Yeast Infection Medical Information

Candidiasis (yeast infection) is one of the most common causes of vulvovaginal itching and discharge.  Candida is a normal vaginal flora, but overgrowth can lead to discomfort. Risk factors include diabetes, elevated estrogen level, immune-compromised health, obesity, antibiotic use. However, yeast infections can also occur spontaneously. Aim of treatment is symptom relief and prevent complications.

Symptoms include

Vaginal itching/vulva pruritus, vulvar burning, soreness, and irritation, swollen vulvar, excoriation, or fissure. There is usually little to no discharge, if present it is white, thick, adherent, and clumpy (cottage cheese). Symptoms are often worse during the week prior to menses. The external genitalia or vagina may appear red and swollen.

Treatment Options

Fluconazole tablet (diflucan) single dose, and in severe symptoms, two to three doses every 72 hours.

Clotrimazole, miconazole, or terconazole for 7- 14 days for patients who prefer topical therapy.

There is no contraindication to sexual intercourse during treatment discomfort may be present until vaginal irritation improves.