What are the most effective over-the-counter yeast infection treatments. How do miconazole nitrate creams compare to other options. Which products provide the fastest relief for vaginal yeast infections.

Understanding Yeast Infections and Their Symptoms

Vaginal yeast infections, also known as vulvovaginal candidiasis, are incredibly common, affecting up to 75% of women at least once in their lifetime. These infections occur when there’s an overgrowth of the fungus Candida, typically Candida albicans, in the vagina.

Common symptoms of a yeast infection include:

• Itching and irritation in the vagina and vulva
• Burning sensation, especially during intercourse or urination
• Redness and swelling of the vulva
• Vaginal pain and soreness
• Thick, white, odorless discharge with a cottage cheese-like appearance

Are all vaginal discomfort symptoms indicative of a yeast infection? Not necessarily. Similar symptoms can also be caused by bacterial vaginosis, trichomoniasis, or other vaginal infections. It’s crucial to accurately diagnose the condition before starting treatment.

Miconazole Nitrate: A Frontline Defense Against Yeast Infections

Miconazole nitrate is one of the most widely used antifungal medications for treating vaginal yeast infections. It belongs to the azole class of antifungal drugs and works by preventing the growth of fungi.

How does miconazole nitrate combat yeast infections? The medication interferes with the fungal cell membrane formation, causing the cell contents to leak and ultimately leading to the death of the fungal cells. This mechanism effectively reduces the Candida population, allowing the vaginal environment to return to its normal, healthy state.

Forms and Application of Miconazole Nitrate

Miconazole nitrate is available in various forms for treating vaginal yeast infections:

1. Vaginal creams
2. Vaginal suppositories
3. Combination packs (cream + suppositories)
4. External creams for vulvar symptoms

How should miconazole nitrate be applied? For vaginal creams and suppositories, an applicator is typically used to insert the medication deep into the vagina. External creams are applied directly to the affected areas of the vulva. It’s essential to follow the product instructions carefully and complete the full course of treatment, even if symptoms improve before finishing the regimen.

Comparing OTC Yeast Infection Treatments: Efficacy and Options

While miconazole nitrate is a popular choice, several other over-the-counter options are available for treating yeast infections. How do these alternatives compare in terms of efficacy and convenience?

Monistat: A Trusted Name in Yeast Infection Treatment

Monistat, containing miconazole nitrate, offers a range of treatment options:

• 1-day treatment: Highest dose for quickest relief
• 3-day treatment: Moderate strength, balancing speed and gentleness
• 7-day treatment: Lowest dose, ideal for those with sensitive skin

Is Monistat effective for all types of yeast infections? While it works well for most uncomplicated cases, some individuals may experience burning or irritation, particularly with the higher-dose formulations.

Fluconazole: Oral Treatment Option

Fluconazole, available by prescription or through online services like Wisp, offers a convenient single-dose pill treatment. How does it compare to topical treatments? Oral fluconazole can be as effective as topical treatments and may be preferred by those who find applicators uncomfortable or messy.

Natural and Homeopathic Alternatives

Products like FemiClear offer natural ingredients such as olive oil and tea tree oil. Do these natural alternatives work as well as conventional treatments? While some users report relief, it’s important to note that the FDA has not approved these as effective treatments for yeast infections.

Choosing the Right Treatment: Factors to Consider

When selecting a yeast infection treatment, several factors come into play:

• Severity of symptoms
• Personal preference (cream vs. suppository vs. oral medication)
• History of yeast infections and previous treatment responses
• Potential drug interactions
• Cost and insurance coverage

How can you determine which treatment is best for you? Consider consulting with a healthcare provider, especially if it’s your first yeast infection or if you experience frequent recurrences.

Prevention Strategies: Maintaining Vaginal Health

Preventing yeast infections is often easier than treating them. What steps can be taken to reduce the risk of developing a yeast infection?

• Wear breathable, cotton underwear
• Avoid douching and scented vaginal products
• Wipe from front to back after using the bathroom
• Change out of wet swimwear or workout clothes promptly
• Maintain a balanced diet low in sugar and refined carbohydrates
• Consider probiotic supplements or foods

Can lifestyle changes alone prevent all yeast infections? While these strategies can significantly reduce risk, some women may still experience occasional infections due to factors beyond their control, such as hormonal changes or certain medical conditions.

When to Seek Professional Medical Advice

While over-the-counter treatments are effective for many women, there are situations where professional medical advice is necessary. When should you consult a healthcare provider?

• If it’s your first suspected yeast infection
• If symptoms persist after completing OTC treatment
• If you experience frequent recurrences (4 or more per year)
• If you’re pregnant or have a weakened immune system
• If you have severe symptoms or fever

Is it possible to have a resistant yeast infection? Yes, in some cases, Candida strains can develop resistance to common antifungal medications, requiring prescription-strength treatments or alternative approaches.

Understanding Potential Side Effects and Interactions

While generally safe, yeast infection treatments can sometimes cause side effects or interact with other medications. What are some common side effects to be aware of?

• Burning or itching sensation upon application
• Headache (more common with oral medications)
• Stomach upset or nausea
• Skin rash or hives (rare)

Can yeast infection treatments interact with other medications? Yes, particularly oral medications like fluconazole can interact with certain drugs, including blood thinners and some antidepressants. It’s important to inform your healthcare provider of all medications you’re taking before starting treatment.

Special Considerations for Pregnant Women

Yeast infections are common during pregnancy due to hormonal changes. Are OTC treatments safe for pregnant women? While many topical treatments are considered safe, it’s crucial to consult with a healthcare provider before using any medication during pregnancy.

The Role of Probiotics in Yeast Infection Treatment and Prevention

Probiotics, particularly strains of Lactobacillus, have gained attention for their potential role in maintaining vaginal health and preventing yeast infections. How do probiotics contribute to vaginal health?

Probiotics help maintain a healthy balance of microorganisms in the vagina, potentially reducing the risk of Candida overgrowth. Some studies suggest that certain probiotic strains may enhance the effectiveness of antifungal treatments and help prevent recurrent infections.

Probiotic Supplements and Foods

There are several ways to incorporate probiotics into your routine:

• Oral probiotic supplements specifically formulated for vaginal health
• Probiotic-rich foods like yogurt, kefir, and fermented vegetables
• Vaginal probiotic suppositories

Is consuming probiotic foods as effective as taking supplements? While probiotic foods can contribute to overall gut and vaginal health, targeted supplements may provide higher concentrations of specific beneficial strains.

Emerging Research and Future Treatments

The field of yeast infection treatment is continuously evolving. What new developments are on the horizon?

• Novel antifungal compounds with potentially fewer side effects
• Personalized treatment approaches based on individual microbiome profiles
• Combination therapies that address both fungal overgrowth and vaginal pH balance
• Advanced diagnostic tools for more accurate and rapid identification of Candida species

How might these advancements change the landscape of yeast infection treatment? Future treatments may offer more targeted, effective solutions with reduced risk of antifungal resistance and fewer side effects.

The Promise of Microbiome Research

Ongoing research into the vaginal microbiome is shedding light on the complex ecosystem of microorganisms that contribute to vaginal health. This research may lead to more holistic approaches to preventing and treating yeast infections, focusing on maintaining a healthy balance of microorganisms rather than simply eliminating harmful ones.

Can understanding an individual’s microbiome lead to more effective treatments? Potentially, as this knowledge could allow for more personalized treatment strategies tailored to each woman’s unique vaginal environment.

Navigating the Market: Choosing Quality Products

With numerous yeast infection treatments available, it’s crucial to select high-quality, reputable products. How can consumers make informed choices?

• Look for FDA-approved treatments
• Check active ingredients and their concentrations
• Read customer reviews and ratings
• Consult with pharmacists or healthcare providers
• Consider brand reputation and longevity in the market

Is a higher price indicative of better quality? Not necessarily. Many effective treatments are available at reasonable prices, and generic versions of popular brands can offer similar efficacy at a lower cost.

Understanding Product Labels and Claims

When evaluating yeast infection treatments, it’s important to understand product labels and claims. What should consumers look for?

• Active ingredient and its concentration
• Treatment duration and frequency
• Any additional symptoms addressed (e.g., external itching relief)
• Storage requirements and expiration dates
• Warnings and contraindications

Can marketing claims be misleading? While most reputable brands adhere to strict advertising guidelines, it’s always wise to verify claims with scientific evidence or healthcare professional advice.

The Importance of Sexual Health and Communication

Yeast infections can impact sexual health and relationships. How can individuals navigate this aspect of the condition?

• Open communication with sexual partners about symptoms and treatment
• Abstaining from sexual activity during active infections to prevent discomfort and potential transmission
• Discussing potential underlying causes with a healthcare provider, especially for recurrent infections
• Considering partner treatment in cases of frequent reinfection

Can yeast infections be sexually transmitted? While not classified as a sexually transmitted infection, it is possible for partners to pass Candida back and forth, potentially contributing to recurrent infections.

Breaking the Stigma

Despite their prevalence, yeast infections can still carry a stigma that may prevent some women from seeking treatment or discussing their experiences. How can we promote more open dialogue about vaginal health?

• Educating about the commonality of yeast infections
• Encouraging women to speak openly with healthcare providers
• Promoting accurate information through reliable health resources
• Challenging misconceptions about personal hygiene and yeast infections

By fostering a more open and informed conversation about yeast infections and vaginal health, we can empower individuals to seek timely treatment and maintain optimal reproductive health.

6 Best Yeast Infection Treatments 2023

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Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

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Yeast infection treatments may include pills or topical medications with over-the-counter (OTC) and prescription options available. Several places sell OTC or prescription treatments online.

• Best range of treatments: Monistat | Skip to review
• Best pill: Fluconazole | Skip to review
• For rapid treatment: FemiClear Yeast Infection 2-Day Treatment | Skip to review
• Best preventive treatment: Uqora Promote | Skip to review
• Best preventive suppository: Love Wellness The Killer | Skip to review
• Best budget treatment: CVS Health Miconazole 7-Day Vaginal Treatment | Skip to review

Please note that the writer of this article has not tried these products. All information presented is purely research-based and correct at the time of publication.

Medical News Today follows a strict product selection and vetting process. Learn more here.

Best range of treatments: Monistat

• List price: around $14 for a pack of three applicators
• Active ingredients: miconazole nitrate
• Treatment time: 1, 3, or 7 days
• Supply: 1, 3, or 7 prefilled applicators

Monistat is available in several pharmacies and retail stores, including Walmart, throughout the United States. It provides treatment options that include 1, 3, and 7 days’ worth of doses.

This product comes in the form of internal suppositories and external creams with applicators that help people place the yeast infection treatment in the right area. Some packs include additional topical itch medications to help ease symptoms.

Each applicator contains 200 milligrams (mg) of miconazole nitrate, a medication that treats fungal infections.

This product is most suited to individuals who currently have a yeast infection and would like to try multiple methods to treat it.

Read our review of Monistat here.

SHOP NOW AT WALMART

Pros

• readily available in retail stores
• various treatment options available in one pack
• FSA- and HSA-eligible
• affordable price

Cons

• reviews mention burning, stinging, or itching sensations
• may cause heavy discharge

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Best pill: Fluconazole

• List price: $15 quarterly fee or a $65 one-time fee
• Active ingredients: generic fluconazole
• Treatment time: 2 days
• Supply: up to 2 pills

Fluconazole is a generic version of the prescription pill Diflucan, which people can take to treat yeast infections.

Individuals need to take a single pill first. If symptoms do not improve after 2 days, they can take a second pill.

Online pharmacies, such as Wisp, offer quick delivery of fluconazole. They can also provide same-day or rushed prescriptions to a person’s local pharmacy.

Read our review of Wisp here.

Wisp offers subscriptions for those who regularly have yeast infections and accepts FSA and HSA cards as payment.

This product may be most suitable for individuals who regularly experience yeast infections or when creams have not worked.

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Pros

• available for same-day pick up from a local pharmacy
• FSA- and HSA-eligible
• subscription service available

Cons

• one-time purchases are expensive
• Wisp does not accept insurance

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Best rapid treatment: FemiClear Yeast Infection 2-Day Treatment

• List price: around $20
• Active ingredients: olive oil, melaleuca, calendula, and lavender essential oil
• Treatment time: 2 days
• Supply: two suppositories

FemiClear’s 2-day yeast infection treatment includes two suppositories that a person inserts into their vagina and an external anti-itch ointment for symptom relief.

The product contains calendula, tea tree oil, olive extract, beeswax, and olive oil to combat itching and discomfort.

The company recommends using this yeast infection treatment before bed or wearing a panty liner to ensure that it does not leak.

The FDA classes this product as an unapproved homeopathic treatment and states it has not tested it for safety or efficacy. The FDA writes that it is not aware of scientific research that supports the effectiveness of homeopathic remedies.

This may best suit individuals who currently have a yeast infection and prefer to use organic ingredients. However, it is unsuitable for vegans because it contains beeswax.

Read our review of Femiclear here.

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Pros

• organic ingredients
• affordable price
• treatment lasts 2 days

Cons

• unsuitable for vegans
• does not have FDA approval
• suppository may not suit some people

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Best preventive treatment: Uqora Promote

• List price: around $30
• Active ingredients: L. acidophilus, L. rhamnosus, and L. reuteri
• Treatment time: ongoing preventive treatment
• Supply: 30-day supply

The makers of Uqora Promote say the product promotes vaginal health rather than specifically targeting yeast infections.

It contains Lactobacillus acidophilus (L. acidophilus), Lactobacillus rhamnosus (L. rhamnosus), and Lactobacillus reuteri, which the company claims can help balance vaginal bacteria.

Some research suggests that Lactobacilli such as L. acidophilus and L. rhamnosus show promise in preventing vaginal infections.

The company recommends taking this supplement daily with a glass of water.

Uqora Promote may be suitable for people who regularly get yeast infections as a preventive treatment. It is vegan-friendly and gluten-free, meaning it may also suit people following certain diets.

Read our review of Uqora here.

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Pros

• useful as a preventive treatment
• suitable for vegans
• gluten-free
• free shipping
• subscription is possible, making it cheaper by 15%

Cons

• targets vaginal health instead of treating yeast infections specifically
• higher cost than other options
• does not have Food and Drug Administration (FDA) approval

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Best preventive suppository: Love Wellness The Killer

• List price: around $22
• Active ingredients: boric acid
• Treatment time: ongoing preventive treatment
• Supply: up to 14 days of use

The Killer by Love Wellness aims to prevent yeast infections from developing and claims to keep vaginal bacteria healthy.

The capsule contains boric acid, which may be effective in treating recurrent yeast infections that have not responded to to anti-fungal treatments.

Learn more about using boric acid to treat yeast infections here.

The brand recommends inserting this vaginal suppository once a day before bed for up to 14 days, as needed. The brand also recommends that the best times to use The Killer might be after sex, after a period, or when a person is experiencing symptoms of a pH imbalance.

The FDA classes this product as an unapproved homeopathic treatment and states it has not tested it for safety or efficacy. The FDA writes that it is not aware of scientific research that supports the effectiveness of homeopathic remedies.

The Killer is suitable for anyone who may be prone to vaginal yeast infections. Love Wellness does not recommend a person to have sexual intercourse while using this product.

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Pros

• affordable price
• subscription service is possible, saving 25%
• gluten- and dairy-free
• not tested for safety or efficacy

Cons

• a person cannot have sexual intercourse during the treatment
• shipping is not free unless customers spend over $35
• unsuitable for vegans

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Best budget option: CVS Health Miconazole 7-Day Treatment

• List price: around $8
• Active ingredients: miconazole nitrate
• Treatment time: 7 days
• Supply: seven prefilled applicators

This CVS Health treatment comes with seven doses of disposable internal applicators and external cream.

Each applicator contains 100 mg of miconazole nitrate. The manufacturer recommends that people insert an applicator before going to bed. Individuals should dispose of the applicator immediately after use.

The treatment is available both in-store and online. It may best suit individuals who would prefer a product that works while they sleep. However, a person should not use this if they have not received a diagnosis of a yeast infection from a doctor.

SHOP NOW AT CVS

Pros

• affordable price
• uses both internal applicators and external cream
• available to purchase in-store and online
• works while a person sleeps

Cons

• may cause burning and itching sensations
• a person cannot use tampons while using this product
• takes longer than other treatment options
• users cannot have sex while using this product

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The table below compares each of the products for price, ingredients, and more.

Doctors typically recommend OTC antifungal medications to treat a vaginal yeast infection.

Antifungal medications come in a variety of forms, including:

• creams
• tablets
• ointments
• vaginal suppositories

Treatments may come as one single dose or a daily dose over several days. A person should read the dosing instructions carefully to ensure they use the correct dosage.

Some of the products in this article are classed as homeopathic treatments.

There are no FDA-approved homeopathic products. This means that any product sold in the U.S. and marketed as homeopathic is not FDA-approved and the FDA has not tested it for safety or effectiveness.

MNT chose yeast infection treatments that meet the following criteria:

• Reputable brands: Our medical and business teams have thoroughly researched all brands in this article to ensure their safety and reputability. This means the brands we chose do not make unsupported health claims and their products do not contain unsafe ingredients.
• Accessibility: MNT chose brands that are widely available in-store, online, and over the counter.
• Cost: MNT selected nonprescription items with some of the most budget-friendly price points. For prescription products, MNT ensured multiple payment options, including health savings accounts (HSAs) and flexible savings accounts (FSAs).
• Treatment times: MNT chose products that claim to treat yeast infection symptoms in as few days as possible.
• Treatment type: MNT chose products that have a range of treatment types, such as pills, probiotics, and suppositories.

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Yeast infections occur due to an overgrowth of Candida. This is a type of fungus that normally lives in areas of the body such as the vagina and mouth.

According to the Office on Women’s Health (OWH), most females will experience a vaginal yeast infection at some point in their life.

The Centers for Disease Control and Prevention (CDC) explain that some common symptoms of a vaginal yeast infection include:

• pain during sexual intercourse
• itchiness or soreness around the vagina
• unusual discharge from the vagina
• discomfort or pain during urination

The CDC adds that risk factors for developing an overgrowth of Candida include:

• using hormonal birth control
• being pregnant
• recent antibiotic use
• having a weakened immune system
• having diabetes

The OWH points out that a yeast infection may develop due to sexual intercourse. However, doctors do not classify this as a sexually transmitted infection (STI).

Since yeast infection symptoms are similar to those of other infections and conditions, such as contact dermatitis, a person should contact a doctor before taking any OTC medications. The doctor can test for yeast or other infections to provide the appropriate treatment.

People can take some steps to help prevent yeast infections. For example, they can try:

• avoiding irritating soaps
• not using vaginal douches
• regularly changing tampons and sanitary napkins
• keeping the outer genital area dry and clean
• not using panty liners every day
• avoiding scented products for use around the vagina
• only using antibiotics when a doctor prescribes them
• wiping from the front to the back after using the toilet
• changing into dry clothes immediately after swimming
• wearing loose-fitting cotton underwear
• maintaining a stable blood sugar level

Learn more about preventing yeast infections here.

People should be aware of the following advice when taking medication for yeast infections:

• Dosage: It is important to take the entire course of medication to clear an infection. For example, with a 7-day suppository, a person should insert suppositories daily for the full 7 days, even if symptoms begin to clear before the 7-day period ends.
• Birth control: The oils in certain suppositories and creams can interfere with barrier birth control methods. They can weaken the materials in condoms, making them less effective. When using these yeast infection treatments, a person should use a different form of birth control or abstain from sex during the duration of the treatment if they would typically use a condom.
• Pregnancy: Pregnant people should always consult a doctor before using any prescription or nonprescription medication to treat an infection.

Before starting treatment, individuals should contact a doctor for a diagnosis. Knowing exactly which infection they have ensures that the person uses the appropriate treatment and does not create fungus resistant to future treatments.

A person should contact a doctor if they suspect that they have a yeast infection, as symptoms can be similar to those of other conditions. The doctor can properly diagnose and treat a yeast infection.

If a yeast infection does not clear up with treatment, the person should seek further medical advice. They may need to adjust their medications to treat any itching and discomfort.

Recurring yeast infections

According to the OWH, yeast infections are usually mild. They cause symptoms such as itchiness, pain, and unusual discharge. Most females will develop a yeast infection at some point in their life.

The OWH also says that some people develop recurring yeast infections.

Risk factors for recurring yeast infections, or recurrent vulvovaginal candidiasis (RVVC), include having diabetes or a compromised immune system.

However, individuals can develop recurring yeast infections even if they do not have any risk factors.

If a person experiences RVVC, a doctor will likely recommend or prescribe antifungal medications for up to 6 months to help keep the fungus under control.

Below are answers to some common questions about treating yeast infections.

How quickly do yeast infection treatments work?

Preventive yeast infection treatments have varying time frames, but many come in 30-day supplies. Pill, cream, and suppository yeast infection treatments usually come as 1-, 2-, 3-, 7-, or 14-day treatments.

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

Treatment times can vary from person to person, but anecdotal reports suggest a single fluconazole dose can clear up a yeast infection in just a few hours.

Do people need a prescription for these treatments?

Most yeast infection suppositories and preventive probiotics are available as OTC treatments. However, yeast infection pills such as fluconazole are only available through prescription.

Is one yeast infection pill enough?

Depending on the severity of the infection, type of pill, and dosage, a single tablet may be enough to clear a yeast infection. Individuals should always let their doctor guide their treatment and discuss ongoing symptoms with them.

Can I get a yeast infection from sex?

Although penetrative sex cannot directly cause a yeast infection, a person may develop a yeast infection after sex if they engage in oral sex or insert fingers or toys into the vagina.

This is because these activities may introduce bacteria into or around the vagina.

Learn more about yeast infections after sex.

Can a person pass on a yeast infection?

Yeast infections are not STIs. However, it is possible for yeast infections to transmit from one person to another following sexual intercourse.

Females can pass on yeast infections to males, but this is uncommon and may affect just 15% of males.

Do yeast infection pills have side effects?

Pills for yeast infections, such as fluconazole, may have some side effects.

Common side effects include nausea, diarrhea, headache, stomach pain, and a rash.

Yeast infections are often mild, and a person can typically treat them using OTC medications. Medications come in different forms and doses, so it is important to follow the instructions on the package.

A person should not self-diagnose a yeast infection, as many of the symptoms are similar to those of other illnesses and conditions.

Once a doctor diagnoses this infection and a person treats it, they should notice symptom improvement.

Yeast Infection Cream | Walgreens

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Yeast Infection Cream

Yeast infections can be a bothersome and uncomfortable experience, and they can affect anyone. While yeast infections can occur in different parts of the body, including the mouth, nail beds and moist areas of skin, vaginal yeast infections are very common, affecting nearly 3 out of 4 women in their lifetimes. There are a variety of over-the-counter products available to ease the symptoms associated with vaginal yeast infections and help prevent the infection from getting worse. These include antifungal creams and suppositories in various doses and quantities. All of these varieties of yeast infection treatments can be purchased in stores or online at Walgreens.

What is a yeast infection?

A yeast infection (candidiasis) is an overgrowth of a certain type of fungus called Candida that is normally harmless and found on the body. However, some environmental and health conditions can cause this yeast to overpopulate and bring about bothersome symptoms. Yeast infections can occur on the skin and the mucous membranes, which can include the mouth, digestive tract, vagina, armpits, breasts and other sites that may retain moisture.

Vaginal yeast infections can happen to anyone. However, pregnancy, antibiotics and diabetes may put certain women more at risk for developing them. Wearing non-breathable clothing such as synthetic fabric underwear may also contribute to yeast growth. Luckily, there are products and medications available at Walgreens in stores and online that may help you find relief from a yeast infection.

What are the common symptoms of a yeast infection?

Vaginal yeast infections are quite unpleasant, and symptoms can get more intense with time. Some of the common symptoms may include:

• Burning sensation, especially during sexual intercourse or urination
• Itching, swelling, and redness in and around the vagina
• Watery, white or yellow cheese-like discharge from the vagina
• Vaginal soreness or pain

Many of these symptoms can mimic other infections or health conditions so it’s important that you contact your healthcare provider if you’re experiencing these symptoms. Some yeast infections can become worse or require additional treatment.

How does yeast infection cream work?

Yeast infection creams are intended to alleviate symptoms and reduce the population of fungus. There are multiple treatment options for vaginal yeast infections, including medicated suppositories and creams as well as homeopathic remedies.

Some over-the-counter vaginal yeast infection products and creams may help relieve symptoms or get rid of the infection with just a single dose. Some of the more common antifungal ingredients in yeast infection creams may include miconazole, clotrimazole, or tioconazole. If you use a yeast infection cream and continue to have symptoms, tell your healthcare provider.

How to use yeast infection cream

Different vaginal yeast infection creams may be intended to be used for different periods of time. You should follow all product instructions carefully and use as directed. Over-the-counter vaginal yeast infection treatment products will usually come with an applicator that is used to insert the cream or suppository into the vagina. Most creams or antifungal capsules are inserted into the vagina at bedtime for one or more days, depending on the product. If you have any questions about yeast infection creams, ask your Walgreens pharmacist in store or online in Pharmacy Chat.

Thrush in women: symptoms and treatment

Thrush (vaginal candidiasis) is an infectious disease caused by the active reproduction of yeast-like fungi of the genus Candida on the mucous membranes of the female genital organs.

Along with bacterial infections (bacterial vaginosis), thrush is one of the most common diseases in women, most often occurs in reproductive age, less often in postmenopausal women (in the absence of hormone replacement therapy with estrogen), and even less often in girls before the onset of the first menstruation.

The highest risk of vaginal candidiasis occurs during pregnancy, other risk factors include a weakened immune system and certain medications.

Causes

The most common type of fungus that causes yeast infections is Candida albicans, which is an opportunistic pathogen. Infections caused by other types of Candida are much less common and more difficult to treat. Candida albicans is present in the gastrointestinal tract, in the mouth, vagina, and on the skin. When their number increases, a yeast infection develops, which can affect any of the organs listed.

Risk factors for vaginal candidiasis include: taking antibacterial drugs, hormonal changes (during pregnancy), hormonal contraceptives (birth control pills, patches) and other contraceptives (vaginal diaphragm, vaginal ring, intrauterine device), diabetes mellitus, overweight body, reduced immunity (due to HIV, immunosuppressive drugs, steroids, chemotherapy drugs), high sexual activity.

Fungal infection is not sexually transmitted, but candidiasis can develop in men after intimacy with a woman with vaginal candidiasis.

Symptoms

Symptoms of thrush include:

• unusual vaginal discharge (watery or white cheesy), odorless;
• itching and burning in the vagina and vulva;
• swelling and redness of the mucous membrane of the vagina and external genitalia;
• pain during intercourse;
• soreness and burning when urinating.

These symptoms are similar to those of other conditions – bacterial vaginosis, trichomoniasis, dermatitis, so it is required to determine what specifically caused them. If they appear for the first time, do not disappear after using over-the-counter remedies for the treatment of thrush, be sure to consult a gynecologist. Important: self-diagnosis and treatment of thrush with over-the-counter drugs is not the most correct tactic. There is always a risk of additional financial burden, improper treatment and side effects caused by it. Only a doctor can determine exactly what is causing your condition.

Diagnosis

Your doctor will ask you about your symptoms, medical conditions, medications you are taking, perform a pelvic exam, and take a vaginal swab for microscopic examination.

Treatment of thrush

Treatment of thrush is with antifungal drugs and depends on the severity and frequency of the infection. Your doctor may prescribe the antifungal drug miconazole or tecnazole (tablets, suppositories, creams, ointments) for 3 to 7 days if symptoms are mild or moderate, or fluconazole (Diflucan) as a single dose (for more severe symptoms, two doses 3 days apart) ). During pregnancy, oral forms of drugs are not recommended.

For recurrent vaginal candidiasis (4 or more infections per year), long-term antifungals are prescribed.

There is no evidence that probiotics and yogurts containing live lactobacilli improve the condition of women with recurrent vaginal candidiasis.

Benefits of treating thrush at Rassvet Clinic

Gynecologists at Rassvet Clinic have extensive practical experience and extensive knowledge necessary for the diagnosis and treatment of vaginal candidiasis.

We employ caring and delicate specialists who will definitely help you get rid of an unpleasant problem. Diagnosis and treatment of thrush in the Rassvet clinic is carried out according to the most modern standards, using international clinical guidelines.

References

• Jack D Sobel, MD, UpToDate: Patient education: Vaginal yeast infection (Beyond the Basics) // Last updated: Jan 25, 2021/ https://www. uptodate.com/contents/vaginal- yeast-infection-beyond-the-basics
• MedlinePlus, National Library of Medicine: Vaginal yeast infection // Review Date 30/6/2019 / https://medlineplus.gov/ency/article/001511.htm
• Mayo Foundation for Medical Education and Research: Yeast infection (vaginal) // https://www.mayoclinic.org/diseases-conditions/yeast-infection/symptoms-causes/syc-20378999
• Johns Hopkins Medicine: Yeast infection // https://www.hopkinsmedicine.org/health/conditions-and-diseases/candidiasis-yeast-infection
• Oluwatosin Goje, MD, MSCR, Cleveland Clinic, MSD Manual: Vaginal Yeast Infection (Candidiasis) // Last full review/revision Apr 2021 / https://www.msdmanuals.com/home/women-s-health-issues/ vaginal-infections-and-pelvic-inflammatory-disease/vaginal-yeast-infection-candidiasis
• Centers for Disease Control and Prevention (CDC): Vaginal Candidiasis // Last reviewed: October 12, 2021 / https://www. cdc.gov/fungal/diseases/candidiasis/genital/index.html

Author:

Amelicheva Alena Alexandrovna
medical editor

Publication date: December 16, 2021

Update date: August 5, 2022

causes, symptoms and treatments vagina. The disease was diagnosed at least once in 75% of women. Almost every second patient suffered from relapses.

Although thrush is not a sexually transmitted disease, immunocompromised men may also experience characteristic symptoms after intimate contact with a sick woman.

Causes of thrush

Candidiasis can develop even in a woman who has never had a sexual life. The reason is a weakened immune system, a course of antibiotic treatment. Other factors that increase a woman’s risk of having thrush:

• hormonal imbalance due to pregnancy, menopause;
• malfunctions of the immune system;
• fluctuating estrogen levels.

To understand how to deal with thrush, you need to understand the mechanism of its development. A healthy woman has a balance of bacteria and yeast in the intimate area. The hormone estrogen helps the “good” lactobacilli multiply. These bacteria kill harmful organisms in the vagina and keep you healthy. But when something upsets this balance, a fungus called candida begins to multiply actively and provoke unpleasant symptoms. Fortunately, the pathology is easily and fairly quickly treatable.

Description of the symptoms of thrush

The main symptoms of the disease in women are itching and discomfort in the intimate area. Also, patients with thrush may experience the following symptoms:

• redness, swelling of the vagina and vulva;
• burning when urinating;
• pain during sex;
• thick white discharge, texture similar to cottage cheese.

You should definitely consult a doctor if you have developed thrush for the first time. The fact is that the symptoms of candidiasis overlap with other, more serious diseases, including sexually transmitted infections. Subsequently, in case of relapses, treatment can be started without additional consultation with doctors (with some exceptions).

Methods of diagnosis

At the first episode of thrush, and also in the event that the treatment has not brought results, it is recommended to sign up for an extended examination. The most popular diagnostic test is the vaginal pH. You can also carry out the procedure at home by purchasing disposable test strips. A high level of acidity (a value of 4.5 or less) indirectly indicates that candidiasis has developed. However, one test strip is not enough to make a diagnosis and start treatment. It is important to see a doctor if you develop symptoms that indicate that the disease is not associated with candidiasis. These signs include:

• colored discharge with a sharp unpleasant odor;
• bleeding between periods or after intercourse;
• need for frequent urination;
• rash or blisters on the skin of the vulva.

In the gynecologist’s office, women can take a pap smear. After examining samples of secretions under a microscope, the laboratory assistant will be able to draw a conclusion about the causative agent of the disease. If the smear does not reveal Candida, then you will have to be tested for other infections.

Patients who suffer from persistent relapses are given urine tests for sugar. This is done in order to confirm or exclude the presence of diabetes complicated by thrush. After all, this disease significantly increases the tendency to develop candidiasis.

Treatment of thrush in women

Treatment options should be suggested by the doctor, based on the results of the tests and the patient’s complaints. All drugs used to combat thrush can be divided into oral and local. The treatment protocol includes a combination of different agents.

The most popular way to deal with thrush, which shows positive results in the vast majority of cases, is the use of over-the-counter antifungal creams or suppositories with clotrimazole, miconazole for 7 days (or until the symptoms disappear completely). Fluconazole-based oral antifungals may also be prescribed for treatment. It is enough to take just one tablet, which will destroy fungi and yeast.

Some studies have shown that eating natural probiotic yogurt or supplements with Lactobacillus acidophilus also helps to slow down the growth of yeast in the vagina, so as to defeat thrush more quickly. But such an alternative should only be an addition to the main treatment, and not replace it. In any case, the use of natural yogurt will not harm the body as a whole.

Important! Pregnant women are allowed to use creams or suppositories for treatment, but oral medications for thrush should be avoided.

It is also advisable to abstain from sexual intercourse during treatment. Some medications used to treat thrush weaken condoms and make birth control creams and suppositories less effective.

What happens if you do not start treatment on time

Most women know that one tablet is enough to fight thrush. But some are experimenting with “natural cures” or simply waiting for the immune system to deal with pathogens on its own. The result of this approach is the complication of the disease and the manifestation of the following symptoms:

• extensive redness of the intimate area;
• severe edema that interferes with going to the toilet, having sex;
• micro-tears, fissures and ulcers on mucous membranes.

Systemic treatment with droppers is indicated in such cases. Patients with advanced stages of diabetes, as well as those who are forced to constantly take immunomodulatory drugs for HIV and oncological diseases, also have to fight thrush in a hospital setting.

You shouldn’t start the disease. With a reasonable approach, one tablet will be enough to eliminate all unpleasant symptoms. In order to prevent the disease, it is recommended to wear underwear with a cotton gusset, to refuse tight tights. Gynecologists also advise against douching.