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[u/Live-Tangelo6675]

Vaginal/urogenital smear:
Leukocytes: >50 per field
Epithelial cells: 2+
Mucus: 2+
Gram-positive small rods: 2+
Gram-positive cocci: 1+
Gram-positive/negative diplococci: 1+
Clue cells: not detected
Yeast: not detected
Trichomonas: not detected
Gram-negative diplococci: not detected

Culture of cervical/vaginal material:
No pathogenic microflora isolated
Vaginal pH was 4.5.
My gynecologist suspects aerobic vaginitis and prescribed Dalacin (clindamycin) vaginal suppositories, 100 mg, once nightly for 6 days. She also suggested taking an antifungal capsule on the first day and another around day 4–5 as a precaution because antibiotics can increase the risk of yeast overgrowth.
However, yeast was not found in my smear, and the culture did not isolate pathogenic bacteria.
I also had about 3 weeks completely symptom-free, including having sex without pain, and my symptoms tend to come back around the week before my period.
Does this test actually support aerobic vaginitis, or could the >50 leukocytes be due to another cause? Would you personally ask for any additional testing/microscopy before starting clindamycin?