Clinical Reference Systems: Pediatric Advisor 10.0
Vaginal Yeast Infections
A yeast infection is one of the most common types of vaginal
infections. Yeast organisms are normally present in the
rectal and vaginal areas. Yeast causes trouble only when
there are too many of them.
You must see your doctor to check if you have a yeast
infection for sure.
You are more likely to have a yeast infection: - if you
are taking an antibiotic- if you are pregnant- if you have
diabetes- if you wear tightly fitting clothing- you are
around heat and moisture.
The symptoms of a vaginal yeast infection include:
- severe itching, redness, and soreness of the vagina
- a vaginal discharge that looks like cottage cheese
- burning feeling when going to the bathroom.
How long will it last?
With proper treatment vaginal yeast infections clear up in
How is it treated?
Your doctor will treat you with one or more of the
- Vaginal suppositories
You need the medicine prescribed by your physician.
Insert a suppository into your vagina each evening just
before you go to bed. You will do this for 3 or 7
nights, depending on the type of suppository. Your body
temperature will melt the suppository, so you may want to
wear a sanitary pad to protect your underwear. Continue
using the suppositories even if your menstrual period
occurs during this time. This treatment should cure the
- Vaginal cream
You need the cream prescribed by your doctor.
Sometimes it is necessary to use vaginal cream instead of
or in addition to vaginal suppositories. For example, it
may be necessary if the outside part of your vagina is
red, swollen, and itchy. The vaginal cream may be
applied two times a day for 4 to 7 days, depending on how
bad your symptoms are.
- Recently, fluconazole (Diflucan) was approved for
single-dose oral treatment of yeast infections. The dose
is a 150 mg tablet.
- Nonprescription medicines for yeast infections
A number of medications for treating yeast infections
recently became available without a prescription. You
should see your doctor before you use any of these
products, especially if:
- you have never had a yeast infection
- there is any doubt that yeast is the cause of your
- you are sexually active.
Treatment for yeast infections will not help or cure
sexually transmitted infections such as chlamydia,
gonorrhea, or trichomonas.
- Wash and rinse your external genitals and bottom
regularly. Use a mild soap.
- Wear clean underpants every day. Cotton panties with
a cotton crotch are best.
- Avoid vaginal spray deodorants and irritating soaps.
- When you go to the bathroom, wipe front to back, never
back to front.
- If you feel the need to use a douche, do not douche
more often than once a month. Douches tend to remove
the normal bacteria that keep yeast from infecting the
Call Your Doctor During Office Hours If:
- Your symptoms or discharge continue after using all the
- You have other questions or concerns.