To learn more about Healthwise, visit Healthwise. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Top of the page. Topic Overview A vaginal yeast infection is thought to be recurrent when: You have had four or more infections within 1 year.
The infections have caused symptoms. The infections are not related to the use of antibiotics. Recurrent vaginal yeast infections may be treated with: footnote 1 Fluconazole. You take a mg dose of fluconazole by mouth, once every 3 days for three doses. Vaginal medicines for 10 to 14 days. Boric acid. You use a to mg gelatin capsule placed in the vagina once a day for 14 days. Log in.
Interested in AAFP membership? Learn more. Ringdahl received her medical degree from the University of Iowa College of Medicine, Iowa City, and completed a residency in family and community medicine at the University of Missouri—Columbia School of Medicine. Address correspondence to Erika N. Ringdahl, M. Reprints are not available from the author. The epidemiology of vulvovaginal candidiasis among university students.
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Intermittent prevention with itraconazole. Thai L, Hart LL. Boric acid vaginal suppositories. Ingestion of yogurt containing Lactobacillus acidophilus as prophylaxis for candidal vaginitis. Ann Intern Med. Ingestion of yogurt containing Lactobacillus acidophilus compared with pasteurized yogurt as prophylaxis for recurrent candidal vaginitis and bacterial vaginosis. Arch Fam Med. Clinical and cost considerations in the pharmacotherapy of vulvovaginal candidiasis. Ketoconazole [Package insert].
Titusville, N. Single oral dose fluconazole compared with conventional clotrimazole topical therapy of Candida vaginitis. Fluconazole Vaginitis Study Group. Oral fluconazole for vaginal candidiasis. Am Fam Physician. Guest editor of the series is Robert L. Blake, Jr. Symptoms include:. Sometimes, oral thrush can spread to the esophagus, which is the tube that connects the mouth to the stomach.
Doctors refer to this type of yeast infection as esophageal thrush. It is more common among people who have a compromised immune system. Cutaneous candidiasis is a yeast infection of the skin.
These infections tend to develop in warm, moist areas of the body that have little airflow, such as the armpits and groin. Invasive candidiasis is a more severe form of yeast infection that can affect the brain, heart, blood, and other parts of the body. People who have a weakened immune system or spend time in the hospital are at higher risk of developing invasive candidiasis.
Many different factors can cause a chronic yeast infection to develop somewhere in the body. Examples include:. The following underlying health conditions can increase the risk of chronic and recurrent yeast infections. Typically, people who have diabetes have hyperglycemia , or high blood sugar levels. Hyperglycemia encourages the growth of yeast, which increases the risk of yeast infections. Keeping blood sugar levels under control will help prevent such infections. The immune system protects the body from harmful pathogens and disease.
Some underlying health conditions can weaken the immune system, making a person more susceptible to bacterial, viral, and fungal infections. Sometimes, what seems like a repeat yeast infection is actually a previous yeast infection that did not entirely go away.
Antifungal medications are the typical treatment for yeast infections. A person must take the full course of treatment, even if the symptoms disappear. Sometimes, the first treatment for a yeast infection does not work. A doctor may recommend continuing the treatment for a more extended period or changing to a different antifungal medication.
Some medications can increase the risk of a yeast infection developing somewhere in the body. Yeast thrives in warm, moist environments that lack airflow. People who have physical disabilities may have reduced airflow to the skin because of limited movement, or continued pressure on certain parts of their body.
The most common treatment for a yeast infection is an antifungal medication.
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