Dr. Wayne Cottrell

0203 197 9100
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Thrush, Bacterial Vaginosis and Balanitis

 

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Thrush

Thrush is an fungal infection usually caused by Candida Albicans. Candida naturally occurs in the vagina but if the acidity in the vagina changes. It can result in an overgrowth of candida, which then in turn can lead to symptoms.

Although it is more common in women, men can also develop thrush on the penis, more commonly in uncircumcised men.  Thrush can be passed on through sexual intercourse, it is not classed as an Sexually transmitted infection. It can also be normal or passed on via skin to skin contact.

Many women will suffer with thrush at some point in their lives, with about 5% of those that will suffer with recurrent episodes. It is important to note that having thrush doesn’t necessarily mean that there is a problem with your immune system, although in recurrent or difficult to treat episodes, we would recommend testing for HIV and diabetes, just to be on the safe side. However, If you have any of the above two conditions thrush can be more serious.

Risk factors

  • Recent antibiotic use
  • Oral contraceptives
  • Sexual activity

Symptoms

Women

  • Vaginal irritation, itching or soreness of vagina
  • A thick white discharge
  • Painful urination.

Men

  • A red patch or spots on the head of the penis
  • Itching
  • Excessive smegma (the white stuff under the foreskin)

Diagnosis

  • History
  • Visual inspection
  • Swab test from the affected site.

Treatment

Usually straightforward with creams or a one off dose of antifungal tablets

Bacterial vaginosis (BV)

BV is the commonest cause of abnormal vaginal discharge in women of childbearing age. It is not necessarily a sexually transmitted infection. It is caused by an overgrowth of organisms such as Gardnerella vaginalis and Mycoplasma hominis in the vagina, which causes an imbalance in the vaginal flora.

Although not a serious condition, it can cause unpleasant symptoms, and may increase the risk of picking up other STI’s including HIV. These vaginal bacteria are the first line of defence, when it comes to warding off unwanted viruses and other bacteria. Besides any disturbances which can lead to symptoms and potentially increased risk of other infections. Furthermore, some women have frequent BV and it is also more common in some ethnic groups, women who use IUD’s for contraception and also in smokers. Although not classed as a sexually transmitted infection, it is more common in sexually active females.

Balanitis

Balanitis is an infection of the foreskin, caused by bacterial or fungal infection. Symptoms can include a red, itchy penile head or foreskin with or without swelling of the foreskin. In some cases difficulty in retracting the foreskin. As well as a discharge, usually with a strong odour

I have over 14 years experience providing sexual health screening and I offer a completely confidential, professional, non judgemental service from start to end. If you are not sure if you have been at risk, then I offer a normal consultation to discuss the possible risks and whether screening would be appropriate. We discuss and agree all costs beforehand so you know exactly where you stand and I will always provide you with clear and accurate advice based on current British Association for Sexual Health and HIV (BASHH )guidelines.

Dr Wayne Cottrell is your Private GP and Sexual Health Doctor in Canary Wharf. Let us help you today!

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Dr Wayne Cottrell
Dr Wayne Cottrell
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Irene Jordan
Irene Jordan
07:21 18 Jan 19
Dr Cottrell is nothing short of amazing. I started seeing him during the worst moments of my life, desperate for answers as to what was going on with me. I badgered him with my new found health anxiety and not once did he ever make me feel like I was crazy, instead he would reassure me and answer me honestly and calmly, and where necessary he’d organise the appropriate tests efficiently in order for my anxiety to not get worse with a wait. I cannot thank him enough. Me and my children will never go to anyone else.read more
Matt Ryman
Matt Ryman
12:45 13 Jul 18
Superb service with a thoroughly professional approach. I highly recommend Dr Cottrell as an extremely experienced and friendly GP.read more
Lethewards Sunk
Lethewards Sunk
17:53 14 Jun 18
Dr Cave is absolutely brilliant. She was calm, empathetic and joined the dots to me on some aspects of my health that several consultants have failed to do. One of the best GPs I've visited ever.read more
Meredith O'Shaughnessy
Meredith O'Shaughnessy
13:58 31 Dec 17
Wonderful doctor with a very attentive and engaged approach. The clinic is very professionally run and it provides a fast and efficient service. From travel vaccines to general GP services they always make time to see me, even when it's been a bit last minute. I wouldn't go anywhere else now. Highly recommended.read more
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What Clinic Award

I am proud to announce that for the sixth year running we have been awarded a Whatclinic Customer service award.

MHRA

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Freedom Clinics 34 North Colonnade,
Canary Wharf, E14 5HX

Freedom Clinics

Opening Hours: Mon & Tue 8.30-6.30, Wed & Thur 9-5, Fri 8.30-12.30 Doctor, Fri 1-5 Nurse Only

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