Fowler Gyn International

The Experts in Vaginal Health Care

Paradise Valley
Medical Plaza

5410 N. Scottsdale Rd

Suite B-200

Paradise Valley, AZ 85253



Call (480) 420-4001

"Finally Revealed- New Treatment For Chronic Vaginal Discharge- That Actually Works"

What Symptoms Can Be Associated with Abnormal Vaginal Discharge?

The following are a number of real-life symptom scenarios:

Annoying discharge with irritation consisting of itching and burning that occurs on a daily basis. The irritation gets worse with exercise and perspiration.

A yellowish-green vaginal discharge associated with subtle odor, itching and burning on the outside. The tissues feel swollen; like it’s inflamed especially with intercourse.

It’s wet, sticky, and slimy. Then it dries like a crust on pubic hair and the underwear.

Clear vaginal discharge persists after a course of antibiotics. There is external irritation and enough discharge to need a daily pad.

Intermittent discharge dates back to the early teenage years. It varies from greenish to yellowish and has a periodic odor with itching and burning. Birth control pills don’t help.

Chronic intermittent yellowish-white discharge with itching that is worse after sex.

Creamy discharge with mild odor for years, sometimes it’s orange looking and copious enough to need daily panty liners.

Itching on the labia associated with a discharge that varies dramatically from thick, clumpy white to very thin clear. Despite the discharge, there is a sensation of vaginal dryness.

What Causes an Abnormal Vaginal Discharge?

Most vaginal discharge is completely normal. It can vary from thin milky-white to clear and watery or gel-like depending on the stage of the menstrual cycle and on the degree of hydration. On occasion, normal discharge is copious enough to require a panty liner. However, it is not normal to have vaginal discharge that forms a crust on the pubic hair, stains the underwear, or is associated with odor, irritation, soreness, itching, and/or burning.

Practitioners including gynecologists are traditionally trained to evaluate for 4 potential causes of vaginitis…bacterial vaginosis, yeast vaginitis, atrophic vaginitis, and trichomonas...but it’s NOT that simple! The list of causes does not stop there. Your practitioner may have suggested one of these is your problem.  While your symptoms may mimic one of these four conditions, your actual diagnosis may not be any one of them! In a moment, THE REST OF THE STORY!
But first, be advised that an abnormal vaginal discharge could be a sign of a more serious condition such as sexually transmitted diseases of Chlamydia or Neisseria Gonorrhea, or blood stained discharges can occur with cancers of the uterus, cervix or rarely the vagina.  Be certain that you have had these causes excluded by your local provider before proceeding to register with FGI. The purpose of FGI is not to handle acute or recent onset vaginal symptoms when these more serious causes need to be excluded but to handle chronic vaginal discharge for which you have been evaluated but not adequately addressed (meaning your local healthcare provider did not know what to do for you) or responded to therapy prescribed by local healthcare providers.

And Now the Rest of the Story

If you are frustrated that you have been evaluated by your local healthcare providers and perhaps received different opinions as to the diagnosis of your vaginal condition and/or have had persistent symptoms despite a number of treatments, the experts in vaginalhealthCare wish to extend you an offer for advanced diagnostic techniques. It has been Dr. Fowler’s experience in dealing with numerous women with chronic vaginal discharge that the underlying etiology is different in these women from those with acute symptoms and they usually do not respond to the typical “vaginitis” treatments or at best might get a transient response, then the symptoms relapse. During 20 years of clinical observation using advanced microscopic techniques to analyze the vaginal secretions, Dr. Fowler has determined that these symptoms are commonly due to a phenomenon known “Altered Vaginal Micro-Flora Patterns.” These patterns arise when the normal flora has been disrupted by any one of a number of factors; FGI refers to these as “vaginal insults.” The information you will provide on the Symptom Specific Profile taken in context of your General Medical History during your registration will determine if this is the correct diagnosis to a high degree of probability. The Vaginal Fluid Analysis Test (VFA Test) can confirm the type of altered vaginal micro-flora present. This is good news for you; it’s no longer one of 4 types of vaginitis and if you don’t respond to treatment for them, you're just out of luck.

Normal Vaginal Micro-Flora

The vagina has a normal micro-flora ecosystem consisting of 30+ co-existing strains of bacteria at any one time. Normally, the “good” bacteria known as lactobacilli predominate and are numerous enough to coat the entire vaginal mucosal surfaces forming a protective barrier. Lactobacilli make lactic acid by using the glycogen contained in the normal vaginal lining cells. The lining cells require estrogen to make glycogen. The low pH caused by the lactic acid in conjunction with the hydrogen peroxide and other peroxidases secreted by lactobacilli, suppress the other “bad” bacteria normally present in the vagina to keep them at low concentration levels where they rarely cause harm. Problems arise when the lactobacilli do not thrive and a shift in bacteria milieu occurs. The 30+ other “bad” bacteria strains proliferate and dominate the micro-flora.  This results in one of several “altered vaginal micro-flora patterns.” The “bad” bacteria that predominate in these patterns consist of a host of aerobic and anaerobic microbes. The resulting secretions bathe the vaginal walls all the way down to and including the tissues surrounding the vaginal opening which is believed to cause variable symptoms of vaginal discharge plus possibly other symptoms such as odor, irritation, itching, burning, and urinary urgency/frequency depending on the innate sensitivity of the vaginal and external genital tissues.

Altered Vaginal Micro-Flora Patterns

In 2007, Dr. Fowler published a landmark study which expanded the known vaginitis subtypes by adding a new spectrum of altered vaginal flora patterns. Up until then, the medical literature commonly referred to “vaginitis” as consisting of 4 types as noted above: yeast, bacterial vaginosis, Trichomonas, and atrophic vaginitis. Dr. Fowler proposed a new Vaginitis Classification System that expands the types of vaginitis to ten types. Reference: Fowler, R.S. Expansion of altered vaginal flora states in vaginitis. J Reprod Med. 2007 Feb;52(2):93-99.

The majority of healthcare providers are unaware of the existence of altered vaginal micro-flora states. The reason being, very few gynecologists specialize in vaginal conditions. Plus detecting altered vaginal micro-flora patterns requires expensive microscopic equipment, an advanced skill set, and extra time and training. The current standard of evaluation by healthcare providers consists of doing vaginal “wet preps” by a century old technique without inclusion criteria or advanced techniques to diagnose altered vaginal micro-flora patterns. A bacterial culture may be taken by an otherwise well meaning practitioner, but it will just grow out one of the 30+ “bad” bacterial strains such as Escherichia coli (E. Coli), Klebsiella pneumonia, Enterococcus (Group D streptococcus), Staph  Epidermidis, Group B Streptoccocus (Beta Strep), Gardnerella Vaginalis, etc. All this shows is the predominate bacterial strain present in the vagina at that time. This is not the cause of the problem, just one of the manifestations. When a course of antibiotics is prescribed for these bacteria, a transient response may occur then symptoms typically relapse. At FowlerGynInternational, the approach is to fix the underlying vaginal problem and restore the normal flora to the vagina rather than providing a band aide for the symptoms. If you are ready for expert help, click Potential Client-Sign Me Up.

The Bottom Line

The underlying cause of your perplexing symptom/s is that the vaginal mucosa is not in the best of health and the micro-flora has shifted to one of several types of altered vaginal micro-flora patterns. They are relatively harmless; but the symptoms that can occur in association with their presence can range from just annoying to agonizing. They are not infectious or contagious; they just represent a shift in bacterial milieu. You are probably wondering how this happened. The inciting event was probably what FGI refers to as a “vaginal insult” that disrupts the micro-flora health of the vagina. The full list of vaginal insults will be provided to you embedded in your personalized treatment protocol.

What is the FGI Approach?

The FGI treatment approach uses vaginal rejuvenate therapy to transform the altered vaginal micro- flora patterns towards one of the normal patterns. For FGI clients, the vaginal rejuvenate therapy can be monitored to see how effectively the particular treatment is moving the vaginal constituents towards a normal flora pattern. This approach has been developed and used by Dr. Fowler with success for the treatment of thousands of women. Are you ready for expert help?

Advanced Diagnostic Technology to Analyze Vaginal Fluids

In October of 2012, Dr. Fowler published a breakthrough in the understanding of the vaginal micro-flora analysis preformed under phase-contrast microscopy titled, “Quantification of normal vaginal constituents using a new wet prep technique.” He had been using this technique for years for women with vaginal symptoms but for the first time, the relative concentrations and constituents of what constitutes “normal” became known. This knowledge is essential because these patterns become the therapeutic goal of vaginal therapy. Prior to the release of this study, it was only inferred by clinical deduction as to what constituted healthy vaginal constituents.  Reference: R.S. Fowler. Quantification of normal vaginal constituents using a new wet prep technique.  J Low Genit Tract Dis. 2012 Oct; 16(4):437-441.

How can FGI Help You

It’s your turn to get advanced technology working for you! Dr. Fowler took early retirement from the Mayo Clinic, where he worked as a  gynecologist specializing in vaginal disorders and bio-identical hormones, to hosts this website and makes his knowledge & expertise of evaluating women with vaginal conditions for over 20 years available online…to you, right now!

Ask yourself,

How long have I had this problem?

How many doctors have I seen?

Do I want to go through another pelvic exam? 

How much would I like to be rid of this problem?

If your answers are too long, too many, I hate pelvic exams, and that would be great!... Register today and get on the path tomorrow that could very well resolve your problem! You must be 18 and not pregnant, a resident of the US (residents of Texas and Oklahoma are not eligible due to restrictive medical laws). Take the initiative so that you might be the next success story. You may register today if the ribbon on the header is green or yellow! If red, return another day and check availability or put your name on the wait list under “Contact Us” click

Your Options for Services from FGI are as Follows:

1) Potential Client- Sign Me Up. FGI will review your vaginal symptoms and general medical history questionnaire information and clarify the details on the phone with you, recommend the VFA Test if indicated, and create an individualized treatment protocol tailored to your condition with prescription medications! You can register either for “Virtual Services” delivered to the privacy of your residence or schedule an In-Office visit at FGI headquarters in Scottsdale, Arizona.


2) FeminaRx Pure SkinCare Collection. Order the highly praised, time proven, combination of skin products ideal for women with sensitive external genitalia tissues. It took Dr. Fowler 25 years of clinical observations to discover! You don't even need be an FGI Client to purchase.  You may buy these products right now and switch from your current products which likely contain common chemical irritants contributing to your symptoms.  You may think you’re using hypoallergenic products right now, but wait until you feel the difference. This collection contains five hypocontactant products recommended by FGI for all women with sensitive external genitalia skin particularly for those women with vaginal discharge associated with irritation, sensitivity, itching, burning, dryness/ chafed sensation, or sensitivity after shaving genital hair and sensation of urinary urgency/frequency. The Collection contains about 4 month supply of product.

Expectations for Response

While FGI cannot guarantee full resolution or the degree of response to prescribed treatments which can vary from person to person, it takes 4 months before notable improvement to occur in the discharge and associated symptoms. If not, the vaginal rejuvenate therapy may need to be changed because the vaginal mucosa of every woman does not uniformly respond to the same type or dosage of therapy. A vaginal fluid analysis (VFA Test) at that time can best clarify how to proceed. Fortunately, most women do experience relief of symptoms with the first line of therapy individualized to their situation. Are you ready for expert help?

Need More Proof that FGI is Here for You?

If you’re still hesitant and need more proof of the expertise and competency of FGI so that you can place your trust in an online medical consulting practice, take your time and investigate more of the information on the home page. Click on How It All Worksand the Organization.  Under the Organization you will find the “CV of Board Certified R. Stuart Fowler, M.D.” where you can read about Dr. Fowler’s training, credentials, and 25 years of affiliation with the Mayo Clinic, and “How Dr. Fowler Developed His Expertise” in vaginalhealthCare. Read “Testimonials” for inspiring success stories of women who have used Dr. Fowler’s treatment protocols. Or call FGI HEADQUARTERS at 480-420-4001 in Scottsdale, Arizona during business hours and talk to the staff. The experts in vaginalhealthCare at FGI treat women with vaginal conditions with confidence. It’s a sub-specialty practice and they know exactly what they are doing. Are you ready for expert help?

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