Incompetent Cervix - stitch/cerclage - threatened labour

[Susanah]

Hello

MommyA - its definitely a good idea to get OH tested for things as well, as infection just comes back and forth even if not making love.
I didn't actually get hubby tested, we just decided he should take antibiotics and antifungals also as no risk to him and keeps us safe. He has continued to take them throughout the pregnancy also. Have absolutely no idea whether your docs would do it or not. America seems very different to the UK when it comes to healthcare provision!!! our GP presecirbed the required treatment for my OH.

Sexual arousal and orgasm cause the brain to release oxytocin which causes contractions. Hence why advised to avoid in high risk pregnancy. Also infection is the major other reason for abstaining with a stitch in, alongside the risk of direct trauma to the cervix.

Gracie - thanks its amazing to have got this far. when I was at 20 weeks looking at people further along than me I thought Id never get there. Keep strong. x

Helen - glad Bella is doing well! so happy for you

me - got to 35 weeks today and 19 days to go until section.... exciting just have to keep things together for a few more days ....

Susanah

 

[Mommy's Angel]

Hello

MommyA - its definitely a good idea to get OH tested for things as well, as infection just comes back and forth even if not making love.
I didn't actually get hubby tested, we just decided he should take antibiotics and antifungals also as no risk to him and keeps us safe. He has continued to take them throughout the pregnancy also. Have absolutely no idea whether your docs would do it or not. America seems very different to the UK when it comes to healthcare provision!!! our GP presecirbed the required treatment for my OH.

Sexual arousal and orgasm cause the brain to release oxytocin which causes contractions. Hence why advised to avoid in high risk pregnancy. Also infection is the major other reason for abstaining with a stitch in, alongside the risk of direct trauma to the cervix.

Gracie - thanks its amazing to have got this far. when I was at 20 weeks looking at people further along than me I thought Id never get there. Keep strong. x

Helen - glad Bella is doing well! so happy for you

me - got to 35 weeks today and 19 days to go until section.... exciting just have to keep things together for a few more days ....

Susanah

I'm SO excited for you! Almost time to celebrate.

Can you tell me what drugs your husband is on? I'm wondering if I can ask for Flagyl for him and then diflucan?!

The clindamycin is slow to work, but I think it's working. I now have a yeast infection too. I am taking a three day insert cream.

The past 24 hours has been pretty scary to me. We went out to a restaurant last night. I was Mall walking for awhile. When we got to the restaurant I felt something trickle down to my underwear. I looked and it was just a watery discharge, but it was enough to freak me out!

Today while inserting the yeast infection suppository, when I brought the inserter, on the inside was bits of thicker mucus. AGAIN, I freaked out. Since I lost my mucus plug with my prior pregnancy is that something to be concerned about? Should I tell the OB when I speak to her tomorrow?

I'm SO on edge with every discharge. I need to BREATH!

 

[Susanah]

Can u get vaginal tablets instead of cream? they are better in pregnancy as you should ideally not be using the applicator. you use your finger to insert.
You will get more discharge when placing anything in the vagina. its freaky at first but you get used to it.
Flagly is trade name for metronidazole and that would be suitable. Id give him a few doses diflucan ( which is the trade name for fluconazole) as well

I am not suprised you got a yeast infection with Clinda - it needs treating before stitch insertion. You do need the clinda though for the BV. You need to make sure you have clean swabs before the stitch. As I said, oral antifungals are contraindicated first trimester but you can use them after 12-14 weeks if you are still having problems with yeasts. Oral meds are pretty good at clearing you on infection quickly if you do need them later on.
My OH is on Fluconazole only now. he takes one table (150mg) every 10 days. I take 200mg fluconazole pessary (tablet form) vaginally every week.

Susanah

 

[berryblue290]

For those who used progesterone suppositories: when did you stop using them?

 

[HelenGee]

Hi Berryblue
I had 2 conflicting views on progesterone. My regular doc told me to stop gradually at 28 weeks, basically to finish off my supply by tapering off it's use from two per day, to once, then every other day. I was still using it once per day at 29 weeks when I went for a private scan, where the consultant told me on no uncertain terms to carry on using it once per day until 32 weeks, which is what I did.

Mommya- I was always at the hospital having watery discharge checked out, at least 7 times I went in thinking I was leaking amniotic fluid. I wasn't, but I think a stitch can produce more discharge, I naturally produce an excessive amount anyway, then the Progesterone can increase the amount to when inserted vaginally. I would always get it checked to be sure, but mine was always clear, watery but slightly sticky. From my waters breaking I don't think amniotic fluid is sticky, and it will make any other discharge you may get runny like water too. I always had 2 kinds simultaneously, the watery kind and a thicker, mucous (sorry tmi!). If that were amniotic fluid I think the thicker discharge would become watery too and flow out. I thought I was going nuts and my poor DH dreaded the watery discharge as he knew it meant another hospital visit. Poor man, deserves a medal for putting up with me lol! Xx

 

[berryblue290]

Thanks Helen, I was continuing using them for no one told me to stop, but I am finished with a pack and don't really feel like refilling because I dont really think it matters anymore, took them everyday til 34 weeks so I think Im going to gradually stop

 

[Mommy's Angel]

Can u get vaginal tablets instead of cream? they are better in pregnancy as you should ideally not be using the applicator. you use your finger to insert.
You will get more discharge when placing anything in the vagina. its freaky at first but you get used to it.
Flagly is trade name for metronidazole and that would be suitable. Id give him a few doses diflucan ( which is the trade name for fluconazole) as well

I am not suprised you got a yeast infection with Clinda - it needs treating before stitch insertion. You do need the clinda though for the BV. You need to make sure you have clean swabs before the stitch. As I said, oral antifungals are contraindicated first trimester but you can use them after 12-14 weeks if you are still having problems with yeasts. Oral meds are pretty good at clearing you on infection quickly if you do need them later on.
My OH is on Fluconazole only now. he takes one table (150mg) every 10 days. I take 200mg fluconazole pessary (tablet form) vaginally every week.

Susanah

I had no idea there is a pill form that you can stick in the vaginal area. Can you tell me what it's called so I can ask about it?

I'm still waiting for the call from the Dr.'s office for my latest Beta. I'm a bit ticked off because while I was getting my labs done this morning and paying off our bill, I asked to see the nurse with hopes to ask her about my husbands issue. She told the secretary she was too busy to see me and that she'd call at the regular time...which is almost 6pm my time. The pharmacy is already closed.

I know they have a job to do and are busy, but that made me feel like my questions don't deserved to be answered unless they deem it okay by phone late in the afternoon. When I first found out I was pregnant waiting for an appiontment with the perinatal center, I told her that they said I'd have to start progesterone right away. She's looked at my progesterone and said her and the Dr. refuse to give me anymore because my progesterone numbers are high enough. It went from 29.9 to 36 last week and I haven't gotten todays numbers.

I told her that wasn't the issue, that it was due to my loss. She's making me wait until my appointment with perinatal center on March fourth to take it up with them.

I'm really feeling at a loss again with medical staff. I'm SO on edge as it is and I feel as though nobody really cares medically and they all think they know it all and don't want anyone telling them otherwise. There's absolutely nowhere here in Central NY that doesn't seem to have that theory in OBGYN. I just keep praying hour by hour and day by day that God will continue to show His strength and glory. I certainly can't trust in the medical staff here. I wish we could just move to a better place with better medical care.

I'll be back on shortly to share my phone conversation when she calls.

 

[Mommy's Angel]

I'm SO MAD!!

I just called the office because the nurse said she's ALWAYS There later between 530 and 6pm. SHE was supposed to call me. When I hadn't heard from her I called. I got the answering service who said they left at 4pm.

Are you kidding me?? We had a STAT for my beta numbers to be sure they were going up, I had two very important questions at the office she said she was too busy for. I'm so PISSED right now I could spit!

I'm waiting for the on call Dr. to call who most likely won't have access to todays labs. Tomorrow I'm going to let it rip with the nurse!

I understand she thinks I 'm a pain in the arse because I'm calling with questions but I've had a traumatic last pregnancy with a traumatic loss at 22wks. THEY are the ones making me feel as though my pregnancy isn't going to last by saying "wait until the next lab" "IF" the numbers rise above five-thousand you'll have your first sonogram to "see IF the baby(ies) are alright.

All I need is someone who will listen to my concerns and show a little compassion.

 

[Mommy's Angel]

Another update:

I just got a call from the Dr. on call who said they don't ever treat men with meds for BV because there's no data showing they pass it on to their spouses? Where the heck am I?! Am I living on another planet somewhere??

There's no way of sharing my labs she doesn't have access to them. I can't call the lab myself because of hippa laws.

SO, I wait until the morning and call. I am NOT happy!

I called my husband in tears and he said we could think about moving. Who is he kidding? We can move right now in the middle of an economic crisis in the states. He has a solid job that pays well. If we move, we'll be starting all over again.

I will say this however, I'm thinking about the trip two hours away to the other facility. I'm terrified of an accident in the travel and am not really sure how realistic it would be for high risk prenatal travel.

I'm also thinking once we get through having our baby(ies) I think I've made my decision once and for all to get the heck outa New York State again. I was born here and my family is here, I love them, but things have changed drastically. I'm not happy at least in Central NY. I could live in Rochester or "maybe" near Buffalo or back in Ohio where I liked it. But Syracuse has lost it's thunder for me.

I used to live in England for awhile. North Yorks. I miss that area too. But know while it's good for a visit, there's no way my husband would pick up and leave the only country he's known. Hmm, maybe I should try Canada. Haha We spent alot of time in Canada.


Anyways, this has been my rough day. I'm sure it could be worse and I'm having a meltdown over something simple, but I think it's just the issue of not receiving the proper care like last time. I'm afraid to spite my mouth, I'm going to fall under the cracks again with the beurocracy and know-it-alls.

 

[Vaudha]

Hi everyone
Hope you all are doing great. I feel so guilty for not being able to check on the posts My girl is awake the whole night and she has learnt new ways of crying if I do not take her in my lap when she is awake

I am sure my reply to few posts are quite late, i will reply to them anyway

Susan: Congratulations dear on 35 weeks only few more days before u see your baby

Mommy's Angel: I used vaginal pessaries (tablets) after they put my stitch and when they removed and sometime in between. I am no different when it comes to freaking out on every discharge I get. After using the viginal tablets I used to get watery discharge. First time I was so much freaked out thinking that it was the water I was losing, I got admitted to hospital. Well, it was nothing. They discharged me on the same day. So , try relaxing and inform your doc about discharge just to be safe.

berryblue290: I was on progesterone supplements from 17 weeks onwards till 32 weeks. No side effects

Love you all. Will drop in again.
Take great care of yourselves
Love/
Vasu

 

[Sherri81]

Hi ladies, I am still kicking around, just trying to take it easy.

One brand name for the vaginal progesterone suppositories is Prometrium. They can also be used rectally to avoid to much contamination into the vagina. I did them vaginally with Devon, but then lost her at 23+2(3). This time we have made a policy of nothing in nothing out, so I do them rectally.

Still been feeling alright I suppose. Getting very nervous now, as I am only 4 weeks away from where I was when I delivered Devon, and she didn't make it. For the most part, I am trying to ignore the fact that I am pregnant in order to not obsess about it everyday...

I am getting concerned because it is seeming to be that I have recurrent vaginal infections. I am starting to worry about how this will affect him. Obviously my BV infection with Devon was quite advanced, and was probably alot worse than normal because of the presence of the McDonald stitch in there. But once that infection became severe, it didn't take long for the contractions to come on hard and steady and to dilate my cervix, even though I had a cervix that was closed and 3.2cm long on the Thursday, (she was delivered early Saturday morning).

So there wasn't alot of time to fiddle around with Devon, and it worries me that that could happen this time around as well. I have the Sharodkur, which I know is supposed to be covered by vaginal tissue, therefore, less exposed, which makes me feel a teensy bit better... But still...

About a week and a half ago I started getting that itchy, burny pain at the bottom of my vagina, and I there was a bit of discharge, so I decided to treat with a course of Flagyl. I just finished the Flagyl a couple of days ago, and that burny itchy pain has gone, but I do think there may be a bit of a low grade yeast infection happening. I haven't treated that yet though, as we are trying to keep things out of the vagina. So I am just eating a ton of yogurt, have changed to a dye/fragrance free detergent, and no more Bounce sheets, and I change my underwear twice a day just to stay extra clean... So hopefully things clear up.

I have had a bit of discharge in the past couple of days, but I don't think I need to be worried; at least I hope not. For the most part it is kind of white and lotiony. Sometimes there is enough to feel like it is running out of me when I stand, but when I wipe, after 2 wipes its gone... Sometimes it looks a bit stickier... So I don't think this is BV at this point. But this was the second course of Flagyl I have taken with this pregnancy (first was right after the Sharodkur was placed as the bleeding and mucous had picked up 3 days post surgery). So I'm just wondering how many more times I will have to go on it, and whether or not it will come to the point where Flagyl isn't effective on me anymore.

I think I will probably end up in my OBs hospital. They have a portable ultrasound machine there which I have a feeling she will be using on me once or twice a week. In Quesnel, there are only the big stationary machines, and it is hard to get into one of them appointment wise. I have a feeling that the maternity care will be a bit better there as well, since their Mat unit will step in at 20 weeks, whereas in Quesnel, they won't help until 24 weeks in the Mat unit. I think the main things are to keep me infection free, and I know Dr Johnson is more apt to provide me with antibiotics right away, and through the IV, should I say something feels off. And if I get past that stage that I did with Devon, then the issue will be my cervix. With Greg, there was no clue anything was happening until a scan at 24+2 showed my cervix was about 1cm long. So I have a feeling my OB's hospital will be on top of doing steroids right at 24 weeks, and I have a feeling she will notice changes in my cervix quicker because she can scan me whenever she feels.

So, although I didn't want to be in her hospital due to the distance from home, I have feeling I will be there for my bedrest.

I don't know. I'm just starting to get worried because my pregnancy with Devon had gone so perfectly, until I got that infection and no one believed I had it. It was so different from Greg's pregnancy, so I really was feeling safe. Now, I don't know when to feel safe. This pregnancy is going okay too... No pain really, no discomfort really.... But how do I know things aren't going to go downhill??

 

[Mommy's Angel]

Hi ladies,

I called the office today and my beta is 13,809 and my progesterone went down from 36 to 28.2. I've never dealt with progesterone numbers so I was alarmed when it went down. She said it's a great number and progesterone numbers tend to fluctuate.

A question for you ladies is when I lost Jackson, I was told next pregnancy I'd be put on Progesterone then cerclaged. This OB said they refuse to put me on progesterone because my numbers are so good.

I see the same perinatologist next week and I'm sure they'll put me on it but I have no idea WHY?

May I ask why most of you are on Progesterone? Do you have a depletion of progesterone or is there another reason to help keep the baby? Also are you all on progesteron suppositories or Progesterone in Oil shots or the oral progesterone? Is there one that's clearly better than the other?

 

[Susanah]

Progesterone in early pregnancy is used for a different reason to why it is used in cervical incompetence.
These are two distinctly separate things, though for some women it may serve a dual purpose.
It does thicken the cervix but its main use in early pregnancy is in its name - pro - gestation. It tells the body you are pregnant and stops the release of usual menstrual hormones.
The reason so many ladies are on it for Incompetent cervix is due to its ability to strengthen and probably lengthen the cervix.

I didnt have progesterone at all, as I didnt want the possible side effects and my obstetrician advised against. This is not to say it doesnt have a valid place in treatment as many women on here have done very well with progesterone only and no stitch.

The vaginal tablets are diflucan 200mg as I mentioned before and I have been taking them since the stitch went in. I have also had oral fluconazole to cover any antibiotics I have had because I am prone to thrush.

Sherri - treat the yeast infection. Dont wait. I lost my son from an infected stitch due to yeast infection at about your stage. the metronidazole (flagyl) is likely to have caused the yeast infection to overgrow. you dont want an infected stitch at this delicate time.
Yoghurt is useless.

Vasu - good to hear from you, glad things going well. SO happy for you.

Susanah

 

[Mommy's Angel]

Progesterone in early pregnancy is used for a different reason to why it is used in cervical incompetence.
These are two distinctly separate things, though for some women it may serve a dual purpose.
It does thicken the cervix but its main use in early pregnancy is in its name - pro - gestation. It tells the body you are pregnant and stops the release of usual menstrual hormones.
The reason so many ladies are on it for Incompetent cervix is due to its ability to strengthen and probably lengthen the cervix.

I didnt have progesterone at all, as I didnt want the possible side effects and my obstetrician advised against. This is not to say it doesnt have a valid place in treatment as many women on here have done very well with progesterone only and no stitch.

The vaginal tablets are diflucan 200mg as I mentioned before and I have been taking them since the stitch went in. I have also had oral fluconazole to cover any antibiotics I have had because I am prone to thrush.



Susanah

I had no idea that diflucan has the vaginal tablets. Very interesting. I'm usually taking the oral because of the flagyl.

Now I have to ask another question since you know so much about these infections. Now that I'm taking the clindamycin, I'm feeling yeast coming on. Since I'm only heading for my 7th wk on Wed., what should I do to get rid of the nasty yeast that's appropriate for 1st trimester?

((sigh)) Oh I do feel as though this is a tiring process. It's so scarey. People keep telling me not to worry about it all, but unless they've actually walked in our shoes, they really don't understand.

I have my first ultrasound on Thursday and I'm so excited. I just want to see my baby(ies) and hear the heartbeat. It will relax me a bit more.

Thanks for sharing your wealth of information. Sadly I know it's taken quite a trial and lots of research to get there. I'm glad there's a thread like this one. I'm not sure what I'd do without it.

 

[Susanah]

In first trimester I would advise only diflucan vaginal tablets/pessaries but alternate days until for 3-6 doses then have a break and make sure clear. If you are not clear then I would advise taking an oral diflucan tablet (but way up the risks of doing so) in second trimester, not first. It is thought to cause problems in first trimester.

Good luck on thursday

 

[Mommy's Angel]

In first trimester I would advise only diflucan vaginal tablets/pessaries but alternate days until for 3-6 doses then have a break and make sure clear. If you are not clear then I would advise taking an oral diflucan tablet (but way up the risks of doing so) in second trimester, not first. It is thought to cause problems in first trimester.

Good luck on thursday

So diflucan vaginal tablets don't have the same risk in first trimester as the diflucan oral which can only be taken during the second trimester?

Wow is that all confusing. I'll call and see if they will even prescribe it for me. As you said, the U.S. tends to do things so differently sometimes. I wonder why nobody has ever mentioned the vaginal tablets to me even without pregnancy as I got them every now and then.

Thank you for sharing this bit of information with me.

 

[Sherri81]

Okay, so what can I use to treat this yeast infection? My OB mentioned using Monistat, the single dose tablet, if need be. She said not to use the applicator tube thingy though...

But what if it's still BV?? How do I know its not kicking around? Should I wait to see my Dr and have her do a bit of a swab first?

 

[Mommy's Angel]

Okay, so what can I use to treat this yeast infection? My OB mentioned using Monistat, the single dose tablet, if need be. She said not to use the applicator tube thingy though...

But what if it's still BV?? How do I know its not kicking around? Should I wait to see my Dr and have her do a bit of a swab first?

I don't know all the answers as I'm in here for the same reasons too

Susanah mentioned diflucan vaginal pill every other days for 6 days. She also mentioned that if your in the second trimester or later to use Diflican pill form, but she said to weigh the pro's and con's.

I'm not yet in second trimester. I'm going to check to see if diflucan vaginal is safe for first trimester here in the States.

Usually if you've been treated for BV, you almost ALWAYS get a yeast infection. They kind of go hand-in-hand sadly. So I'd get treated for the yeast infection then see if everything starts clearing up for you. After you take your dose for yeast infection, wait a few days and THEN get the swab test would be my opinion. That way if you still have something hanging on, you can deal with it. Darn BV and Yeast. I'm itching up a storm over here too and its a pain in the bum to clear up. I hate it!

Maybe someone else can come by and share their wisdom who's been there and knows more. In the meantime I pray all will clear up soon for you and that you have a safe pregnancy with VICTORY!

 

[Sherri81]

I was told that in Canada, Diflucan won't be administered to pregnant women. So I guess that option is out for me. My OB did mention that there is a vaginal suppository she could give me for 10 days, and it would treat both BV and yeast. I refused it on the basis that I don't want to be sticking anything up there for 10 days in a row.... If I have to treat for yeast, I would much rather keep the contamination down to a one shot deal. And even still, before I put that tablet up there, I think I will have to boil my hand before even touching myself, that is how worried I am about something flaring up big time down there.

The other option I have, I guess, is Clindomyacin, I think. She said a medication like this could also be used to treat BV. So I have the Flagyl, that suppository, or Clindomyacin to treat BV, and that seems to be it.

But I can't have gotten another BV infection again within days of being off Flagyl right? I mean, that seems like it would be impossible, especially with the precautions I take. I mean, I don't drink pop anymore, just lots of water, I eat yogurt tons (even though I know Susanah has said this won't help, I still can't stop doing it), I have switched to dye/fragrance free detergents and no dryer sheets etc... I only weat cotten underwear, and if they feel the slightest bit damp, I change them. And I make sure not to cross my legs at all, but to allow air flow through there by keeping my legs open a bit almost all the time (sounds weird I know).

So really, it has to be yeast right? It can't be BV again less than a week after my last Flagyl pill. I don't have sex either, so its not like me and the husband are passing anything back and forth.

For the most part, the only discharge I have had so far has been like thin lotion, no smell, sometimes stickyish. And there isn't even that much of it.

 

[Mommy's Angel]

I was told that in Canada, Diflucan won't be administered to pregnant women. So I guess that option is out for me. My OB did mention that there is a vaginal suppository she could give me for 10 days, and it would treat both BV and yeast. I refused it on the basis that I don't want to be sticking anything up there for 10 days in a row.... If I have to treat for yeast, I would much rather keep the contamination down to a one shot deal. And even still, before I put that tablet up there, I think I will have to boil my hand before even touching myself, that is how worried I am about something flaring up big time down there.

The other option I have, I guess, is Clindomyacin, I think. She said a medication like this could also be used to treat BV. So I have the Flagyl, that suppository, or Clindomyacin to treat BV, and that seems to be it.

But I can't have gotten another BV infection again within days of being off Flagyl right? I mean, that seems like it would be impossible, especially with the precautions I take. I mean, I don't drink pop anymore, just lots of water, I eat yogurt tons (even though I know Susanah has said this won't help, I still can't stop doing it), I have switched to dye/fragrance free detergents and no dryer sheets etc... I only weat cotten underwear, and if they feel the slightest bit damp, I change them. And I make sure not to cross my legs at all, but to allow air flow through there by keeping my legs open a bit almost all the time (sounds weird I know).

So really, it has to be yeast right? It can't be BV again less than a week after my last Flagyl pill. I don't have sex either, so its not like me and the husband are passing anything back and forth.

For the most part, the only discharge I have had so far has been like thin lotion, no smell, sometimes stickyish. And there isn't even that much of it.

I'm actually on Clindomyacin for my own BV right now. It's slower acting than Flagyl I can say that, but I'm taking it because it's safer than Flagyl in the first trimester. Flagyl is pretty effective. I'd think that what you have is a yeast infection and you need to treat it. I ALWAYS have a yeast infection after taking flagyl. In fact, I have a yeast infection right now because of the Clindomyacin too. They kill ALL bacteria good and bad which is why we end up getting yeast infections once the BV treatment has finished. As Susanah said, I wouldn't go to long without treating the yeast infection. Once you treat that, if you feel as though you have something, get tested again.

I'm sure it's possible to be resistant to a treatment if you've been on it for a long period of time and take it regularly, but in your case I really believe with my own experience that what you have is the after affects from the BV treatment which causes yeast infections. She's also right about yogurt. It REALLY doesn't do a whole lot. I've been on Keifer which is higher in probiotics than most yogurts and I also have a smoothie with greek yogurt. I STILL have yeast infections.

I was reading in Dr. Oz's You having a baby book that probiotics from yogurt type products only get to the gutt. They don't get any further and thus aren't as affective in treating the bacteria you need. He mentions a specific bacteria in pill form and one in frozen yogurt ice cream but my husband and I were unable to determine if the frozen yogurt Ice creams were the right cultures because most have said Active Live Culture as most yogurts say too.

Products like onions, white rice and white pastas as well as sugary cakes, cookies and candies can cause yeast infections in some as well. Believe it or not onions do it for me. I have to be careful with how much I have and I end up smelling like onions down there.

Hopefully if I haven't answered your question others will come along to help. I would treat the yeast and see how you feel. I bet you'll feel better.


Oh, also Susanah shared something with me. Just because you don't have sex (we don't either) doesn't mean your not passing it back and forth. If you sleep in the same bed, use the same toilet, take a shower in the same bathtub...there are ways to share the infection. My husband has actually been itching for awhile now and I hadn't thought of that idea until Susanah mentioned it. NOW I have to have him call his Dr. and I want him treated with Flagyl and diflucan right away. I wanna know we're not going to continue passing this off together.