Vaginal candidiasis is an infection or inflammation of the vagina caused by yeast (fungus) called Candida albicans or Monilia. Candida is a normal microorganism that inhabits part of the vagina, rectum, and mouth (normal flora). Unfortunately, a disruption of the normal hormone and pH balance (level of acidity or alkalinity) in the vagina leads to overgrowth of the yeast. Yeast infections occur commonly just prior to monthly menstruation and usually resolve once the menstrual period begins. Additional contributing factors include a course of antibiotics; use of birth control pills; medical conditions such as pregnancy, poor health, weakened immune system or diabetes; and hot weather, wearing tight-fitting clothing or other conditions that increase genital moisture.
Symptoms may include:
A white, "cottage cheese-like" vaginal discharge
An unpleasant odor
Swollen, red, itchy area around the vagina (vaginal lips, or labia)
Burning with urination
What your doctor can do:
Diagnose the condition by asking about your symptoms and medical history, performing a physical exam, including a pelvic exam, and ordering further diagnostic tests such as laboratory studies of vaginal discharge, and pap smear to rule out other conditions.
Prescribe vaginal creams, vaginal suppositories, and in some cases an oral anti-fungals.
What you can do:
Take all medications as ordered. Keep vaginal suppositories and creams refrigerated.
Drink plenty of fluids, especially water.
Talk to your doctor about eating yogurt and taking an acidopholous supplement to help restore the normal flora in the vagina
Reduce the intake of alcoholic beverages and sweets.
Avoid sexual intercourse or use condoms until finished with the medication.
Avoid overexertion, heat and excessive sweating until condition is resolved.
Keep the genital area clean. Use plain, unscented soap.
Take showers rather than tub baths.
Wear cotton panties or pantyhose with a cotton crotch
Avoid sitting around in wet clothing or bathing suit.
Avoid using douches, vaginal deodorants and bubble baths that can cause irritation.
If you are diabetic, stick to your treatment program to keep your blood sugar under control.
If burning with urination, urinate through a tubular device (toilet-paper roll or plastic cup with end cut out) or pour warm water over genital area while you urinate.
What you can expect:
Most infections generally clear up with treatment within 2 weeks
Recurrence is common.
Contact your doctor if symptoms do not resolve with treatment; if you develop unusual vaginal bleeding, a green or gray discharge, or a fever; if the discharge begins to have a strong "fishy" odor, or if symptoms return after receiving treatment.
