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Vaginal yeast infection - Treatment

Alternative Names

Yeast infection - vagina; Vaginal candidiasis; Monilial vaginitis

Treatment:

Generally, the first incidence of yeast infection should be treated by your health care provider.

After the first infection, if you develop another infection and you are absolutely certain it is a yeast infection, you can treat it at home with over-the-counter vaginal creams such as miconazole or clotrimazole. Symptoms that don't go away should be evaluated by your gynecologist or primary health care provider.

Medications for vaginal yeast infections are available in either vaginal cream/suppositories. Oral medication should be avoided during pregnancy.

Expectations (prognosis):

The symptoms usually disappear completely with adequate treatment.

Complications:

Chronic or recurrent infections may occur. This may be from inadequate treatment or self-reinfection.

Secondary infection may occur. Intense or prolonged scratching may cause the skin of the vulva to become cracked and raw, making it more susceptible to infection.

Calling your health care provider:

Call for an appointment with your health care provider if this is the first time that you have vaginal yeast infection symptoms, or if you are unsure if you have a yeast infection. (If you are sure that you have a yeast infection, you can treat the disorder with over-the-counter medications.)

Call your health care provider if symptoms don't go away after using self-treatment vaginal creams, or if you have or develop other symptoms.

  • Reviewed last on: 5/12/2008
  • Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Susan Storck, MD, FACOG, Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Eckert LO, Lentz, GM. Infections of the Lower Genital Tract: Vulva, Vagina, Cervix, Toxic Shock Syndrome, HIV Infections. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, PA: Mosby Elsevier; 2007: chap 22.
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