Many girls find that yeast infections tend to show up right before they get their periods because of the hormonal changes that come with the menstrual cycle. Clothing (especially underwear) that's tight or made of materials like nylon that trap heat and moisture might make yeast infections more likely. Using scented sanitary products and douching can upset the healthy balance of bacteria in the vagina and make yeast infections more likely.
In people with weakened immune systems, oral, vaginal, and skin candida infections usually can be diagnosed by visual infection. When a person becomes sick, the health care practitioner may perform more invasive tests to confirm the diagnosis. Specimen collection may be necessary to check for Candida in the blood and urinary tracts. People with catheters may have their catheters changed and the catheter tips sent for culture. If a CT scan or MRI indicates candidiasis of the brain, health care practitioners may take a biopsy to distinguish between Candida and other diseases. Usually health care practitioner give IV medications for serious systemic infections.
For severe or frequent Candida vaginal yeast infections, a doctor may prescribe two to three doses of Diflucan given 72 hours apart. Another oral medication that can be used in these cases is Nizoral (ketoconazole), which is taken for seven to 14 days, either once or twice daily, depending on your physician's recommendations. Women with diabetes may need this longer course of treatment to clear the infection.
Some people worry that using actual yeast infection medications will further upset the microbial balance in the vagina, leading to more discomfort. But Leena Nathan, M.D., an ob/gyn at UCLA Health, says this concern isn’t necessary because these drugs are only affecting your yeast overgrowth. “It's OK to go ahead and treat it and not worry about trading one [infection] for another,” she tells SELF. You might experience side effects such as a bit of burning or irritation, and if you choose vaginal suppositories they could weaken the latex in condoms (so use a different form of contraception if necessary)—but antifungals aren’t going to somehow create a different vaginal infection.
Oral thrush is another common type of yeast infection that occurs frequently in babies, especially during the first 6 to 12 months of life. This yeast infection appears as white or yellowish patches in a baby’s mouth. They may appear on the tongue, gums, roof of the mouth or the inside of the cheeks. Patches caused by a yeast infection in the mouth cannot be wiped away easily, unlike formula or breast milk that may coat the tongue. With thrush, bleeding may occur if the patches are wiped off. A baby may experience some discomfort or difficulty eating as a result of oral thrush, leading to poor feeding or fussiness during feeding. An antifungal solution may be prescribed to treat oral thrush.
Jump up ^ Mendling W, Brasch J (2012). "Guideline vulvovaginal candidosis (2010) of the German Society for Gynecology and Obstetrics, the Working Group for Infections and Infectimmunology in Gynecology and Obstetrics, the German Society of Dermatology, the Board of German Dermatologists and the German Speaking Mycological Society". Mycoses. 55 Suppl 3: 1–13. doi:10.1111/j.1439-0507.2012.02185.x. PMID 22519657.
Garlic was shown in a lab study to be an effective Candida killer. But there is some debate over whether it will help cure yeast infections outside of a lab setting. If you’d like to try garlic to treat a yeast infection, add more garlic to your diet. Some websites recommend inserting garlic in the vagina, but burns and significant pain have been reported.
Over-the-counter antifungal creams, ointments or suppositories (with miconazole or clotrimazole) are the most common ways to treat yeast infections. These can take from 1 to 7 days. Your doctor may also prescribe a single-dose pill with fluconazole (an antifungal medicine) for you to take. If you’re pregnant, it’s safe to use creams or suppositories, but not the fluconazole you take by mouth.