If you see a health care professional, he or she may prescribe a single dose of oral fluconazole (Diflucan) or a generic equivalent, although this treatment is not recommended during pregnancy. Also, do not take fluconazole if you are taking cisapride (Propulsid) because this drug combination could cause serious, even fatal, heart problems. There have been reported drug interactions between warfarin, an anticoagulant (blood thinner) medication, and topical miconazole nitrate products (such as Monistat) and oral fluconazole (Diflucan). Additionally, fluconazole may cause liver damage in rare instances, particularly in conjunction with alcohol use. Discuss all the medications you may be taking when you discuss your symptoms with your health care professional.
Up to 40% of women seek alternatives to treat vaginal yeast infection. Example products are herbal preparations, probiotics and vaginal acidifying agents. Other alternative treatment approaches include switching contraceptive, treatment of the sexual partner and gentian violet. However, the effectiveness of such treatments has not received much study.
Applying plain yogurt to the area may help to restore balance and reduce irritation. Using only plain yogurt with active cultures, once or twice a day, rub a few tablespoons’ worth around the outside of the vagina to quell irritation, or insert the same amount into the vagina. You can also dip a tampon in the yogurt, let it soak for a few minutes, and then insert it.
Even though the signs and symptoms of yeast infection may point to the cause, vaginal itching and discharge can be caused by other conditions including bacterial vaginosis and Trichomonas infections. To most accurately make the diagnosis, a sample of the discharge is tested in the laboratory, either by culture or by direct examination under a microscope, to identify the yeast organisms and to help rule out other causes such as bacterial vaginosis or sexually-transmitted diseases.
Candida normally lives inside the body (in places such as the mouth, throat, gut, and vagina) and on skin without causing any problems. Scientists estimate that about 20% of women normally have Candida in the vagina without having any symptoms.2 Sometimes, Candida can multiply and cause an infection if the environment inside the vagina changes in a way that encourages its growth. This can happen because of hormones, medicines, or changes in the immune system.
Another possibility: Your “yeast infection” is persisting because it’s actually a different condition, such as bacterial vaginosis or trichomoniasis. This is why it’s especially important to prioritize heading to the doctor ASAP if you’re pregnant and your self-treated yeast infection comes back. Some issues that can masquerade as yeast infections can be dangerous during pregnancy. For example, bacterial vaginosis can increase the risk of preterm labor, according to the Centers for Disease Control and Prevention.
Take antibiotics only when prescribed by your health care professional and never take them for more or less time than directed. In addition to destroying bacteria that cause illness, antibiotics kill off the "good" bacteria that normally live in the vagina. Stopping treatment early, even when symptoms have improved, can cause infections to return and make them resistant to the medication.
Shino, B., Peedikayil, F. C., Jaiprakash, S. R., Bijapur, G. A., Kottayi, S., & Jose, D. (2016, February 25). Comparison of antimicrobial activity of chlorhexidine, coconut oil, probiotics, and ketoconazole on Candida albicans isolated in children with early childhood caries: An in vitro study [Abstract]. Scientifica, 7061587. Retrieved from https://www.hindawi.com/journals/scientifica/2016/7061587/abs/
A vaginal yeast infection is an infection caused by yeast (a type of fungus). Vaginal yeast infection is sometimes referred to as yeast vaginitis, Candidal vaginitis, or Candidal vulvovaginitis. The scientific name for the yeast that causes vaginitis is Candida. Over 90% of vaginal yeast infections are caused by the species known as Candida albicans. Other Candida species make up the remainder of yeast infections.