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From HEALTH TOPICS on the UHS Web site
Yeast Infections

microscope. If you have recurring infections, some of the discharge may be cultured to see if yeast or another type of Candida albicans, and other forms of yeast, grow in the vagina, rectum, and mouth. In a healthy vagina, the presence of some yeast may not be a problem. When a woman's system is out of TREATMENT
balance, yeast-like organisms can grow profusely and cause a Once a yeast infection is confirmed, you will be prescribed an thick, white discharge. A yeast infection is not necessarily an an antifungal pill such as Diflucan, or an over-the-counter sexually transmitted infection (STI); however, treating a cream or suppository such as GyneLotrimin or Monistat. These woman and her sexual partner may help prevent recurrent yeast medications vary from a single-dose treatment to a weeklong PREVALENCE
If you think you have a yeast infection because of past Yeast infections are the second most common type of vaginal experiences with yeast infections and there has been no change infection women experience (bacterial vaginosis is the most in your sexual history (no new partner, no unprotected genital common). Over 70% of women develop at least one yeast contact), you may want to try one of the over-the-counter yeast infection during their life and over 40% of women have had treatments first. If your symptoms do not go away, you should then see your medical provider for an exam. Recent studies found that many women misdiagnose their own yeast infections and use one of the over-the-counter treatments when no yeast Factors that may disturb the vagina's balance include: infection is present. Over time, a woman's body may become drug-resistant to yeast infection medication, with the real Hot weather or non-ventilating clothing, which increase moisture and warmth, fostering fungal growth Sexual partners who have no symptoms of a yeast infection Repeated intercourse over a short period of time usually do not need treatment. A partner (male or female) with symptoms should see a provider for evaluation and concurrent Suppressed immune system (including HIV) treatment. While the treatment is underway, a latex barrier High carbohydrate intake, especially refined sugars during sex may prevent passing the infection to a partner; however, if you are using yeast creams or suppositories, the Irritants such as soaps, powders, new detergents ingredients may damage the latex of condoms, diaphragms, and dental dams. Using a latex barrier is not recommended with SYMPTOMS
these treatments because the latex may break. To minimize the risk of passing the infection to a partner and to speed healing, it is generally recommended that you abstain from sexual activity Thick, white, possibly curd-like vaginal discharge until all of your symptoms have resolved. Redness, swelling, and/or cracking of the vulvar skin PREVENTION
If you go swimming, get out of your swimsuit as soon as Yeast infections can cause severe discomfort but rarely cause serious health problems. Left untreated, vaginal yeast infections Do not wear pads or panty-liners beyond the length of often clear up on their own, usually when menstruation begins. Recurring yeast infections may be difficult to prevent or cure. Do not use deodorant tampons and avoid feminine There are significant differences between occasional, easily deodorant sprays and douches. They irritate the vulva treatable yeast infections and recurring infections that seriously affect a woman's life. Women who have recurring yeast Wipe from front to back after urination and bowel infections should be tested for underlying causes. Men can contract a yeast infection if they have unprotected If you need to take antibiotics, ask for an anti-yeast sexual activity with a partner who has a yeast infection. If both prescription or buy over-the-counter creams or partners are not treated, they can keep re-infecting each other. suppositories. Antibiotics can also cause a yeast Male sexual partners can develop genital irritation and genital infection, since they kill or decrease normal flora. itching, especially if they are uncircumcised. Avoid tight-fitting clothing and wear cotton, rather than DIAGNOSIS
Yeast infections should be diagnosed and treated by a medical SCHEDULING AN APPOINTMENT
professional. There are over-the-counter medications available To schedule an appointment at UHS, call 275-2662. All visits for women who have had professional guidance about how to Your health care provider can determine if you have a yeast infection or a more serious infection or condition such as chlamydia or gonorrhea. To diagnose a yeast infection, your health care provider will perform a vaginal exam. Samples of vaginal discharge are obtained for examination under a University Health Service, University of Rochester – Call 275-2662 to schedule an appointment.

Source: http://as20.http.sasm3.net/uhs/healthtopics/womenshealth/files/YeastInfections.pdf

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Current resources for evidence-based practice, january/february 2009

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