instruction: hello doctor I am completely desperate after treating yeast infections for years I made a lab test for whole bacterial microflora in my vagina the results are awful I do not have candid at all the results are gardnerella vaginalis prevotella bivia porphyearomonas spp 10 eubacterium spp 10 0 atopobium vagina 10 9 ureaplasma urealyticum and parvum 10 3 my doctor prescribed me the following treatment azithromycin first week first day second and third day 500 my the second week the same for gardnerella tinidazole two pills be for days actually og for one day he told me to take tinidazole on different days from azithromycin my husband also took pills for only one week azithromycin and tinidazole also we take probiotics and vitamins I also have fluomizin vaginal tablets for 12 days my worries are that after three days of azithromycin we took tinidazole but we felt awful after the second day we could not take the last because of vomiting diarrhea stomach and low back pain now I feel better and it is time for the second week of azithromycin can I take the last of tinidazole after azithromycin or just to let go I have some pain in the low back but this pain appeared two months ago and now I think I have pid or something really bad I think I have become infertile without knowing it this ureaplasma should be in me at least for four to five years for gardnerella I am not sure but I have always had some discharge so definitely things are old we want to have a baby and now things are not so good for us if I succeed in treating these infections can I get pregnant naturally or it is better to find medical help without losing time I am 32 years old doctors say nothing here actually my doctor told me if the treatment is successful we can try to conceive naturally but I think these bacteria have injured my reproductive system because of the long time untreated problem I am so sad I also had urine and blood tests everything is normal there my urine sediment is clear and ear is normal
output: hello I would like to add a little information here is that pid pelvic inflammatory disease mostly is a subsequent result of sad sexually transmitted disease infection chlamydia and gonorrhea which actually travel upward along the reproductive tract and may lead to subfertility these prolonged infections can also cause subfertility but in very severe cases especially recurrent cases and if remain untreated as you have started treatment the infection has been cured so you should stop worrying now and start trying to conceive naturally the chances of getting pregnant spontaneously are quite bright and as you are 32 years now so you can try spontaneously for at least six months to one year before seeking help but if it is really concerning for you then there is no harm in seeking help earlier secondly yes you can take tinidazole after completing azithromycin course I hope this helps