Preventing Vaginal Yeast Infections | Everyday Health

Cotton and silk underwear absorb moisture, keeping you dry.

On the other hand, nylon and other synthetic fabrics hold moisture close to your skin, encouraging the growth of yeast. Synthetic underwear may also cause allergy and hypersensitivity reactions that can alter the vagina environment and contribute to yeast infections.

What’s more, sitting around in sweaty gym clothes or a wet bathing suit provides an environment in which yeast can thrive. Change into dry clothes as soon as possible.

Pantyhose, tights, and leggings can cause heat and moisture to build up in the crotch area.

If you do wear pantyhose, be sure to wear cotton panties underneath, and choose pantyhose with a cotton crotch.

Avoid snug-fitting pajamas — a loose, flowing nightgown is preferable. And going without underwear while you sleep will help keep your genital area dry and discourage yeast growth.

Keeping the vagina clean will not only keep you smelling fresh, it can also help prevent yeast infections.

When bathing, be sure to clean the inside folds of the vagina where yeast is likely to grow.

Because yeast thrives in moist environments, it’s important to dry the entire vaginal area after taking a shower or bath. (8)

Certain Products, Antibiotics, and Conditions Are Linked to Yeast Infections Perfumes can be irritating to the sensitive area inside the vagina, and that can increase your risk of getting a yeast infection.

Also avoid scented sanitary pads and tampons and colored or printed toilet paper — dyes can also be irritating.

Douching destroys not only harmful bacteria, but also the helpful kind that keep yeast under control.

Douche products also wash away the natural protective lining of the vagina, leaving you more susceptible to yeast and other vaginal infections, while also introduces substances that may cause allergic reactions and alter the pH balance (acidity) of the vagina.

Antibiotic use has been linked to the onset of yeast infections because these drugs can kill beneficial bacteria in the body, making it easier for Candida yeast to proliferate. Take antibiotics only as directed and avoid unnecessary antibiotic use.

Finally, a healthy immune system helps keep yeast under control.

Try keeping a regular sleep schedule and avoiding exercise, caffeine, and heavy meals within three hours of bedtime. Consider stress-reduction techniques, such as meditation, yoga, and regular exercise, to keep down high levels of stress, which can compromise your immune system. (9)

Immune-depressing diseases such as diabetes and HIV can also increase the risk of yeast infections.

Additionally, if you have diabetes, it’s important to keep your blood sugar levels under control to prevent yeast infections. Sugar is a prime food source for yeast. (1,8)

How do you treat thrush after taking antibiotics?

Vaginal thrush is an infection caused by an overgrowth of the yeast called Candida albicans. The yeasts are naturally occurring in the body but only in small amounts. Thrush can be really itchy, often causing irritation and vaginal discharge.

How can women get vaginal thrush from antibiotics?

Normally, there is a balanced mix of bacteria and yeast in the vagina. The former should dominate the latter in number.

Unfortunately, yeast infection on the mouth and vagina is common for women who recently took broad-spectrum antibiotics. This happens because the drugs kill both bad and healthy bacteria.

As a result, the number of healthy bacteria in the vagina decreases. Then, yeasts like Candida albicans grow uncontrollably and causes infection.

What are other causes of a vaginal yeast infection? 

Diagnosis of Vaginal Thrush

Symptoms of vaginal thrush include the following:

• Redness and swelling

• Itching

• Painful intercourse

• Creamy white lesions in the vagina

• White discharge that is thick and cottage-cheese like in appearance

• Burning sensation while urinating

It is easy to mistake the symptoms of vaginal thrush as that of bacterial vaginosis. Others may think of it as signs of STI. However, these are completely different medical conditions.

Thrush can affect women’s health if not treated properly. This is why it is important to get a diagnosis by a doctor.

Treatment of Vaginal Thrush

There are several treatment options for yeast infection. Mild cases last for a few days. In addition, conditions may improve even without treatment. On the other hand, moderate and severe infections can last up to two weeks and require treatment.

OTC medication. Mild infections can be treated by antifungal creams that need to be directly applied to the vagina. In addition, you may use vaginal pessaries containing clotrimazole as an active ingredient.

Prescription medication. The doctor may prescribe strong antifungal agents for more serious cases of thrush. Common prescriptions include fluconazole, nystatin, and itraconazole.

Probiotics. Lactobacillus, the most common probiotic, naturally live in the vagina. In fact, it helps prevent the overgrowth of yeasts. Combining probiotics with medicines may make the treatment more effective.

Prevention

You can take the following steps to prevent the onset or recurrence of vaginal yeast infection.

• Avoid tight-fitting clothes. Instead, wear loose clothing and breathable underwear.

• Practice proper hygiene. Always keep the vagina clean.

• Avoid scented feminine wash, pads, and tampons.

• Do not take long, hot baths. This is because yeasts prefer a warm and moist environment.

• Make sure to stay dry. Change your clothes right after swimming.

• Only use antibiotics when prescribed by your doctor.

• If you have diabetes, manage your blood sugar level.

• Do not use contraceptives with high levels of estrogen.

Reminders

Do not self medicate if you have never been diagnosed with vaginal thrush before. Women who previously had yeast infection could use the same treatment plan recommended by the doctor. However, it is always best to avoid self-medication.

OTC antifungal products and prescription medicines are available at your local StHeliers Pharmacy in Auckland. You can purchase products online and have them delivered right at your home.

Certain Women are at Greater Risk

Learn why some women are more likely than others to contract yeast infections.

Yeast infections, also known as candidiasis, are infections caused by a yeast (a type of fungus) called Candida. Yeast infections are more common than you might think. About 75 percent of women have had a yeast infection, and about 45 percent will have them more than once. About 1.4 million outpatients of candidiasis are seen annually in the United States.

Why do Women Get Yeast Infections?

All healthy vaginas have yeast. Candidiasis is caused by an overgrowth of yeast that causes infection. Any woman at any age can get a yeast infection, although it is rare before puberty and after menopause. 

Learn more about yeast infections here, including symptoms, diagnosis and treatment. In this blog, we’re going to dive deeper into why some women are at greater risk.

Who is at Risk of a Yeast Infection?

Some women are at greater risk of getting a yeast infection. Here are some risk factors.

Pregnancy: If you are pregnant or on birth control, the risk is heightened because estrogen is a factor in maturing the vagina and making a thicker lubricated vaginal lining. Damp places increase the growth of yeast, and estrogen is increased with birth control and pregnancy. 

Diabetes: Diabetes increases the risk of yeast infection because it is caused by excess glucose in the blood. Because of this excess glucose, more is secreted from the vagina, which is normally an acidic environment that has little nutrients. This glucose promotes the growth of yeast.  

Immune System Deficiencies/Antibiotics/Steroids: Women with weakened immune systems are at greater risk for developing yeast infections because their bodies aren’t capable of defending themselves from infections. Additionally, immune system problems are often treated with antibiotics or steroids, which increase the risk of yeast infections because antibiotics kill off the bacteria that maintain and limit the growth of yeast. Without that bacteria to do its job, yeast has an ideal environment to grow rapidly and turn into an infection.

Sex: Sexual interactions are not the cause of yeast infections, but yeast can be spread vaginally and orally. The chemistry of the different yeasts may be different and unbalanced, which can cause it to grow. Yeast infections aren’t an STD, but a person’s body chemistry can have a bad reaction to another person’s yeast and bacteria. 

How to Prevent Yeast Infections

It’s important to know who is most at risk for yeast infections, and it’s also smart to learn prevention. Here are a few key preventions:

• Watch antibiotic use. Only take antibiotics when prescribed by a doctor. 
• Wear cotton underwear. The cotton allows airflow, which prevents the vagina from getting too damp. (Yeast prefer damp environments.) 
• Don’t douche or use scented feminine products. These products can kill the healthy bacteria that limits yeast growth. 
• Wipe from front to back after using the restroom.
• Avoid moist environments, such as tight, wet clothes, hot tubs or hot baths. 

Conclusion: Yeast Infections are Common

Yeast infections are common occurrences among women of all walks of life. Luckily, there are ways for women to lower their risk of contracting a yeast infection. If you think you have a yeast infection, there are many treatment options. Make an appointment with your physician to ensure you receive the correct care and advice.

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Women’s Integrated Healthcare Gynecology

Symptoms, Treatment, Prevention │ Allina Health

If you’re a woman, there’s a high likelihood that you’ve had at least one vaginal yeast infection. Here’s my advice on how you can recognize the symptoms and causes, treat this itchy and uncomfortable condition, and tips to prevent one from happening to you.

What is a yeast infection?

A vaginal yeast infection, or “vulvovaginal candidiasis,” is a fungal infection in the vagina and tissues of the vulva (vaginal entrance).  Yeast is a common fungus found in your body. Some yeast is normal, but too much can turn into a yeast infection. A vaginal yeast infection will affect 3 out of every 4 women sometime in her life. For some women, yeast infections are a regular occurrence.

While a vaginal yeast infection is not contagious, sexual contact can sometimes lead to developing a new yeast infection when your body chemistry reacts with your partner’s bacteria.

Causes of a yeast infection

A vaginal yeast infection occurs when your normal, healthy vaginal chemistry changes, and a yeast, known as candida, grows and spreads. This yeast imbalance can be caused by:

• A weakened immune system: due to a medical disorder or being HIV-positive can cause yeast to grow uncontrolled.
• Medications: certain drugs, such as antibiotics and cortisone can kill off good bacteria that lives in your vagina that help control yeast.
• Diabetes: when diabetes is uncontrolled the increase in sugar in your mucus membranes can create a place for yeast to grow.
• Hormones: normal changes in hormone levels common during your menstrual cycle and pregnancy.
• Body chemistry: a natural reaction to another person’s body chemistry can cause an increase in yeast.

Are yeast infections contagious?

Yes, yeast infections can be contagious through sexual activities including intercourse with an infected partner. Both men and women can pass along the infection. However, a yeast infection is not considered to be a sexually transmitted infection (STI).

Symptoms of a vaginal yeast infection include:

• a burning sensation when you urinate or during sex
• a thick, white, odorless discharge which can vary from a watery to a cottage cheese-like consistency
• pain, itching, swelling and redness.

Treatment for a yeast infection

If you’ve had a yeast infection before and are certain your symptoms are caused by a yeast infection, you can try an over-the-counter medicine such as an antifungal cream.

If over-the-counter or home remedies don’t relieve your symptoms within a few days, contact your doctor. We can often prescribe a one-dose pill (Diflucan or Fluconazole) or suggest other longer-term treatment options. While a yeast infection can be disruptive to your daily routine, it can be treated quickly by a provider with an online visit, usually in less than an hour.

Home remedies for treating a vaginal yeast infection

Some people treat their vaginal yeast infection with home remedies. It’s important to note that most of these home remedies have not been proven by science to be effective. Common home remedies include:

• An apple cider vinegar bath. Add ½ cup of apple cider vinegar to lukewarm bath water and soak for 20 minutes. The acid in the vinegar can help break down microorganisms such as yeast.
• Boric acid or hydrogen peroxide. Boric acid has been approved by the CDC for use in addition to other medicines for treating vaginal infections. However, do not use if you are pregnant and do not apply if your skin is broken. Dilute hydrogen peroxide with water before applying to your skin.
• Eat more garlic and foods or supplements with vitamin C.
• Organic coconut oil or oil of oregano applied to the skin.
• Probiotics. These “friendly” bacteria in your gut help restore a balance of yeast to bacteria in your body. To increase your probiotics you can:eat foods high in probiotics such as Greek yogurt. You can also drink kombucha or apple cider vinegar, take an oral probiotic supplement, or use a probiotic suppository.

Diagnosis and treatment for a recurrent vaginal yeast infection

If your yeast infection doesn’t improve or comes back again and again, your doctor may ask you to schedule an in-person visit. During the visit, he or she will ask you questions about your medical history, do a pelvic exam and do lab testing of your vaginal fluids. A more thorough exam will help identify the specific type of yeast you have to help determine the best medicines and treatment options.

It’s best to see a doctor if:

• it’s the first time you’ve had a yeast infection
• you’re pregnant or have diabetes
• you have a new sexual partner (to rule out a sexually transmitted disease or STD)
• you have had four or more yeast infections during the past year.

How to prevent a vaginal yeast infection

• Avoid douches, vaginal deodorant lotions and sprays, and scented soaps.
• Dry off and change into dry clothes as soon as possible after a swim or work out.
• Limit how much sugar and processed foods you eat.
• If you are susceptible to getting a yeast infection after intercourse, a dose of Diflucan before intercourse may be recommended.
• If you are susceptible to getting a yeast infection after taking antibiotics, a dose of Diflucan at the start and end of antibiotic therapy can prevent a post-antibiotic yeast infection.
• Wear cotton underwear.

Vaginal Yeast Infection | HealthLinkBC File 08j

What is a vaginal yeast infection?

A vaginal yeast infection is a common infection caused by the overgrowth of yeast in the vagina.

What causes vaginal yeast infections?

Vaginal yeast infections can be caused by many factors, some of which include:

• current or recent use of antibiotics;
• use of corticosteroid;
• problems with your immune system;
• use of birth control pills;
• pregnancy; or
• high blood sugar from poorly controlled diabetes.

How is it spread?

Vaginal yeast infections are not usually spread during sex. However, if your partner has symptoms, they should also seek treatment. Both men and women can get yeast infections.

What are the symptoms?

Symptoms of a vaginal yeast infection may include:

• vaginal itching;
• vaginal discharge that is often white, thick, clumpy and odourless;
• this is your first yeast infection, or
• red, irritated and/or swollen skin around the opening of the vagina;
• painful sexual intercourse; or
• pain or burning when you urinate.

Men can also get yeast infections, most often as a rash under the foreskin or on the penis. The foreskin or penis may also be itchy or irritated.

Other vaginal infections, sexually transmitted infections (STIs) and some scented soaps, feminine hygiene products or deodorant sprays can cause symptoms similar to a vaginal yeast infection. See your health care provider before treating yourself if:

• you are pregnant;
• you are unsure if your symptoms are those of a yeast infection;
• this is your first yeast infection; or
• you have repeated symptoms of yeast infections;

What is the treatment?

Treatment for vaginal yeast infections include taking pills orally, using creams or ointments, or inserting tablets into the vagina. Some treatments require a prescription from your health care provider while others can be bought off the shelf at the pharmacy.

What are ways I can prevent getting a vaginal yeast infection?

Some ways to prevent getting a yeast infection include:

• avoid unnecessary use of antibiotics;
• avoid douching or perfumed soaps, sprays or tampons;
• immediately change out of wet clothes, like swimsuits or workout clothes;
• avoid excessive amounts of high sugar foods and control your diabetes; and
• wear loose-fitting cotton clothing.

How can I reduce my chance of getting a sexually transmitted infection (STI)?

Practice safer sex by using a condom
When used correctly, male and female condoms help prevent the spread of many STIs during vaginal, anal and oral sex. Condoms are less effective at protecting against STIs transmitted by skin-to-skin contact, such as herpes simplex, genital warts (human papillomavirus (HPV)), and syphilis (when sores are present).

Important things to remember when using condoms:

• Check the condom package for damage. Do not use a condom that has been damaged.
• Check the expiry date. Do not use a condom that is outdated.
• Carefully open the package so that the condom does not tear. Do not use a condom that has been torn.
• Keep condoms away from sharp objects such as rings, studs, or piercings.
• Store condoms at room temperature.
• A new condom should be used every time you have sex. Do not reuse condoms.
• Do not use 2 condoms at once.
• Use only water-based lubricants with male latex condoms. Oil-based lubricants, such as petroleum jelly, lotion, or baby oil can weaken and destroy latex.
• Water or oil-based lubricant may be used with polyurethane condoms.
• Use only condoms that are made of latex or polyurethane (plastic). Latex condoms and polyurethane condoms are the best types of condoms to use to help prevent pregnancy and STIs. (Animal skin condoms can help prevent pregnancy but don’t work as well as latex or polyurethane condoms to prevent STIs.)

Get vaccinated
Some STIs, such as hepatitis A, B and human papillomavirus (HPV) can be prevented with vaccines. Talk to your health care provider about how to get these vaccinations.

Know your sexual health status
If you have recently changed sexual partners, or have multiple sex partners, getting regularly tested for STIs will tell you if you have an infection. Some people can have an STI and not have any symptoms. Finding and treating an STI reduces the chances of passing infections on to your partner(s).

The more partners you have, the more likely you are to be exposed to STIs.

Talk about prevention
Talk to your partner(s) about STIs and how you would like to prevent them before having sex. If you are having trouble discussing safer sex with your partner(s), talk about it with your health care provider or a counselor.

For tips on how to talk to your partner(s), visit the BC Centre for Disease Control (BCCDC) Smart Sex Resource https://smartsexresource.com/sex-talk/talk-about-it

Informing Partners
If you have a sexually transmitted infection and are sexually active, it is important to tell your sexual partner(s). This will enable them to make decisions about their health and getting tested.

For More Information

For more information on how you can reduce your chance of getting an STI, see HealthLinkBC File #08o Preventing Sexually Transmitted Infections (STIs). .

Yeast Infections – Advanced Gynecology

Yeast infections can happen to anyone at seemingly anytime. They are uncomfortable, itchy and irritating, but are easily treatable.

Yeast infections are fungal infections that can occur in both men and women in several different places on the body. The most common form of yeast infection is the vaginal yeast infection (vulvovaginal candidiasis). 75% of women will experience a yeast infection in their lifetime, while up to 40%-45% of women will have recurring infections. A vaginal yeast infection occurs when healthy yeast that normally lives in your vagina grows out of control. This overgrowth of yeast can be triggered by several different factors.

There are many different treatment options for yeast infections including prescription pills and creams, as well as over-the-counter options. Recurrent yeast infections may call for a longer treatment course and maintenance options.

The main symptoms of a yeast infection are itchiness and irritation; however you may experience any or all of the following:

• A thick, white, clumpy discharge, similar to cottage cheese, that often has little to no odor.
• Redness and swelling of the vagina and the vulva (the outer part of the female genitals)
• Pain or burning during urination
• Uncomfortable or painful sexual intercourse

The vagina is home to a natural balance of yeast and bacteria. If the chemistry of the vagina becomes imbalanced, the normal yeast that live in the vagina can grow too much and lead to an infection. Here are some things that can lead to an overgrowth of yeast in the vagina:

• Hormonal changes can change the balance of healthy yeast in the vagina. Pregnancy, breast-feeding, menopause, and birth control pills are all hormonal factors that can change the vaginal environment.
• Antibiotics can kill off many of the bacteria that live in your vagina, causing an imbalance in the natural vaginal flora. While antibiotics kill off whatever bad bacteria is causing the primary infection, it also kills off the good bacteria that keeps the vaginal flora healthy, leading to an overgrowth of yeast.
• A weakened or impaired immune system.
• Your natural reaction to another individual’s genital chemistry can alter the natural vaginal flora enough to cause an infection (though a yeast infection is not considered a sexually transmitted infection).
• Diabetes that is not well-controlled, leading to an increase in sugar in the mucus membranes (moist linings) of your vagina, creating the perfect conditions for the overgrowth of yeast.

There are many factors that increase the risk of developing a yeast infection. To reduce this risk, wear loose fitting clothing made of breathable materials like cotton. Try to avoid:

• Tight fitting jeans, leggings and pantyhose
• Douching, which can remove normal bacteria that helps to keep the vaginal flora balanced
• Scented feminine hygiene products including fragranced bath salts, bubbles and soaks, pads and tampons
• Unnecessary antibiotic use
• Remaining in wet clothing, such as swimwear and workout attire, for prolonged periods of time Keeping the vaginal area dry and cool helps to keep the vaginal flora balanced.

Make an appointment to see a doctor if:

• You’ve developed symptoms and have never experienced a yeast infection previously
• You have concerning symptoms but are unsure whether or not you have a yeast infection
• Over-the-counter antifungal creams or suppositories do not relieve your symptoms

If you’ve been suffering with itchiness or unusual discharge, Advanced Gynecology is here for you. Our board-certified team of women’s health experts are ready to help you with diagnostic care and a range of options from testing to maintenance. We will counsel you about the best options for you and your health. If you think you have a yeast infection, see your doctor before treating yourself. The symptoms of a yeast infection can be similar to more serious conditions, including sexually transmitted infections and bacterial vaginosis. 

Yeast infection (vaginal) // Middlesex Health

Overview

A vaginal yeast infection is a fungal infection that causes irritation, discharge and intense itchiness of the vagina and the vulva — the tissues at the vaginal opening.

Also called vaginal candidiasis, vaginal yeast infection affects up to 3 out of 4 women at some point in their lifetimes. Many women experience at least two episodes.

A vaginal yeast infection isn’t considered a sexually transmitted infection. But, there’s an increased risk of vaginal yeast infection at the time of first regular sexual activity. There’s also some evidence that infections may be linked to mouth to genital contact (oral-genital sex).

Medications can effectively treat vaginal yeast infections. If you have recurrent yeast infections — four or more within a year — you may need a longer treatment course and a maintenance plan.

Symptoms

Yeast infection symptoms can range from mild to moderate, and include:

• Itching and irritation in the vagina and vulva
• A burning sensation, especially during intercourse or while urinating
• Redness and swelling of the vulva
• Vaginal pain and soreness
• Vaginal rash
• Thick, white, odor-free vaginal discharge with a cottage cheese appearance
• Watery vaginal discharge

Complicated yeast infection

You might have a complicated yeast infection if:

• You have severe signs and symptoms, such as extensive redness, swelling and itching that leads to tears, cracks or sores
• You have four or more yeast infections in a year
• Your infection is caused by a less typical type of fungus
• You’re pregnant
• You have uncontrolled diabetes
• Your immune system is weakened because of certain medications or conditions such as HIV infection

When to see a doctor

Make an appointment with your doctor if:

• This is the first time you’ve had yeast infection symptoms
• You’re not sure whether you have a yeast infection
• Your symptoms aren’t relieved after treating with over-the-counter antifungal vaginal creams or suppositories
• You develop other symptoms

Causes

The fungus candida albicans is responsible for most vaginal yeast infections.

Your vagina naturally contains a balanced mix of yeast, including candida, and bacteria. Certain bacteria (lactobacillus) act to prevent an overgrowth of yeast.

But that balance can be disrupted. An overgrowth of candida or penetration of the fungus into deeper vaginal cell layers causes the signs and symptoms of a yeast infection.

Overgrowth of yeast can result from:

• Antibiotic use, which causes an imbalance in natural vaginal flora
• Pregnancy
• Uncontrolled diabetes
• An impaired immune system
• Taking oral contraceptives or hormone therapy that increase estrogen levels

Candida albicans is the most common type of fungus to cause yeast infections. Yeast infections caused by other types of candida fungus can be more difficult to treat, and generally need more-aggressive therapies.

Risk factors

Factors that increase your risk of developing a yeast infection include:

• Antibiotic use. Yeast infections are common in women who take antibiotics. Broad-spectrum antibiotics, which kill a range of bacteria, also kill healthy bacteria in your vagina, leading to overgrowth of yeast.
• Increased estrogen levels. Yeast infections are more common in women with higher estrogen levels — such as pregnant women or women taking high-dose estrogen birth control pills or estrogen hormone therapy.
• Uncontrolled diabetes. Women with poorly controlled blood sugar are at greater risk of yeast infections than women with well-controlled blood sugar.
• Impaired immune system. Women with lowered immunity — such as from corticosteroid therapy or HIV infection — are more likely to get yeast infections.

Prevention

To reduce your risk of vaginal yeast infections, wear underwear that has a cotton crotch and doesn’t fit too tightly.

It might also help to avoid:

• Tight-fitting pantyhose
• Douching, which removes some of the normal bacteria in the vagina that protect you from infection
• Scented feminine products, including bubble bath, pads and tampons
• Hot tubs and very hot baths
• Unnecessary antibiotic use, such as for colds or other viral infections
• Staying in wet clothes, such as swimsuits and workout attire, for long periods of time

Diagnosis

To diagnose a yeast infection, your doctor may:

• Ask questions about your medical history. This might include gathering information about past vaginal infections or sexually transmitted infections.
• Perform a pelvic exam. Your doctor examines your external genitals for signs of infection. Next, your doctor places an instrument (speculum) into your vagina to hold the vaginal walls open to examine the vagina and cervix — the lower, narrower part of your uterus.
• Test vaginal secretions. Your doctor may send a sample of vaginal fluid for testing to determine the type of fungus causing the yeast infection. Identifying the fungus can help your doctor prescribe more effective treatment for recurrent yeast infections.

Treatment

Treatment for yeast infections depends on the severity and frequency of your infections.

For mild to moderate symptoms and infrequent episodes, your doctor might recommend:

• Short-course vaginal therapy. Taking an antifungal medication for three to seven days will usually clear a yeast infection. Antifungal medications — which are available as creams, ointments, tablets and suppositories — include miconazole (Monistat 3) and terconazole. Some of these medications are available over-the-counter and others by prescription only.
• Single-dose oral medication. Your doctor might prescribe a one-time, single oral dose of fluconazole (Diflucan). Oral medication isn’t recommended if you’re pregnant. To manage more-severe symptoms, you might take two single doses three days apart.

See your doctor again if treatment doesn’t resolve your symptoms or if your symptoms return within two months.

If your symptoms are severe, or you have frequent yeast infections, your doctor might recommend:

• Long-course vaginal therapy. Your doctor might prescribe an antifungal medication taken daily for up to two weeks, followed by once a week for six months.
• Multidose oral medication. Your doctor might prescribe two or three doses of an antifungal medication to be taken by mouth instead of vaginal therapy. However, this therapy isn’t recommended for pregnant women.
• Azole resistant therapy. Your doctor might recommend boric acid, a capsule inserted into your vagina. This medication may be fatal if taken orally and is used only to treat candida fungus that is resistant to the usual antifungal agents.

Alternative medicine

No alternative medicine therapies have been proved to treat vaginal yeast infections. Some complementary and alternative therapies may provide some relief when combined with your doctor’s care.

Talk to your doctor about what alternative treatments for vaginal yeast infection may be safe for you.

Preparing for an appointment

If you’ve been treated for a yeast infection in the past, your doctor may not need to see you and may prescribe a treatment over the phone. Otherwise, you’re likely to see a family medicine doctor or gynecologist.

What you can do

• Make a list of any symptoms you’ve had and for how long.
• Write down key information, including other medical conditions and any medications, vitamins or supplements you’re taking.
• Avoid using tampons or douching before your appointment.
• Make a list of questions to ask your doctor.

Questions to ask your doctor

• Do I need to take medicine?
• Are there any special instructions for taking the medicine?
• Are there any over-the-counter products that will treat my condition?
• What can I do if my symptoms return after treatment?
• How can I prevent yeast infections?
• What signs and symptoms should I watch out for?

During your appointment, don’t hesitate to ask other questions as they occur to you.

What to expect from your doctor

Your doctor is likely to ask you a number of questions, including:

• What vaginal symptoms do you have? How long have you had them?
• Do you notice a strong vaginal odor?
• Have you ever been treated for a vaginal infection?
• Have you tried over-the-counter products to treat your condition?
• Have you recently taken antibiotics?
• Are you sexually active?
• Are you pregnant?
• Do you use scented soap or bubble bath?
• Do you douche or use feminine hygiene spray?

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90,000 What are the signs of a yeast infection in children?

Signs of yeast infection in children are usually similar, if not identical, to those in adults, although very young children and toddlers cannot verbalize how they are feeling. These can include itching, thick white vaginal discharge in women, redness and a white film in the mouth in cases of oral infection or thrush. Often in very young children, the infection will be persistent and can cause irritation in the genital area that does not subside.This is often due to the fact that parents confuse the infection with diaper rash and do not give the appropriate medication.

Yeast infection in babies can occur when the baby is given oral antibiotics or during childbirth. Sometimes a yeast infection can develop as a result of sexual assault, although this is usually not the case. Antibiotics are used to kill harmful bacteria in the body, but the beneficial flora is also destroyed, allowing the yeast in the vagina, mouth, or digestive tract to spiral out of control.The result is a yeast infection.

Parents can recognize a yeast infection in babies by paying close attention to changing diapers or by listening to their baby’s symptoms while speaking. A persistent diaper rash that does not respond to conventional treatment is often caused by yeast. Redness, sore skin, and sometimes odorless white discharge are all symptoms of a yeast infection. Probably unpleasant discharge due to another infection should be treated by a doctor.

Oral thrush tends to shrink during childbirth in babies, but it can also occur in babies due to antibiotic use. It is most common in young babies born to mothers with vaginal yeast infections during childbirth. Signs of oral yeast infection in children may include irritation around the lips and sometimes a white film on the tongue and inside the mouth. In most cases, in children, this clears up on its own. For older children, oral antifungal medications can be used.

Pediatric yeast infections may recur if frequent use of antibiotics is necessary to treat common childhood illnesses such as ear infections. Steps must be taken to prevent bacterial infections to avoid antibiotics. When they cannot be avoided, treating a yeast infection can help prevent recurrent infection.

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90,000 Doctor Myasnikov warned of the deadly danger of candidiasis

Candidiasis is an infection caused by microscopic yeast-like fungi of the genus Candida.There are more than two hundred varieties of them, of which 30 can cause problems in humans. Alexander Myasnikov spoke about the forms and causes of the development of pathology in the program “On the Most Important” on the channel “Russia 1”.

Half of people have Candida in their gastrointestinal or genital tract, oral cavity, and this saprophyte does not manifest itself in any way. Until one of the triggers is triggered – illness, stress, pregnancy, taking antibiotics. And then the fungal infection reveals itself.

Most women encounter it in the urogenital form.Symptoms of vaginosis (called thrush) are vaginal inflammation, swelling, itching, pain, white discharge. At the same time, candidiasis is not classified as a sexually transmitted disease (virgins also suffer from it), and it is not required to treat a partner if he has no symptoms.

Those who wear dentures experience constant dry mouth, children are faced with oral candidiasis, which is characterized by a white coating on the mucous membranes. In people with weakened immunity for various reasons, candidiasis can descend into the esophagus, cause pain, swallowing disorder.

However, candidiasis becomes really life-threatening in intensive care units of hospitals. There are often people with microflora, “burned out” by antibiotics, and at the same time with catheters. These devices also become foci of infection. Therefore, each time the catheter is changed, its tip is cut off and sent to the laboratory for inoculation. Hospital candidiasis can affect the liver and kidneys. In this case, he turns into a killer, which is very difficult to cope with. The chances of dying from medications for such candidiasis are 50 to 50.

In addition, a few years ago, Japanese scientists discovered golden candida: it is resistant to all drugs and causes severe damage to internal organs. And if in 2016 the pathogen was found in only a few patients in Japan, now it is found in patients in more than 80 countries.

Risk factors for the development of candidiasis

One of the main ones is diabetes and even just an increased level of glucose in the blood. The rest are:

– Children, adolescents and old age
– Severe stress
– Taking certain medications (antibiotics, estrogens, cortosteroids)
– Increased sweating due to hot weather and synthetic clothing
– Excessive use of intimate hygiene products
– Intrauterine devices
– Pregnancy
– Immunodeficiency
– Obesity
– Oncological diseases

And if candidiasis occurs four or more times a year, a genetic predisposition to it can be suspected.

Dr. Myasnikov warned women against self-medication: the symptoms of thrush are such that it is easy to confuse it with other ailments, and studies have shown that only 11 women out of 600 made the correct diagnosis. So do not rush to the pharmacy for candles – it is better to go to the doctor.

Even more interesting news – in our Instagram and Telegram-channel @smotrim_ru .

Skin care around the stoma

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Caring for the skin around the stoma

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Skin care around the stoma

In the first months after surgery, it is important to take care of the postoperative wound (if any).This is an important part of your recovery as the muscles around the wound are weakened. Give yourself time before returning to activities such as vacuuming, lifting heavy objects, moving furniture or ironing, doing heavy sports, etc.

Care of peristomal complications

Unlike wounds, where the ultimate goal of treatment is healing, the stoma should always remain open. Daily maintenance is required to keep the skin around the stoma healthy and to avoid dermatological complications.Healthy skin around the stoma is essential for good adhesion, without which there is an increased risk of leakage and further damage. This creates a vicious circle of skin damage and leaking colostomy bag.

To prevent peristomal skin complications, the most important element of care is preventive measures such as good skin hygiene.

Fungal (yeast) infection

A fungal infection or candidiasis is an infection caused by the fungus Candida albicans.It can be associated with excessive sweating of the skin or with antibiotic treatment. It initially presents as pustules, then may develop into erythema, accompanied by burning or itching. Treatment of a yeast infection is based on antifungal powder and appropriate preventive measures: prevention of local moisture, prevention of maceration with skin sealants such as Superfiller paste.

If you think you have a yeast infection, see your doctor.

Skin Care Tips

• Cleanse the skin with a pH balanced product (in some cases water can be used) ¹ . Do not use oily products, emollients, or products that dry out your skin. Avoid irritating chemicals ² .
• Keep skin dry to reduce the risk of fungal infection.Dry skin is also important for a good seal. After taking a shower with a colostomy bag, thoroughly dry the skin and colostomy bag ¹ .
• Protect skin with non-traumatic agents and rinse thoroughly. Remove the system carefully to avoid injury. To prevent leakage of the colostomy bag, as well as for sensitive skin, it is recommended to use skin sealant ¹ .

^Literature

^{1.Herlufsen P et al (2006) Study of peristomal skin disorders in patients with permanent stomas. British Journal of Nursing 15 (16): 854-62}

^{2. Rolstad BS, Erwin-Toth P (2004) Peristomal skin complications: prevention and management. Ostomy Wound Management 50 (9): 68-77}

^{3. Gray M, Colwell JC, Doughty D et al (2013) Peristomal moisture-associated skin damage in adults with fecal ostomies. J Wound Ostomy Continence Nurs 40 (4): 389-99}

Sowing of wound discharge and tissues for microflora and determination of sensitivity to antimicrobial drugs (Wound / pus / aspirate / tissue Culture.Aerobic Bacteria Identification and Antibiotic Susceptibility testing)

Interpretation of results

Interpretation of test results contains information for the treating physician and does not constitute a diagnosis. The information in this section cannot be used for self-diagnosis and self-medication. An accurate diagnosis is made by a doctor, using both the results of this examination and the necessary information from other sources: anamnesis, results of other examinations, etc.d.

Units: CFU / swab.

Interpretation of the results of the study “Sowing of wound discharge and tissues for microflora and determination of sensitivity to antimicrobial drugs”

Form for issuing results

The result contains information on the presence or absence of growth of microorganisms, including yeast fungi, their number (except for cases when the growth was obtained only from the enrichment medium, when an accurate quantitative assessment is impossible), generic and / or species.

When the growth of etiologically significant bacteria and opportunistic microorganisms is detected in the diagnostic titer, the sensitivity to the standard spectrum of antimicrobial drugs is determined.

The list of AMPs is determined by the type of pathogens identified; the lists can be found here.
Determination of the type of fungi and setting the sensitivity to antimycotic agents are not included in this analysis (if you suspect a fungal infection, you must order test No. 442).

In case of growth in samples of accompanying microflora (streptococci of the viridans group, Corynebacterium spr., coagulase-negative staphylococci, etc.) in a low titer on the test result form, indicate the genus and type of microorganism, the degree of contamination and commentary on the belonging of these microorganisms to the accompanying flora; in these cases, antimicrobial susceptibility testing is not performed. In the complete absence of growth, the result is “no microflora growth detected.” In the case of the growth of microorganisms for which there is no standardized method for determining the sensitivity and evaluation criteria, the determination of the sensitivity is impossible, as given by the corresponding comments.

Attention! Re-ordering of sensitivity to the extended spectrum of AMP and bacteriophages is not possible, for this purpose tests No. 474-P, No. 474-F are prescribed.

Interpretation

Taking into account the high probability of colonization of the skin and the wound surface by its own microorganisms and microorganisms as a result of the ingress of bacteria from the environment or endogenously, it should be recognized that the release of microorganisms from the wound is an expected pattern.Consequently, the detection of microorganisms in a wound in itself cannot serve as confirmation of the presence of an infection. The most important criterion for the presence of an infectious process in a wound is the clinical picture. Isolation of a particular microorganism (or association of microorganisms) against the background of edema, hyperemia of the wound area in an acute process is highly likely to indicate an infection. On the other hand, mild or absent signs of inflammation suggest contamination. In the case of chronic long-term secondary wounds, the diagnostic criteria for infection are more difficult due to a sluggish inflammatory process.

In the case of long-standing secondary ICMT (infections of the diabetic foot, chronic infected trophic ulcers, etc.), it is not uncommon to isolate an association of microbes, determining the leading etiological role of one of which sometimes becomes an impossible task. It has been shown that the determination of antibiotic susceptibility is necessary only for two, maximum of three most probable pathogens isolated in the association.

In the pathogenesis of wound infections, highly virulent microorganisms are of primary importance, causing additional tissue damage and significantly slowing down wound repair.Such microorganisms include S. aureus, S. pyogenes, P. aeruginosa, and enterobacteria. In chronic wounds, the shedding of S. aureus and P. aeruginosa is a sign of infection and an indication for antibiotic therapy.

In infections of the skin and soft tissues, Enterococcus spp., Mainly Enterococcus faecalis, and coagulase-negative staphylococci are often isolated.

The indicated types of bacteria in most cases are isolated as part of various associations and almost never – in the form of a monoculture.In this regard, the independent etiological role of these microorganisms in infections of the skin and soft tissues, as well as bones and joints, is questioned.

The absence of bacterial growth does not exclude the presence of infections caused by microorganisms that cannot be isolated in this study, in particular anaerobes.

90,000 11 Natural Remedies for Yeast Infection

Most women know the burning, itchy signs of a yeast infection.An overgrowth of Candida albicans (responsible for yeast) can go hand in hand with oral contraceptives, antibiotic use, and be problematic for diabetics, pregnant women, and menopausal women. If this is your first yeast infection, see your healthcare provider for a diagnosis, but if you’ve already been around a yeast infection block, you can try natural remedies to deal with the problem.

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“I think this is more of an imbalance than a disease like a virus or flu,” says Madeleine Glick, MS, RD, Nutritionist from New -York.”By eating the right foods and doing the right things to make your body healthier, you shouldn’t get a lot of yeast infections.”

These natural home remedies can help you get rid of yeast infections:

1. Garlic

Garlic is a natural antifungal agent. (Photo: Liz West / Flickr)

Natural antifungal foods like garlic and onions can help fight yeast overgrowth. Sprinkle raw chopped garlic on salads or pasta.If you can handle it, chew on raw cloves. If not, take garlic tablets. Some women have tried to make vaginal suppositories using a clove of garlic wrapped in sterile gauze.

2. Pau d’Arco

This South American herb is sometimes used to treat yeast infections, although there is no scientific evidence that it works. If you can find it in liquid form, you can take it as a tincture that can be taken orally or applied topically, according to some homeopaths.The typical dosage is a quarter teaspoon per day. The dosage can be increased with external application of Pau d’arco. You can try the supplement as a preventative measure at the first sign of yeast, or as a potential remedy after a full blown infection develops.

3. Calendula

Calendula tincture can help with yeast infections. (Photo: Audrey / Flickr)

You may have heard of calendula in facial products, but an internal plant can help with yeast overgrowth, says Sarah Chana, herbalist and homeopath in Brooklyn, NY.Additionally, Chana gives calendula tincture to new mums who often develop yeast infections. their breasts while breastfeeding because they took antibiotics during childbirth due to a positive streptococcus test.

4. Boric acid

This crystalline chemical has mild antiseptic properties. Boric acid suppository capsules have been shown to be very successful in treating yeast infections according to several studies.A pregnant woman should not use boric acid vaginally. There are also tiny balls of boric acid to put under the tongue. You can also find borax capsules for vaginal use.

5. Palmarosa oil

Chana blends palmarosa oil, an essential oil from the same tropical herb family as lemongrass (4 drops) and tea tree oil (2 drops) into a commercial yeast infection cream to enhance efficiency. This cream for a man is also in your life.“If a woman has a chronic yeast infection, we must treat that husband. Even if he has no symptoms, we must treat him because he can be an asymptotic carrier, ”says Hana.

6. Tea Tree Oil

Antifungal and antibacterial tea tree oil makes it natural to fight fungal infections. (Photo: www.BillionPhotos.com/Shutterstock)

Tea tree oil has antifungal and antibacterial properties.Some women succeed by making a mixture of diluted tea tree oil and warm water and rubbing their vaginal area or soaking it using a tampon. “I have recommended using tea tree candles twice a day (in the morning and before bed). I especially love Vitanica Yeast Arrest, which also contains borax, gold seal, laeru, neem, lactobacillus and vitamin E, ”says Ivy Branin, NY, a naturopath based in NYC.

7. Probiotics

These friendly bacteria can inhibit yeast growth.Research data is conflicting, but adding good bacteria to your diet doesn’t hurt. “Especially for women with chronic infections, as they will colonize the vagina with beneficial bacteria and reduce relapses,” says Branin. Take 1-5 billion Lactobacillus species (rhamnosus, rheuteri) twice a day and Lactobacillus GG twice a day when the infection clears up and lasts for two to six months, she said. Or do it with a diet by adding yogurt.

8. Vitamins and Supplements

Good practice of vitamins and supplements will not hurt and can help boost immunity to fight chronic infections. Grapefruit Seed Extract, an inexpensive supplement, is antifungal and may help in the long term. Goldenseal, Vitamin C, Zinc and Beta Carotene are also recommended by some nutritionists.

9. Cranberry

Popular as a treatment for urinary tract infections, cranberry can also help with yeast infections.(Photo: Pen Waggener / Flickr)

Often used to prevent and relieve urinary tract infections, cranberry and cranberry juice can also help with yeast infections. Cranberries contain substances that prevent bacteria from sticking to the lining of the body.

10. Coconut oil

Coconut oil is rich in several ingredients that have antimicrobial and antifungal properties, according to Home Remedies for Life. These ingredients (lauric, capric, and caprylic acids) can help fight harmful bacteria while leaving friendly bacteria alone.Try adding coconut oil to your diet or applying a thin coconut oil paste to your vaginal area several times a day.

11. Echinacea

This herb is often used to fight infections, especially colds and upper respiratory tract infections. Echinacea can also be helpful in treating yeast infections when used in combination with an antifungal cream (econazole). This reduces the likelihood that the infection will return to about 16 percent, compared with 60 percent using the cream alone, WebMD reports.

“The biggest problem I have with yeast cure is that people don’t understand that this is a 14-day cure,” says Hana. Less and you are more likely to get a “reinfection” as it is more likely that the original infection was not completely cured.

“It is also important to consider risk factors to prevent recurrent candidal infections, if they can be avoided.