Make sure to take your full course of antifungals or whatever your doctor prescribes! To help make your life a little easier, the Mayo Clinic recommends the following steps:. Skipping hot tubs and super-hot baths. But at the very least, they can contribute to a pretty unhappy vagina. And no one wants that, right? SELF does not provide medical advice, diagnosis, or treatment.
Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional. First, you need to understand what a yeast infection is. There are a few things that can disrupt that balance and cause a yeast infection, including: Antibiotics: Antibiotic use is a huge one, since it can kill the healthy bacteria in your vagina that help to ward off infections, according to the Mayo Clinic.
Korin is a former New Yorker who now lives at the beach. You may also be tested for certain conditions that could be making you more vulnerable to yeast overgrowth, such as diabetes. Recurrent vaginal yeast infections may be treated with: footnote 1. The first treatment is then followed by at least 6 months of maintenance therapy. This could be oral or vaginal medicines.
Some women who are treated for recurrent yeast infections do not see their symptoms improve. These women may have another condition that is causing symptoms like those of a yeast infection. Further testing and treatment may be needed. Author: Healthwise Staff. Sometimes these infections may be long-lasting or chronic. This article outlines the different parts of the body that are susceptible to chronic yeast infections. We also discuss the causes of yeast infections and provide tips on treatment and prevention.
Yeast infections commonly affect the genitals and include a vaginal yeast infection and a penile yeast infection. A chronic, or recurrent vaginal yeast infection is one that occurs four or more times in a year. The symptoms of a vaginal yeast infection include:. Oral thrush is a yeast infection of the mouth or throat. Symptoms include:. Sometimes, oral thrush can spread to the esophagus, which is the tube that connects the mouth to the stomach.
Doctors refer to this type of yeast infection as esophageal thrush. It is more common among people who have a compromised immune system. Cutaneous candidiasis is a yeast infection of the skin. These infections tend to develop in warm, moist areas of the body that have little airflow, such as the armpits and groin.
Invasive candidiasis is a more severe form of yeast infection that can affect the brain, heart, blood, and other parts of the body. People who have a weakened immune system or spend time in the hospital are at higher risk of developing invasive candidiasis.
Many different factors can cause a chronic yeast infection to develop somewhere in the body. Examples include:. The following underlying health conditions can increase the risk of chronic and recurrent yeast infections.
Typically, people who have diabetes have hyperglycemia , or high blood sugar levels. The expense of each regimen should be considered.
The costs given in Table 2 do not include the expenses associated with decreased work productivity, missed work days, toxicity monitoring or office visits. Two mg tablets administered orally for five days after the menses for six months. Montvale, N. Cost to the patient will be greater, depending on prescription filling fee. A crossover study assessed the association between the daily ingestion of yogurt containing Lactobacillus acidophilus and the prevention of recurrent vulvovaginal candidiasis.
Although only 13 of 21 women completed the protocol, the women who ingested yogurt had a threefold reduction in infection. The authors of the study concluded that daily ingestion of 8 oz of yogurt containing L. A second study showed no difference in infection rates between women who ingested pasteurized yogurt and women who ingested yogurt that contained L. In addition to cost, other factors may determine the most appropriate regimen. Compliance rates are greater for medications that are taken orally rather than intravaginally.
However, the potential for systemic toxicity and drug interactions is greater with orally administered medications. Gastrointestinal side effects occur in 15 percent of patients treated with orally administered antifungal agents. Compared with ketoconazole, fluconazole is less likely to be toxic. Because fluconazole is administered orally, treatment compliance is better than with clotrimazole, which is administered intravaginally. Patients treated with fluconazole report headache 12 percent , abdominal pain 7 percent and nausea 4 percent.
Many antifungal agents have significant interactions with other medications. For example, interactions have been noted between fluconazole and warfarin Coumadin , oral hypoglycemic agents, phenytoin Dilantin , theophylline and rifampin Rifadin. Already a member or subscriber? Log in. Interested in AAFP membership? Learn more. Ringdahl received her medical degree from the University of Iowa College of Medicine, Iowa City, and completed a residency in family and community medicine at the University of Missouri—Columbia School of Medicine.
Address correspondence to Erika N. Ringdahl, M. Reprints are not available from the author. The epidemiology of vulvovaginal candidiasis among university students.
Am J Public Health. Sobel JD. Candidal vulvovaginitis. Clin Obstet Gynecol. Antifungal agents vs. J Reprod Med. Prevalence of and risk factors for fungal vaginitis caused by non-albicans species.
Am J Obstet Gynecol. Horowitz BJ. Mycotic vulvovaginitis: a broad overview. Lack of in vitro resistance of Candida albicans to ketoconazole, itraconazole and clotrimazole in women treated for recurrent vaginal candidiasis.
Genitourin Med. Epidemiology of recurrent vulvovaginal candidiasis: identification and strain differentiation of Candida albicans. J Infect Dis. Reed B. Risk factors for Candida vulvovaginitis. Obstet Gynecol Surv. Effect of antibiotic use on the prevalence of symptomatic vulvovaginal candidiasis.
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