamental lack of understand about how the medical field works. Providers don’t check with their malpractice carrier before prescribing medications and malpractice carriers don’t monitor a physician’s prescribing practices for antibiotics. There are state registries for controlled substance prescribing (e.g. narcotics), but I am unaware of any evidence that malpractice insurers assess this when issuing or renewing a policy.

In the US, treating partners for STIs has been recommended and endorsed by medical groups since 2006 - it’s called Expedited Partner Therapy (EPT). The CDC has a website that summarizes the legality on a state by state basis. Spoiler - it’s permitted in 48 states and potentially permissible in the other two (South Dakota and Kansas).

https://www.cdc.gov/sti/php/ept-legal-status/index.html
 
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This is such a weird comment that betrays a fundamental lack of understand about how the medical field works. Providers don’t check with their malpractice carrier before prescribing medications and malpractice carriers don’t monitor a physician’s prescribing practices for antibiotics. There are state registries for controlled substance prescribing (e.g. narcotics), but I am unaware of any evidence that malpractice insurers assess this when issuing or renewing a policy.
I'm just basing this on the fact that I've specifically had doctors tell me I had to jump through certain hoops to keep their insurance company happy, or that they couldn't prescribe for certain conditions because their insurance wouldn't cover their risks.
 
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close

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Seems like a straight forward and benign ask...

Cue up an unfortunate percentage of American men that don't want to be either inconvenienced or associated with a treatment related to vaginas in 3... 2... 1...
I dunno, nothing says you're getting so much vagina that you need this treatment both for yourself and to not put others at risk.
 
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HPV vaccines say hi. Men could get vaccinated and save their partners from literal cancer.
In some places it’s not available to men, or at least not on the subsidised vaccination scheme. It’s also only useful if you get vaccinated before you’re infected with HPV, but since most infected people (especially men) are asymptomatic it’s probably too late for most adult men.

However, it also protects against penile cancer, so there’s no ethical issue about vaccinating men, and a solid selfish reason to get it if you’re not infected yet.
 
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HPV vaccines say hi. Men could get vaccinated and save their partners from literal cancer.
Would sex habits change if both partners were able to be vaccinated from SDTs? I would think so. But I would also agree that we need some serious focus on vaccines against HPV, HSV1&2, and others.
Intimacy is damned with virus-interruptus
 
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Metronidazole, as used in the trial, has broad-spectrum action against anaerobic bacteria, which include a lot of helpful gut bacteria.

Metronidazole has a long list of potential side-effects, one of which is (possibly permanent) peripheral neuropathy. I took it once, had a nasty reaction to it. Hopefully they can use other drugs.
 
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