Yeast Infections Specialist

How do I know if I have a yeast infection?

Yeast infections range from mild to moderate, with symptoms that include:

•         Irritation and itching of the vagina and vulva
•         Burning sensation during urination or sexual intercourse
•         Pain or soreness in the vagina
•         A vaginal rash
•         Redness and swelling of the vulva
•         Odorless vaginal discharge that’s either watery or thick and white like cottage cheese

Complicated yeast infections often display multiple symptoms or these conditions:

•         Severe redness, swelling, or itchiness that leads to sores, tears, or fissures
•         4 or more infections a year
•         The patient is pregnant, or has diabetes or an immune system disorder

What causes yeast infections?

Yeast infections start with an overgrowth of a fungus called candida, which usually exists in balance with other yeasts and bacteria in the vagina. Normally, lactobacillus bacteria produce enough acid to keep candida in check, but when it doesn’t, candida overgrows and a yeast infection results. Some causes of yeast overgrowth are:

•         Pregnancy
•         Antibiotic use, which changes the acid balance in the vagina
•         Diabetes, particularly when it’s uncontrolled
•         Estrogen therapy or oral contraceptives
•         Immune system problems

How are yeast infections treated?

Treatment varies for simple and complicated yeast infection cases. Over-the-counter and prescription antifungal medications can be administered over 1, 3, or 7 days, depending on the product, and may be enough to treat uncomplicated yeast infections. These medications may be available as a tablet, ointment, cream, or suppository. Some products may cause slight burning or irritation upon application, and since suppositories and creams are oil-based, users of latex-based condoms and diaphragms need to use alternate birth control methods during yeast infection treatment.

Complicated yeast infections require longer courses of treatment, typically 7-14 days in length. Fluconazole, effective as a single oral dose for simple infections, may be extended to 2 or 3 doses for complicated problems, but isn’t suitable for use during pregnancy. A yeast infection maintenance plan is possible for extreme cases.