Discover the most effective ways to get rid of a yeast infection fast. Explore 8 home remedies and learn about over-the-counter and prescription treatments for vaginal yeast infections.

Understanding Yeast Infections in Women

Yeast infections, also known as vulvovaginal candidiasis, are a common fungal infection that affects many women. These infections are caused by an overgrowth of a type of yeast called Candida albicans. Various factors can disrupt the natural balance of bacteria and fungi in the vagina, leading to yeast overgrowth and the development of a yeast infection.

The most common causes and risk factors for yeast infections in women include:

• Use of antibiotics, steroids, or contraceptives
• Pregnancy
• Weakened immune system
• Diabetes

Home Remedies for Yeast Infections

While yeast infections can be uncomfortable, many women are able to find relief through the use of home remedies. Here are eight effective home remedies that may help get rid of a yeast infection:

1. Probiotics: Consuming probiotic-rich foods or supplements can help restore the balance of beneficial bacteria in the vagina, which may help fight off the Candida yeast.
2. Boric acid: Inserting a boric acid suppository into the vagina can help reduce the growth of Candida and alleviate symptoms.
3. Apple cider vinegar: Applying a diluted solution of apple cider vinegar to the affected area may help reduce itching and irritation.
4. Tea tree oil: The antifungal properties of tea tree oil may help fight the Candida infection when applied topically.
5. Garlic: Consuming garlic or applying garlic paste to the affected area may have antifungal effects and help alleviate symptoms.
6. Coconut oil: The antifungal properties of coconut oil may help reduce the growth of Candida when applied topically.
7. Hydrogen peroxide: A diluted solution of hydrogen peroxide may help reduce the Candida yeast when used as a douche.
8. Yogurt: Applying plain, unsweetened yogurt containing live active cultures to the affected area may help restore the vagina’s natural balance.

Over-the-Counter (OTC) Yeast Infection Treatments

For many women, over-the-counter (OTC) antifungal medications can be an effective way to treat a yeast infection. These medications are available in the form of creams, suppositories, or oral tablets and can be purchased without a prescription. Some of the most common OTC yeast infection treatments include:

• Monistat-1 (miconazole)
• Gyne-Lotrimin 3 (clotrimazole)
• Vagistat-3 (tioconazole)

It’s important to follow the instructions for using these OTC treatments carefully and to complete the full course of treatment, even if symptoms have subsided. If symptoms worsen or do not improve, it may be necessary to seek a prescription medication from a healthcare provider.

Prescription Yeast Infection Treatments

For more severe or persistent yeast infections, a prescription medication may be necessary. The most common prescription treatment for yeast infections is Diflucan (fluconazole), an azole antifungal drug that can be taken as a single-dose oral medication for mild infections or as a single dose every three days for more severe infections.

Prescription medications may be required for individuals with the following conditions:

• Recurrent yeast infections (more than 4 per year)
• Severe or complicated yeast infections
• Infections that do not respond to OTC treatments
• Individuals with certain medical conditions, such as diabetes or a weakened immune system

It’s important to note that oral azole antifungals like Diflucan may interact with other medications, so it’s essential to consult with a healthcare provider before using these treatments.

How Long Does a Yeast Infection Last Without Treatment?

Yeast infections can sometimes go away on their own, but this is not recommended. Without treatment, a yeast infection can last for several weeks or even months. The infection may also become more severe, leading to increased discomfort and the risk of complications.

It’s best to treat a yeast infection as soon as possible, either with an OTC or prescription medication, to alleviate symptoms and prevent the infection from worsening. A single-dose oral medication, such as Diflucan, can be one of the fastest ways to clear up a yeast infection, with symptoms typically improving within a few days.

When to See a Doctor for a Yeast Infection

Most yeast infections can be effectively treated with OTC or prescription medications. However, it’s important to seek medical advice in the following situations:

• Symptoms do not improve or worsen after using an OTC treatment
• You have recurrent yeast infections (more than 4 per year)
• You have a severe or complicated yeast infection
• You are pregnant or have a weakened immune system
• You are unsure whether it is a yeast infection or another type of vaginal infection

A healthcare provider can properly diagnose the infection and recommend the most appropriate treatment plan, which may include prescription medications or further evaluation for underlying conditions.

How to get rid of a yeast infection in 24 hours

Yeast infections can be uncomfortable, learn how to get rid of a yeast infection in 24 hours

How to get rid of a yeast infection | Over-the-counter treatments | Prescription treatments | How long will a yeast infection last without treatment? | When to see a doctor 

Yeast infections are common fungal infections that can cause uncomfortable symptoms, such as vaginal irritation, pain, and discharge. Most women experience a vaginal yeast infection at least once in their lives due to various causes, including poor hygiene, pregnancy, and antibiotics. Nevertheless, yeast infections are generally mild and easy to treat, with an array of treatment options available. 

If you’re wondering how to get rid of a yeast infection, continue reading to learn about the potential treatment options available, including over-the-counter (OTC) and prescription medications. 

How to get rid of a yeast infection

A vaginal yeast infection, also known as vulvovaginal candidiasis, is caused by a type of yeast or fungus called Candida albicans. It commonly occurs in women, although it can also occur in men. Different factors can affect the natural balance of bacteria and fungi in the vagina, leading to yeast overgrowth. The most common causes and risk factors of a yeast infection include: 

• Use of antibiotics, steroids, or contraceptives
• Pregnancy
• Weakened immune system
• Diabetes 

Yeast infection treatment options include prescription and OTC medicines, which may come in brand-name and generic forms. Treatment options also come in different dosage forms, such as oral tablets and vaginal creams. 

Mild or uncomplicated yeast infections usually resolve within a few days using a short-course vaginal therapy. Certain OTC topical medications are designed to be used as a single dose to clear a mild infection quickly. However, oral prescription medications may be needed for more severe symptoms of a yeast infection that last for one to two weeks or longer.  

Azole antifungals are the main class of drugs used to treat yeast infections. They work by disrupting the fungal cell membrane, which stops the growth of the fungi causing the infection. Topical azole antifungals can be found over the counter, while oral pill forms need a prescription from a healthcare provider. 

Can a yeast infection go away in one day?

There is a small chance of a yeast infection going away on its own. However, you’ll want to avoid the infection becoming more severe without treatment. It’s best to consult a healthcare provider and get rid of a yeast infection early with an OTC or prescription treatment. 

A single-dose oral drug is one of the fastest ways to clear up a yeast infection. It can be taken in one day, but it may take a few days for symptoms to improve. Single-dose treatments can be obtained over the counter or with a prescription. 

Over-the-counter yeast infection treatments

Over-the-counter antifungal medications are available in creams or suppositories for internal application. They can be purchased as one-, three-, and seven-day treatments at local drug stores. These treatments are also available online for those who are uncomfortable buying them in the store.

With numerous OTC medications out there, it can be confusing to choose the best treatment. Some anti-itch creams or herbal remedies may seem attractive because of their cost and ease of use. However, the Centers for Disease Control and Prevention (CDC) recommend treating vaginal yeast infections with intravaginal imidazoles, such as Monistat or Vagistat. 

The following are OTC medicines you can buy at pharmacies or online: 

• Monistat-1 (miconazole)
• Gyne-Lotrimin 3 (clotrimazole)
• Vagistat-3 (tioconazole)

Remember to read the instructions for vaginal suppositories or creams carefully or ask for medical advice from a healthcare provider. Avoid stopping the medicine early, even if symptoms have subsided. While OTC treatments may be helpful, you might need a prescription medication if symptoms worsen or don’t seem to improve.  

RELATED: Vagisil vs. Monistat: Differences, similarities, and which is better for you

Prescription yeast infection treatments

Diflucan (fluconazole) is an azole drug that can only be purchased with a prescription from a doctor or healthcare provider. It can be taken as a single-dose oral medication for mild infections or as a single dose every three days for more severe infections. Most cases of vaginal candidiasis typically respond to single-dose therapy with fluconazole.

Oral prescription pills can only be used to treat yeast infections with guidance from a healthcare provider. Azole antifungals may interact with other medications, especially when taken orally. Certain people, such as pregnant women and people with kidney problems, may need to avoid azole antifungals like fluconazole. 

Examples of prescription yeast infection medications include:

• Diflucan (fluconazole)
• ​​Terazol (terconazole)
• Gynazole-1 (butoconazole)
• Brexafemme (ibrexafungerp)
• Vivjoa (oteseconazole)

Some vaginal yeast infections don’t respond to treatment with usual antifungal agents like fluconazole. For resistant yeast infections, a healthcare provider may recommend boric acid inserted into the vagina or Ancobon (flucytosine) taken orally. 

The duration of treatment with prescription medications is typically longer than that of OTC medications. Prescription vaginal therapy could last for more than a week. For recurrent vulvovaginal candidiasis, or yeast infections that occur more than three or four times per year, a healthcare provider may recommend weekly doses of fluconazole. Vivjoa (oteseconazole) is a prescription antifungal medicine approved for chronic or recurrent yeast infections.

RELATED: Monistat vs. Diflucan | Fluconazole side effects

How long will a yeast infection last without treatment?

Yeast infections with mild itching or irritation may go away on their own within a few days. More serious yeast infections can take one to two weeks or longer to clear up and will often require a prescription medication. The severity and symptoms of the infection will determine the best course of action. However, if a vaginal yeast infection is left untreated, symptoms could worsen. 

Some people may prefer home remedies to treat yeast infections. Although they may seem convenient, the scientific evidence for their use is lacking. Common alternative treatments for yeast infections include apple cider vinegar, coconut oil, tea tree oil, garlic, cranberry juice, plain yogurt, and probiotic supplements. Consult a healthcare provider before using a home remedy. 

After a yeast infection resolves, it’s a good idea to take steps to prevent it from happening again. Ways to prevent a yeast infection include:

• Using proper hygiene, such as wiping from front to back after using the toilet
• Avoiding tight-fitting clothing
• Wearing breathable clothing, such as cotton fabrics 
• Managing high blood sugar levels or diabetes
• Avoiding scented or irritating feminine products
• Avoiding douching, excessive sweating, and stress

When to see a doctor

Schedule an appointment with a doctor if symptoms worsen despite using an appropriate treatment, such as an OTC antifungal cream. You may be experiencing a resistant or more serious yeast infection that requires a prescription medication to treat. 

In some cases, the infection may be caused by bacteria or other microbes. Other vaginal infections or medical conditions can cause similar symptoms of a yeast infection, such as vaginal itching or a burning sensation. These conditions include bacterial vaginosis, allergic reactions, sexually transmitted infections, such as trichomoniasis, and skin conditions, such as lichen sclerosis or eczema. A healthcare provider can evaluate your symptoms and perform tests to identify what is causing the problem. 

You may need a doctor’s assessment and diagnosis if:

• You experience pelvic pain or a fever
• It is your first yeast infection
• You have recurring infections
• You are pregnant
• You are concerned about STIs (sexually transmitted infections) 

During a diagnosis, a doctor or healthcare provider may ask about your medical history, sexual activity, and medications you are currently taking. They may also perform a pelvic exam and take a sample of vaginal discharge to pinpoint the cause of your symptoms. After determining the cause of the infection, a healthcare provider can recommend an effective treatment plan tailored to your symptoms. 

6 Home Remedies for Yeast Infections, According to Doctors

Jump to:

• What is a yeast infection?
• What is the fastest way to get rid of a vaginal yeast infection?
• Home remedies for yeast infections
• Home remedies to avoid
• Can a yeast infection go away on its own?

If you find yourself wondering if a fiery itch, thick vaginal discharge and redness or swelling are signs of a yeast infection, your doctor — or a clinician at urgent care, even a telehealth provider — is your first (and best!) line of defense. Ultimately, getting a prescribed treatment can help cure a vaginal yeast infection quickly and effectively without dragging out any of the irritating, painful symptoms. But if you’re simply unable to make it to a doctor, there are other ways you may quell a suspected yeast infection with a few over-the-counter products, and even one or two household staples that come in handy when you’re trying to prevent reinfection down the road.

The downside? Many of these solutions take much longer than antifungal medication to get your vaginal health back in balance, meaning you’ll spend more time in potential discomfort. And while there has been limited research into the effectiveness of holistic vaginal yeast infection treatment using some of these DIY solutions, the evidence isn’t as strong and established as it should be, explains Fenwa Milhouse, M.D., a board-certified urologist in private practice in Chicago.

“Yeast infections are fungal infections; in most cases, treatment is simple with quick resolution of any present symptoms,” she tells us. “Home remedies may work for uncomplicated or simple cases of yeast infections, but will take longer to resolve without receiving clinical care. “

What is a yeast infection?

Often triggered by an overgrowth of a fungus known as Candida albicans, yeast infections are more common than not, especially for women who have recently used antibiotics or may be experiencing hormone imbalances; and are more likely for those with diabetes or weakened immune systems. Yeast exists naturally in the flora of the vagina and is usually self-regulated in a healthy system. When an infection occurs, the following symptoms make it obvious that things are seemingly out of whack — here are common symptoms that should clue you into a vaginal yeast infection, according to the Centers for Disease Control and Prevention (CDC):

• Itching, burning sensations along the vulva and vagina
• Vaginal soreness and tenderness
• Pain or discomfort while urinating
• Swelling and rash-like conditions of the vulva
• Thick discharge that may or may not be white in color

If you’re experiencing any of these symptoms in any severity, heading to a clinic or speaking to your doctor when you’re first noticing them is best before resorting to any DIY pain relief or infection solutions at home. Seeing a healthcare provider as soon as you notice these issues may also aid your doctor in detecting the true source of yeast overgrowth, especially if you have chronic infections. More often than not, antifungal medication may be the only way to truly restore balance in your vagina’s microbiome.

What is the fastest way to get rid of a vaginal yeast infection?

It’s true that there are over-the-counter solutions for yeast infections; but the fastest, safest way to treat a vaginal yeast infection is to receive a prescription for antifungal therapy medications from a doctor following an examination or in-clinic consult. Dr. Milhouse indicates that most providers suggest antifungal medication or topical antifungal ointments that are applied to the vagina directly. “Typically, the oral medication route only involves taking one tablet — but complicated yeast infections will require longer duration oral medications,” she adds, indicating that most providers rely on a medication known as fluconazole.

An extremely popular and effective product for treating mild yeast infections without a prescription is miconazole, often available at pharmacies and retailers as a topical cream, explains Taraneh Shirazian, M.D., a New York-based gynecologist and Monistat brand ambassador.

“Yeast infections can get better without treatment, but it often means a longer course. Many patients are symptomatic with itching, pain, and discharge,” she says. “With the option of over-the-counter medications like Monistat, patients that know they have a yeast infection can easily treat at home and only seek clinical care if symptoms aren’t improving, or if it’s their first time feeling those symptoms.”

If you choose to attempt to quell your infection at home, either with natural resources or over-the-counter medication, be sure to monitor your progress closely. Still experiencing painful symptoms more than a week after your first course of treatment? It’s time to see a physician immediately, Dr. Shirazian adds, as pain, discharge and itching will need to be treated by more potent antifungal medications.

Home remedies for yeast infections

There isn’t sufficient scientific evidence to suggest that most holistic tools — including items on this list — are effective alone for the most common variety of yeast infections prompted by Candida albicans. But healthcare providers have been aware of emerging research on a few natural alternative solutions for nagging yeast infections; most of the research indicates these remedies may be most effective at preventing yeast infections, and could potentially help to reinstate vaginal balance over a longer period of time.

wilatlak villette//Getty Images

Eat more Greek yogurt.

For years, women’s health experts have danced around claims that probiotic-rich yogurt can be used as a topical agent to help clear up yeast infections. But the reality is that the very limited research available on applying yogurt directly to the vagina is shaky at best; even unprocessed Greek yogurt contains sugar naturally, which can fuel the growth of even more yeast in the end, according to materials published by the Cleveland Clinic. Doctors are more sure, however, that doubling down on eating more probiotics as you treat a vaginal yeast infection can only speed up the recovery process.

Unsweetened Greek yogurt is rich in live Lactobacillus bacteria that is particularly productive against C. albicans infections. But eating probiotic-rich foods like Greek yogurt can help expand the microbiome in your gastrointestinal tract, which researchers indicate may help to reset a yeast overgrowth elsewhere in the body. Choosing Greek yogurt specifically is a good way to ingest as many active cultures as possible at mealtime, Dr. Shirazian adds, and can boost the restorative efforts of other tactics you may be using to recover currently.

Use vitamin E suppositories.

Outside of pharmacy buys like Monistat, prepackaged vitamin E suppositories can help quell many of the active symptoms associated with a yeast infection. This is especially true for inflammation, as a 2020 study published in the journal Microorganisms indicates that inflammation triggered by C. albicans was largely soothed by vitamin E suppositories.

While the research is limited in nature, and more is needed to determine how yeast infections may be stymied by these particular suppositories, the fact that more established research suggests vitamin E may also play a role in offsetting atrophic vaginitis is promising. Vitamin E suppositories are readily available in pharmacies and online, and are often used as part of a holistic menopause treatment plan for many women.

Consider essential oil of oregano.

Dr. Milhouse says that extremely limited research in the form of a Journal of Applied Microbiology study indicates that essential oil of oregano was effective in neutralizing C. albicans in topical use. But these studies were conducted in lab in-vitro environments (read: test tubes!) and it’s unclear if the same results would be achieved in humans.

Because essential oils can be dangerous when applied directly to the skin in various amounts, it’s crucial to approach this tactic with the help of your primary healthcare provider. Oil of oregano is a potent ingredient (and not at all the same as the common oregano you’ll find in local supermarkets).

It should not be used if you have a history of blood clotting or a vitamin K deficiency.

Getty Images

Give coconut oil a try.

Based on a 2018 study that suggests coconut oil dissolved in water served as an antimicrobial agent, those with frequent, recurrent vaginal yeast infections may consider employing coconut oil topically to keep bacterial landscapes in check. Its use as a preventative agent rather than an actual course of treatment for active yeast infections is likely much more effective in the end.

“We don’t have enough evidence at this time to know if coconut oil could be as effective as a yeast infection treatment,” Dr. Milhouse adds. “It’s generally safe to use in the vulva and vagina, and has been shown in lab test tubes to have some antifungal properties.”

If you decide to apply coconut oil in your vaginal region, ensure you’re using pure, organic coconut oil, which you can simply apply to affected areas using clean hands.

Ask your doctor about boric acid suppositories.

For those with yeast infections, boric acid has been shown to employ an antifungal effect when used in vaginal suppositories. It is not often the first treatment option for most, but is usually reserved for recurrent infections that may be resistant to standard antifungal medications. While not a one-size-fits-all solution by any means, boric acid has a probiotic element as it contains Lactobacillales, meaning it may help bring yeast levels back bringing yeast levels back into range and keeping them there in the long run. A 2011 review published in the Journal of Women’s Health indicated that boric acid suppositories were successful in stamping out yeast infections for a majority of patients in separate studies that also analyzed medications like fluconazole.

“There’s good evidence that boric acid is an effective treatment for uncomplicated yeast infections, with a 65-70% success rate in women infected with Candida glabrata [Editor’s note: Miconazole is a preferred alternative first line of treatment for this strain],” Dr. Milhouse says. “It should be used in the vagina nightly, ideally in a 600mg capsule, for 2 to 3 weeks on average.”

It’s true that boric acid may be available in grocery stores and other home retailers; but the safest option is to purchase pre-filled suppositories that are available in local pharmacies. You shouldn’t attempt to create boric acid suppositories on your own, and should use pharmacy-sourced options ideally under the supervision of your doctor. Being in communication with your doctor about dosage and directions on these suppositories is crucial for proper use; they are highly toxic and potentially lethal if they’re ingested orally, for example.

Turn to lidocaine spray.

Even when using antifungal medications or other over-the-counter products to treat vaginal yeast overgrowth, lingering itching, swelling and rashes can be a constant nag while you’re recovering at home. In this case, you’ll need to find a tool that can provide numbing relief.

The most basic? According to Dr. Shirazian, you can find solid relief using a cold compress or an ice pack — or by turning to lidocaine gel or spray designed for vaginal application. “These tools can provide numbing relief in the meantime,” she adds.

Home remedies to avoid

These so-called yeast infection solutions aren’t sufficiently supported by any form of medical research, and furthermore, doctors say they may end up causing you more pain than relief.

1. Garlic: Whether you wish to eat more of it, or use it in any topical sense near or in your vagina, garlic simply isn’t a natural cure-all for yeast infections, Dr. Shirazian stresses. Despite established research on a compound in garlic known as allicin, which may contain antimicrobial and antibacterial properties, placing any form of garlic (yes, minced included!) inside of your vagina can easily cause further skin burning and irritation.
2. Apple Cider Vinegar: This homespun tale of quick relief can easily irritate the lining of the vagina when used as a douche, according to Dr. Milhouse. Using this vinegar to douche can greatly alter its pH balance and subsequent microbiome, which may lead to chronic yeast infections in the future. You may also be tempted to consider a soaking bath that’s infused with apple cider vinegar due to a highlighted 2017 study, focused on a singular case of a woman who overcame near-constant yeast infections with topical apple cider vinegar. But nearly all care providers agree that something as astringent as apple cider vinegar is best left alone in the kitchen, and not used topically whatsoever near your vagina.
3. Hydrogen Peroxide: Just like apple cider vinegar, applying hydrogen peroxide directly to your vagina in the hopes of stemming a yeast infection can instantly impact your pH levels and leave you vulnerable to future incessant infections. Hydrogen peroxide’s antifungal properties are appropriately reserved for open cuts and wounds elsewhere on your body. “Anything that disrupts vaginal pH, such as hydrogen peroxide, is not recommended,” Dr. Shirazian clarifies.

Can a yeast infection go away on its own?

For those with busy schedules or upcoming trips and exciting plans, it’s not what you want to hear — but only the mildest yeast infections can be successfully treated using the at-home tools we’ve highlighted above. More often than not, especially if you are experiencing severe symptoms that are new to you, you’ll need to call your doctor or head to an emergency clinic to confirm your diagnosis and to receive a prescription for antifungal medications.

The good news? These medications may work to resolve the yeast overgrowth, and quell subsequent symptoms, in as little as 24 hours. Most will clear up within days, and you should be able to resume normal routines soon.

You may have more success by incorporating holistic preventative measures into your routine targeted to preventing further yeast infections — like probiotics, for example. Probiotic supplements containing Lactobacillus help to regulate your vagina’s bacteria, especially those that contain more than 1 billion colony-forming units (CFUs), which can help stave off yeast overgrowth as well as issues like urinary tract infections.

See More:

• The Very Best Feminine Wipes, According to Experts

Zee Krstic

Health Editor

Zee Krstic is a health editor for Good Housekeeping, where he covers health and nutrition news, decodes diet and fitness trends and reviews the best products in the wellness aisle. Prior to joining GH in 2019, Zee fostered a nutrition background as an editor at Cooking Light and is continually developing his grasp of holistic health through collaboration with leading academic experts and clinical care providers. He has written about food and dining for Time, among other publications.

Medically reviewed byCarolyn Swenson, M.D.

Division Chief & Associate Professor, Division of Urogynecology & Reconstructive Surgery, University of Utah

Carolyn W. Swenson, M.D. is an associate professor and division chief of urogynecology & reconstructive surgery at the University of Utah. As a board-certified specialist in female pelvic medicine and reconstructive surgery, Dr. Swenson is an expert in the medical and surgical management of pelvic floor disorders including pelvic organ prolapse, urinary incontinence, and obstetric-related pelvic floor symptoms. She lives in Salt Lake City with her husband and three kids.

≡ Treatment of thrush in women ≻ treat thrush in Kiev ≻ price of treatment of vaginal candidiasis in the clinic of the Good Doctor

Summary

Vaginal candidiasis or thrush is a fungal infection. It affects the mucous membrane of the organs of the genitourinary system – the vagina. It is one of the most common diseases in women. Almost every woman faces white curdled discharge during her life.

The fungus of the genus Candida normally lives in the human body, but in a minimal amount. They provide a healthy microflora of the vagina. The active growth of these fungi may begin, which will negatively affect health in the future and lead to vaginal candidiasis.

There are a number of factors that contribute to this:

• stress;
• taking antibiotics;
• malnutrition;
• SARS;
• wearing synthetic, improperly fitted underwear;
• genital infections;
• non-compliance with hygiene rules;
• vitamin deficiency.

The disease has two forms: an acute inflammatory process and a chronic disease. Modern methods of treating thrush help to successfully cope with any of them.

Symptoms of thrush

Symptoms appear during an exacerbation of the disease. A woman immediately notices them and understands what her diagnosis is. As such are:

• copious white discharge;
• itching and burning in the genital area;
• pain during intercourse;
• pain when urinating;
• selections take on a curd shape.

These symptoms are especially pronounced in hot weather.

Diagnosis of candidiasis

Treat thrush properly. To do this, you must first confirm the diagnosis.

The Good Doctor’s Clinic carries out diagnostics that will reveal the presence of the disease. A preliminary diagnosis is made on the basis of the patient’s complaints. For an accurate diagnosis and treatment of vaginal candidiasis, it is necessary to undergo an examination by a gynecologist and pass tests of vaginal discharge.

The results of the diagnostics will allow you to know the stage of the disease and sensitivity to drugs. Also, the data obtained will help to choose the most appropriate tactics for the treatment of thrush in women.

Treatment of thrush

Doctors of the Kind Doctor’s Clinic will individually select an effective treatment for the disease. In most cases, complex therapy is used. It includes taking antifungal drugs, antibiotics, glucocorticosteroids and local douching. Such treatment uniquely normalizes the microflora and relieves inflammation.

The same therapy is indicated for the treatment of chronic thrush. With a severe exacerbation, it is also necessary to pay attention to the food that you consume. You should give up alcohol, sweets, dairy products.

It is mandatory to treat thrush during pregnancy. To prevent the risk of harm to the health of the baby, the treatment of candidiasis in women bearing children is carried out exclusively under the supervision of an obstetrician-gynecologist.

Treatment options for thrush

Treatment for thrush is a complex process and can take a long time, given the potential for recurrences. For the effective treatment of thrush, a combination of local remedies is used to influence local areas: suppositories, creams and ointments – as well as systemic antimycotics to inhibit the reproduction of the fungus.

Candida is vulnerable to a number of substances used for systemic treatment of candida in women and men:

• iodine;
• first generation polyene antimycotics;
• imidazoles and derivatives;
• triazoles and allylamine derivatives;
• sodium boric acid;
• hexamethylenetetramine (methenamine, urotropine).

Antimycotic tablets and capsules should only be taken as directed by a physician.

Treatment of chronic vaginal candidiasis can be carried out for several weeks and even months with a possible change of drugs, since the fungus may be resistant to certain types of antifungal agents.

Also, the treatment of chronic thrush is impossible without the correction of the diet. You should refuse any yeast and sweet foods, canned food, alcohol, cheeses and milk. There are restrictions on vegetables and fruits. Due to their high starch content, potatoes and bananas, as well as grapes, which contain a significant amount of sugar, are not recommended.

Prevention of candidiasis

To prevent re-infection, a number of preventive measures must be observed:

• stop self-medication;
• undergo a systematic examination by doctors;
• be treated in a timely manner;
• refuse synthetic underwear and pads.

Your health is in your hands. Running candidiasis can lead to serious problems.

Frequently asked questions

1️⃣ How to treat fungal infections in women

Treatment of fungal diseases of the genital organs is based on the use of antifungal drugs, which can be administered externally (vaginal ointments) or internally (tablets). The gynecologist selects treatment depending on the type of fungal infection, the patient’s medical history and the course of the disease.

2️⃣ What is better than tablets or suppositories for thrush

As a rule, either suppositories or tablets are used to treat thrush. Candles for thrush are very effective because they penetrate deeply and successfully treat the disease.

3️⃣ How to get rid of itching during thrush

Itching is the most famous and characteristic symptom of thrush. The occurrence of itching is associated with an inflammatory process due to the excessive development of yeast-like fungi. Only a gynecologist can prescribe treatment for thrush or eliminate itching after making the correct diagnosis.

4️⃣ How to quickly get rid of thrush

Thrush is treated with special antibiotics that are active against fungal infections. Clotrimazole, fluconazole, natamycin are taken orally or suppositories and creams are used, sometimes combining these types of therapy.

5️⃣ Can thrush be treated during pregnancy

During pregnancy, thrush is treated with topical imidazole antifungals (eg, ketoconazole, clotrimazole, miconazole).

Chronic thrush: treatment regimen, suppositories, prevention

Where can I buy?

Encyclopedia

Diseases of the intimate zone

Chronic thrush is a type of complicated, long-lasting fungal infection of the vagina.

The author of the article

Molchanov Oleg Leonidovich

Gynecologist, reproductive specialist, doctor of medical sciences.

Audio version of the page:

What is thrush (vulvovaginal candidiasis)?

Vulvovaginal candidiasis (thrush) is an infectious disease in women caused by fungi of the genus Candida. The very name “thrush” is often associated with pathological white vaginal discharge.

The first mention of thrush is found in the scientific works of the time of Hippocrates ³ . Some scientists and experts believe that candidiasis is a manifestation of an illness of the whole organism, which in some cases can proceed atypically and sometimes requires long-term treatment.

According to scientific and practical data, about 5-10% of women who have had thrush subsequently face the fact that the disease returns again and again – relapses are observed.

Normally, fungi of the genus Candida are present in the human body in small quantities. They are called opportunistic pathogens. When adverse factors occur, yeast-like fungi begin to multiply actively, their number rapidly increases and a disease develops – thrush. The following groups of factors can provoke the appearance of vaginal candidiasis:

Medications

antibiotics, oral contraceptives, chemotherapy, corticosteroids

Endocrine

diabetes mellitus, hypothyroidism

Mechanical

tight synthetic underwear, prolonged wear intrauterine device, damage to the tissues of the vagina

Physiological

pregnancy

Psychological

stress

Other

metabolic disorders, dysbacteriosis, allergic diseases, hypovitaminosis, chronic gynecological diseases ⁹

Mushrooms form a fairly large group. In women, in 85% of cases, candidiasis is provoked by the subspecies of Candida albicans. Other species, such as C.glabrata, C.tropicalis, C.parapsilosis and others, are much less common. However, it is with these varieties of Candida fungi that more severe forms of the course of the disease are most often associated.

How is thrush treated? Watch in a short video of Professor, Doctor of Medical Sciences, Shikh Evgenia Valerievna

Incidence of vulvovaginal candidiasis

The incidence of the disease can be influenced by:

decreased immunity

pregnancy

chronic diseases

stress

taking antibacterial drugs

900 02 About 75% of women have had thrush at least once ^{1, 2} , 90% of patients experience vaginal candidiasis without complications, and 10% experience complications of the disease that require re-diagnosis and extended treatment ² .

Classification of thrush

Vulvovaginal candidiasis occurs ^2.4 :

Asymptomatic

The number of fungi of the Candida genus exceeds the norm, but the disease itself does not manifest itself in any way

Uncomplicated

9 0002 Runs in a typical way, without severe lesions of the mucous membranes, does not wear chronic

Complicated

The disease has a long and severe course, recurs, and is difficult to treat

Chronic thrush is a type of complicated, long-lasting candidiasis.

Symptoms of thrush

Typical manifestations of candidiasis:

discomfort in the perineum, itching, burning in the genital area

painful urination

swelling of the genital organs

redness of the genital organs

900 02 pain during intercourse

How to determine that thrush has entered the chronic stage?

• Frequent exacerbations occur, the disease returns more than four times a year
• Candidiasis manifests itself constantly, only the severity of symptoms changes
• Symptoms: persistent itching, burning, fissures and erosions, inflammation, pain
• Treatment that used to help quickly resolve the problem has become ineffective

Causes of chronic thrush

There are a number of factors that provoke a relapse of the disease, namely:

1. High degree of virulence of fungi of the genus Candida is a condition in which these microorganisms have a high degree of aggressiveness against the human body. Mushrooms become resistant to the protective barriers of the body and are even able to resist certain drugs ^4.5 .
2. Treatment failure due to “addiction” to therapy. The situation may arise when the patient does not comply with the prescribed treatment regimen or when using the same drug for a long time.
3. Chronic diseases may contribute to the recurrence of candidiasis. For example, dysbiosis, diabetes mellitus, immune disorders lead to the active growth of Candida fungi in the gastrointestinal tract.

Important!
Chronic thrush has a certain specificity – frequent exacerbations of the disease. It is very important to seek medical help from a gynecologist. The doctor will conduct clinical and laboratory diagnostics and select the correct treatment regimen.

Diagnosis of chronic thrush

If symptoms of vulvovaginal candidiasis occur, you should immediately consult a doctor. You cannot self-medicate. The specialist will examine the chair, take biomaterial from the vagina and send it to the laboratory.

If a chronic course of the disease is suspected, the doctor will definitely send a smear for additional examination – bacteriological culture. This will help you find out which type of fungus causes thrush and determine its sensitivity to medications.

For women who often experience exacerbations of thrush, the gynecologist may recommend that they seek advice from an endocrinologist and immunologist.

Treatment of chronic thrush

Treatment of chronic thrush consists of two successive stages:

• Elimination of unpleasant symptoms, treatment of recurrence of the disease
• Administration of a maintenance regimen to prevent relapse

Doctors prescribe different combinations of drugs. Treatment depends on the characteristics of the course of candidiasis in each individual case.

Therapy will differ depending on the type of pathogen.

Treatment of relapses of thrush with sertaconazole

One of the drugs used to treat relapses of thrush (candidiasis) is Zalain ^® . This drug is available in the following dosage forms: suppositories and cream ⁸ .

About the features of sertaconazole for the treatment of chronic thrush, see a short video by Professor, Doctor of Medical Sciences, Shikh Evgenia Valerievna.

Contents

Causes of relapse

Treatment

Selection of candles

Prevention

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Zalain ^® Suppositories for the treatment of chronic thrush

The main active ingredient is sertaconazole, belonging to the azole group of antifungal drugs. Due to the double molecule (azole + benzothiafene radical), sertaconazole has a wide spectrum of activity and is active against both Candida albicans and Candida non-albicans.

In addition, preparations based on sertaconazole have antibacterial and anti-inflammatory activity . This helps to prevent the occurrence of bacterial infections that can be combined with fungal microorganisms.

Only 2 suppositories of Zalain ^® are needed for the treatment of recurrences of thrush. First, 1 suppository is inserted into the vagina, and after 7 days – the second ⁵ .

The use of 1 vaginal suppository is explained by the fact that sertaconazole has a high lipophilicity – it dissolves well in lipid (fat) cell structures. Due to this, the drug is stored in the vaginal mucosa for a long time (7 days) in a therapeutic concentration, having a triple mechanism of action on Candida fungi: it stops the growth and reproduction of fungi, contributes to their death and prevents the transition of fungi into a pathogenic form ¹⁰ .

For women, this prescription is very convenient.

If symptoms persist, repeat administration of 1 suppository after 7 days is possible

Local effect of the drug

No absorption of sertaconazole into the bloodstream ¹³

Can be used during pregnancy and lactation if the expected benefit outweighs the possible risks

9 0002 Where to buy Zalain ^® Suppositories for the treatment of chronic thrush

Instruction

Instruction

Zalain ^® Cream

In case of discomfort in the perineal area, itching, burning, it is also recommended to use Zalain ^® Cream, which is applied to the perineal area – on the labia and adjacent areas. The use of the cream can accelerate the reduction of unpleasant symptoms.

Has a triple effect: antibacterial, antipruritic, anti-inflammatory

Used 1-2 times a day

Where to buy Zalain ^® Cream

or

Find the nearest pharmacy

Prevention of chronic thrush

Prevention of chronic thrush is an important task. The effectiveness of the treatment and the likelihood of exacerbations depend on the observance of preventive measures.

Preventing the recurrence of candidiasis includes

avoiding uncontrolled use of antibiotics

good personal hygiene

wearing underwear made only from natural fabrics

not using panty liners

eating healthy, reducing sugar intake 90 003

treatment of chronic immune and endocrine diseases

having a permanent sexual partner

Specially developed cosmetic product for intimate hygiene of delicate areas – Zalagel ^® Intim.

Zalagel ^® Intim

This gel soap is used in the daily hygiene of the genitals. The product has a slightly alkaline pH of 8-9, which creates an unfavorable environment for Candida fungi. Zalagel ^® Intim contains tea tree, which has an antiseptic, soothing and deodorizing effect.

Gently cleanses the intimate area

Creates a destructive environment for Candida

Protects female genital organs from infections

Tea tree oil, which is part of the product, has antibacterial and anti-inflammatory effects

Reduces itching and irritation

Where to buy Zalagel ^® Intim

or

Find the nearest pharmacy

Instruction

Conclusion

Vulvovaginal candidiasis is an extremely unpleasant disease. Its symptoms cause constant discomfort in the form of curdled discharge, itching, pain and burning. This affects the quality of a woman’s daily and sexual life.

A woman who has had vulvovaginal candidiasis does not want the disease to recur, let alone become chronic. Therefore, it is very important at the first symptoms to immediately consult a doctor who will prescribe an examination and choose the right treatment.

Subject to all medical recommendations and timely prevention, the risks and complications of this disease can be reduced.

Frequently Asked Questions

Is thrush sexually transmitted?

Answer: candidiasis (thrush) is not a sexually transmitted infection. However, this disease also occurs in men. For example, due to non-compliance with the rules of hygiene, reduced immunity, uncontrolled use of antibiotics, dysbacteriosis and other provoking factors. The probability of infection from a sexual partner, according to statistics, is minimal, but not excluded.

What happens if thrush is not treated?

Answer: the area of ​​the lesion will increase, sores may appear, inflammation of the urinary tract may begin, the development of a bacterial infection.

Can a woman’s chronic thrush be caused by untreated candidiasis in her partner?

Answer: According to studies, 80% of women with chronic candidiasis have negative Candida fungus tests in their sexual partners. In the sexual partners of the remaining 20% ​​of patients during the examination, an increased number of fungi on the head of the penis was observed.

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References

1. Prilepskaya V. N., Kira E. F., Apolikhina I. A. et al. ROAG. Clinical Recommendations for the Diagnosis and Treatment of Diseases Accompanied by Pathological Discharge from the Genital Tracts of Women; 2019
2. Lines A. Recurrent vulvo vaginal candidiasis. BMJ. 2020 PMID: 32513647
3. A. L. Popova, S. A. Dvoryansky. Modern aspects of treatment and prevention of vulvovaginal candidiasis (literature review).
4. Carrillo-Muñoz AJ, Tur-Tur C, Cárdenes DC, Estivill D, Giusiano G. Sertaconazole nitrate shows fungicidal and fungistatic activities against Trichophyton rubrum, Trichophyton mentagrophytes, and Epidermophyton floccosum, causative agents of tinea pedis. Antimicrob. Agents Chemother. 2011;55(9):4420-4431
5. According to the official instructions for Zalain® suppositories.
6. Svobodová L, Lysková P, Hamal P. /// Kandidovvá vulvovaginitida [Vulvovaginal candidiasis]. Klin Microbiol Infekc Lek. 2015 Sep;21(3):74-81. Czech. PMID: 26636630
7. Agut J, Palacin C, Salgado J, Casas E, Sacristan A, Ortiz JA. Direct Membrane- Damaging effect of Sertaconazole on Candida albicans as a Mechanism of its Fungicidal Activity. Arzneim-Forsh Drug Res. 1992;42(5):721-724
8. According to the information insert Zalagel® Intim.
9. Tikhomirov, AL Vulvovaginal candidiasis: from etiology to modern principles of therapy: Method. allowance / Tikhomirov A. L., Oleinik Ch.