Vaginal Infections & Discharge in Delhi
Accurate diagnosis and treatment of recurrent discharge, itching and infection.
What vaginal infections & discharge involves
Abnormal discharge is one of the commonest reasons women see a gynaecologist, and one of the most frequently mistreated. Bacterial vaginosis, candida and trichomonas need different treatments, and repeated courses of the wrong one make recurrence more likely.
Where symptoms keep returning, the questions widen: diabetes, antibiotic use, hygiene practices, contraception and partner treatment all matter.
Who this is for
- Persistent or foul-smelling discharge
- Itching, burning or soreness
- Recurrent infections despite repeated treatment
- Discomfort during intercourse
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Examination and sampling
Speculum examination with a swab for microscopy and culture where symptoms recur.
Targeted treatment
Antifungal, antibacterial or antiprotozoal treatment matched to what is actually found.
Underlying factors
Blood sugar, iron status and contraceptive method reviewed in recurrent cases.
Prevention
Maintenance regimens and practical advice to break the recurrence cycle.
Your results, in writing
Whatever the outcome of vaginal infections & discharge, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: Six courses of the wrong treatment
34, Mayur Vihar · recurrent discharge and itching for a year
What she came in with
Six courses of antifungal treatment over a year from three different doctors, each prescribed on symptoms alone without a single swab, with symptoms returning within weeks each time.
What the workup showed
A high vaginal swab grew no candida. Microscopy showed clue cells and a pH of 5.2 — bacterial vaginosis, not thrush, which is why every antifungal had failed. Her fasting glucose was also raised at 122 mg/dl.
What we did
Oral metronidazole for the bacterial vaginosis, referral for the newly identified glucose intolerance, and a discussion about vaginal douching, which she had been doing daily and which was perpetuating the imbalance.
Outcome
Symptoms resolved after one course and had not recurred at six months. Her glucose intolerance was picked up years before it would otherwise have been.
The point of this case
One swab after the first recurrence would have saved a year of treatment aimed at the wrong organism — and found a metabolic problem nobody was looking for.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Swab and culture in recurrent cases instead of repeat empirical treatment
Partner treatment arranged where it is needed
Diabetes screening in recurrent candida
Non-judgemental consultation on a subject many women find hard to raise
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about vaginal infections & discharge
Why do infections keep coming back?
Usually because the diagnosis was assumed rather than confirmed, because an underlying factor like diabetes is untreated, or because a partner was not treated.
Is discharge always an infection?
No. Clear or white discharge that varies through the cycle without smell or itching is normal physiology.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.