Massage these remedies into your vagina and surrounding tissues for one to seven days or insert the suppository form into your vagina, depending on the formulation and instructions. If increased irritation occurs to the area, discontinue the medication immediately. If you are pregnant, consult your doctor before using these treatments. If symptoms continue for more than one week, consult your doctor. You may have a severe yeast infection or other problems that mimic a yeast infection.
Home care techniques have been used for many years although scientific studies have not proven their effectiveness. While many women use douching to clean themselves after menstrual periods or sexual intercourse, doctors discourage such routine cleansing. The vagina is made to cleanse itself. Douching may disrupt the healthy bacteria lining the vagina. By attempting to treat an abnormal vaginal discharge with douching, you might actually worsen the condition. Do not douche without your health care provider's knowledge when you have an abnormal discharge, and do not douche for 24 hours prior to seeing the doctor.
Eating yogurt that contains live acidophilus cultures or eating acidophilus capsules: Yogurt acts as a medium for certain good bacteria to thrive.
Despite popular belief, studies about the benefits of eating yogurt with lactobacillus acidophilus cultures as a way to prevent yeast infection have yielded conflicting results. The scientific benefit of consuming yogurt cultures has not yet been proven. Other products available over the counter contain antihistamines or topical anesthetics numbing medications that only mask the symptoms and do not treat the underlying problem. What Antibiotics Treat Vaginal Infections?
Your healthcare professional may treat you with antibiotics such as metronidazole Flagyl or clindamycin Cleocin. Generally, male sex partners are not treated.
Many women with symptoms of bacterial vaginosis do not seek medical treatment, and many women without symptoms decline treatment. This condition may resolve spontaneously in up to one third of cases in non-pregnant patients and up to half in pregnant patients. If this is the first time you have had a yeast infection, a doctor should be consulted before trying any home remedies or over-the-counter products. Your doctor will usually recommend that you use vaginal creams and vaginal applications rather than oral medication.
Pregnant women usually will be treated longer than non-pregnant women and be closely monitored. Severe infections need antifungal medication, which is normally taken orally as a single dose. This could include fluconazole Diflucan and itraconazole Sporanox. These medications can also be given for three to five days with similar cure rates.
The medications might cause liver problems. Some of the symptoms of liver dysfunction include yellow skin, yellow eyes, and pale stools.
If you have any of these signs, contact your doctor right away. Your doctor will probably advise you to stop the medication immediately, perform blood tests, and monitor your liver functions. For less severe infections, medications can be used as a vaginal tablet or cream applicator.
In some cases, a single dose of medication has been shown to clear up yeast infections. In other cases, a longer period of medication three days or seven days might be prescribed. For recurrent infection more than four episodes per year , oral fluconazole and itraconazole or vaginal clotrimazole might be needed for six months. In pregnant women, a longer course of treatment is needed. It is very important to consult with your doctor before treatment. Trichomoniasis is treated with metronidazole.
It usually is given in a single dose. If you take this drug, do not drink alcohol because mixing the two substances occasionally can cause severe nausea and vomiting. Both sex partners are treated with the medicine even if they do not have signs of the disease. Can Douching Cure Vaginal Infections? Because the bacterial balance of the vagina is very sensitive, it is best to let the vagina clean itself.
The vagina takes care of cleaning itself naturally through secretions of mucus. Warm water and gentle, unscented soap during the bath or shower is the best way to clean the outside areas of the vagina. Products like feminine hygiene soaps, powders and sprays are not necessary, and they may be harmful. Douching refers to rinsing or cleaning out the vagina by squirting water or other solutions such as vinegar, baking soda, or douching solutions you can buy at drug and grocery stores into the vagina.
The water or solutions are held in a bottle and squirted into the vagina through tubing and a nozzle. Although douching is a common practice among women in the United States, health care providers do not recommend douching to clean the vagina.
Douching changes the delicate balance in the vagina, which can make you more likely to develop a vaginal infection. Research shows that women who douche regularly tend to have more vaginal infections than women who do not douche or who rarely douche. Douching is not a form of birth control , and douching after sex does not prevent pregnancy. How Do you Prevent Vaginal Infection? The best ways to prevent bacterial vaginosis are not known. However, enough is known to show that bacterial vaginosis is associated with having a new sex partner or having multiple sex partners.
It is seldom found in women who have never had intercourse. Basic prevention would include using condoms, limiting the number of sex partners, abstaining from douching, and using all the medicine prescribed for treatment of bacterial vaginosis, even if the symptoms go away.
In mose cases, vaginal yeast infections can be easily prevented. Keep your vaginal area dry, especially after a shower. Wipe from front to rear after using the toilet. Switch to looser-fitting cotton underwear. Change wet bathing suits after a swim. Avoid tight-fitting jeans or pantyhose. If pregnant, report the onset of new symptoms to a physician immediately. Avoid chemical irritants in deodorized tampons. Do not use douches or feminine hygiene products.
Regular bathing is usually adequate to cleanse the vagina. Trichomoniasis can be prevented. If you are diagnosed with a trichomonal infection, your sex partner should also be checked. He or she may have other sexually transmitted diseases and also may re-infect you if not treated. Safe sex with condoms and counseling about sexually transmitted diseases are in order. What Is the Prognosis for Vaginal Infection?
If diagnosed and treated correctly, all forms of vaginitis usually respond well to therapy. Your symptoms will clear up and go away. If your symptoms do not resolve or the symptoms return, you must be reevaluated by your healthcare professional. Bacterial vaginosis is associated with pelvic inflammatory disease PID , which can cause infertility and tubal ectopic pregnancy. Bacterial vaginosis also can cause problems with pregnancy such as premature delivery and low-birth-weight infants.
Your health care provider will be monitoring your condition closely if you are pregnant and have had a prior premature birth. Bacterial vaginosis may also put you at increased risk of gonorrhea and HIV infection. Trichomoniasis is associated with increased risk of transmission of HIV. Clinical management guidelines for obstetrician-gynecologists, Number 72, May