For infrequent recurrences, the simplest and most cost-effective management is self-diagnosis and early initiation of topical therapy. However, women whose condition has previously been diagnosed with candidal vulvovaginitis are not necessarily more likely to be able to diagnose themselves; therefore, any woman whose symptoms persist after using an over the counter preparation, or who has a recurrence of symptoms within 2 months, should be evaluated with office-based testing. Unnecessary or inappropriate use of topical preparations is common and can lead to a delay in the treatment of other causes of vulvovaginitis, which can result in worse outcomes.
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.