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Yeast Infection

 

 

Definition

     This is a vaginal infection caused most commonly by the fungal organism Candida albicans.

Cause

    

  • May be unknown

  • Antibiotics

  • Diabetes

  • Pregnancy

  • Obesity

Symptoms

  • Cheesy white vaginal discharge

  • Vaginal itching

  • Redness outside vagina

Screening and Diagnostics

  • KOH (fungal) slide prep shows yeast

  • Fungal culture

Treatment

    

  • Diflucan -- one or two doses by mouth

  • Ketoconazole for 5 days (Diflucan has less side effects and is easier to take)

  • Monistat vaginal suppositories or similar products

  • Terconazole vaginal suppositories

Complications

     Chronic or recurrent infections may occur. This may be from inadequate treatment or self-reinfection.

     Secondary infection may occur. Intense or prolonged scratching may cause the skin of the vulva to become cracked and raw, making it more susceptible to infection.

Prevention

     Avoid persistent and excessive moisture in the genital area by wearing underwear or pantyhose with cotton crotches, and loose fitting slacks. Avoid wearing wet bathing suits or exercise clothing for long periods of time, and wash them after each use.

 

 
 

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