Best Treatments for Vaginal Yeast Infections

The Candida genus of yeasts (a single-celled fungus) and, most frequently, Candida albicans are the culprits behind yeast infections. About 20% of women and 30% of pregnant women have Albicans in their vaginas. Even though this colonization doesn't result in symptoms, the body's microbial communities might become out of balance due to medications (particularly antibiotics), hormonal changes, and excessive use of feminine hygiene products.

There are several obvious symptoms of a vaginal yeast infection. These signs may manifest as

  • A burning or itching feeling in your vulva and vagina.

  • A cottage cheese-like, thick vaginal discharge that is white.

  • Your vulva and vagina are red and swollen.

  • Due to the sensitivity of the area, your vulva may experience minor cuts or fissures.

  • A scorching sensation after urinating.

  • Pain during sex is occasionally another sign of a vaginal yeast infection.

  • Similarities between yeast infections and other vaginal, like trichomoniasis and bacterial vaginosis, can be found (sexually transmitted infection).

Vaginal Antifungal Creams

Your doctor can suggest an antifungal vaginal lotion if your yeast infection is particularly bad.

Usually, these are packed with an applicator that aids in determining the proper dosage.

Numerous comparable anti-yeast infection drugs are also available over-the-counter. Some are vaginal creams that you apply.

Others include suppositories or vaginal tablets that you insert and wait for to dissolve.

Clotrimazole (Lotrimin and Mycelex) (Lotrimin and Mycelex)

Miconazole (Monistat and Micatin) (Monistat and Micatin)

Tioconazole (Vagistat-1) (Vagistat-1)

Butoconazole (Gynazole-1)

Terconazole (Terazol)

A few days to relieve more intense redness, pain, and swelling at the vaginal opening and surrounding tissue, known as the vulva.

Antifungal medicines are taken orally

  • The newly developed medication ibrexafungerp (Brexafemme), which targets the particular fungi responsible for the infection, is taken twice daily for one day.

  • A single dose of fluconazole (Diflucan) kills yeast and fungi throughout your body.

  • Both can have short-term side effects, such as headaches, diarrhea, or stomach distress.

  • If you are pregnant, you shouldn't use any of these oral drugs to treat yeast infections.

  • Oteseconazole (Vivjoa), an antifungal medication, has been licensed for patients with recurrent infections who are not of reproductive age.

Some of the tips for the medication

Complete the course. Even if your symptoms go gone before the medication runs out, use the entire bottle of pills or cream.

Be aware that some suppositories, vaginal tablets, and lotions contain oil, which can harm condoms and diaphragms.

If you don't want to become pregnant during treatment, you must either use another kind of birth control or refrain from having intercourse.

Before pregnancy, you should never take any medication or even use a nonprescription vaginal lotion without consulting your doctor.

Changes in Lifestyle to Aid Medical Yeast Infection Treatment

Certain lifestyle adjustments can help reduce symptoms while taking medicine for a yeast infection and stop symptoms from worsening.

These consist of the following

  • Maintaining a dry and clean genital area.

  • Avoiding douching and utilizing feminine sprays, scents, or powders that are perfumed to protect the vaginal bacteria balance (and potentially promote yeast growth)

  • Avoiding discomfort and sweat, which can encourage the formation of further yeast, by using loose-fitting undergarments, slacks, or shorts

  • Maintaining control of your blood sugar if you have diabetes.

  • After each use, wash any clothing that is sweaty or wet.

Some species of Candida are drug-resistant

  • Despite the fact that azoles effectively treat C. Albicans, some Candida species are resistant to these first-line medications.

  • For instance, C. krusei is totally resistant to fluconazole, while only about half of the C. glabrata strains are isolated from recurrent yeast infections.

  • Your doctor might advise using nystatin (Mycostatin) vaginal cream or tablets daily for 14 days to treat non-albicans yeast infections.

  • A yeast infection will often go away with therapy in one to seven days. The course of therapy will vary depending on the product you choose.

  • If a week is too much for you, you can try a single dose of fluconazole, a potent oral azole medicine, if necessary.

  • For the treatment of non-albicans yeast infections, additional antifungals are also available, including amphotericin B (Fungizone) and flucytosine (Ancobon).

Frequently Used Home Treatments for Vaginal Yeast Infections

Despite the efficacy of over-the-counter and prescription medications, some people may decide to try home therapies for yeast infections, such as −

Yogurt and vitamins with probiotics

Suspension of boric acid

Oil of tea tree

Douching with garlic (especially with vinegar)

However, not all home treatments have been scientifically confirmed to be effective against yeast infections.

At the very least, boronic acid suppositories might be beneficial in treating yeast infections, especially those brought on by nonalbicans Candida species.

It is believed that yogurt and dietary supplements with Lactobacillus, a "good" bacteria found in the vagina and other places, can help treat and prevent yeast infections. But there is conflicting support for the bacteria's beneficial effects.

The same is valid for garlic pills, a natural fungicide.

Recurrent or chronic yeast infections, which affect 5 to 8% of women, are defined as four or more yeast infections in a calendar year.

Although the cause of chronic or recurrent yeast infections in some women is unknown, there are many risk factors that can increase your likelihood of developing them, including pregnancy, use of birth control pills, estrogen therapy, frequent use of antibiotics, diabetes, and illnesses that compromise your immune system, particularly HIV.

If C. Albicans is the source of your recurrent yeast infections, standard treatments are beneficial.

However, other Candida species, such as C. glabrata, can also cause infections, and they may need to be treated with nystatin vaginal cream or tablets, a vaginal gel containing the antifungals amphotericin B and flucytosine, or even surgical removal.

Updated on: 18-Jan-2023


Kickstart Your Career

Get certified by completing the course

Get Started