kaberett: Overlaid Mars & Venus symbols, with Swiss Army knife tools at other positions around the central circle. (Default)
[personal profile] kaberett
The proximate trigger for the recurrent BV seems to be spending more than three hours a day using a wheelchair, even when using a vaginal pH balancing gel once a week. This is kind of suboptimal, because it de facto prevents me from leaving the house for anything other than brief shopping trips (unless I'm willing to take a handful of antibiotics after each trip, which I'm not).

However! The problem arose late September/early October. I've been using the same trousers, the same wheelchairs, the same wheelchair cushions, the same shower routine, etc, for much much longer than that: I haven't actually changed any meaningful part of my routine. (How I wash has been emphatically excluded from meaningfully being a cause: I switched to using aqueous cream in place of shower gels, despite the fact that I was already only using any form of detergent on my external outer labia), and that made precisely 0 difference.) I've not had partnered sex since about December, so that's also excluded as a cause; and I don't douche.

Which leaves medication as the remaining culprit -- but to first approximation, there have been no studies on which medications promote bacterial vaginosis.

Happily the only part of my med regime I've changed in that time frame is switching to the anti-depressant mirtazapine in summer 2015, i.e. recurrent BV started being a problem for me once I'd been on it a couple of months, i.e. at the point at which I'd got sane enough to start leaving the house regularly again. And it turns out mirtazapine sometimes does something baffling with mildly depressing white blood cell production and otherwise mimicking mild infections (which might also explain the grumbling ear infection I've had since the beginning of March, which mysteriously does not show up anything interesting when swabs are cultured, but which has had a brief reduction in symptoms every time I've taken a round of antibiotics for the BV).

So I'll be talking to my GP about changing my anti-depressant when I talk to him anyway on Thursday (about a grab-bag of gynaecological hilarity), because this is having a big enough impact on how much I loathe embodiment/how fast I'm destroying trousers/etc that it's worth playing psychological roulette, as far as I'm concerned -- worst-case scenario we can always decide nothing else works adequately well and put me back on mirtazapine, so. (I mean, given how much mirtazapine helps with my insomnia it's a bit of a pity, but oh well.)

And honestly the major reason I've actually made this post is so that web searches for the combination of mirtazapine and bacterial vaginosis show up some speculation In The Future Days (I will attempt to remember to update this with confirmation if my problems all clear up once I've tapered off the stuff), in the hope that the next lot of people affected won't have to do quite as much working out from first principles as me.

But THERE WE GO, that's been my day today in healthwork.

(no subject)

Date: 2016-06-13 03:09 pm (UTC)
vass: A sepia-toned line-drawing of a man in naval uniform dancing a hornpipe, his crotch prominent (Default)
From: [personal profile] vass
As always, I'm impressed by:

- your detective work and clarity and consistency about what's going on with your body
- your attention to documentation
- your honesty

(no subject)

Date: 2016-06-13 03:23 pm (UTC)
sylvaine: Dark-haired person with black eyes & white pupils. (Default)
From: [personal profile] sylvaine
*facepalm* ~~medication!~~

(no subject)

Date: 2016-06-13 06:17 pm (UTC)
hilarita: trefoil carving (Default)
From: [personal profile] hilarita
I find that mirtazapine doesn't really help with vaginal dryness,* which may not be helping either...

* i.e. it's much less shit than prozac for this, but really, it's not helping...

(no subject)

Date: 2016-07-21 12:13 am (UTC)
From: (Anonymous)
I need to file this in the back of my mind, I've never really had a problem with BV, or rather not distinguished it from any other problem and whatever has been going on responds to the ph balancing stuff you mention. I always use a wheelchair other than upstairs at home, but that can still leave a lot of variance. I adore my sheepskin cushion cover, which i'm aware may not suit a veggie, but I gather it is something with oodles of useful properties.

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kaberett: Overlaid Mars & Venus symbols, with Swiss Army knife tools at other positions around the central circle. (Default)
kaberett

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