Yeast Vaginitis (cont.)

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What is the treatment for vaginal yeast infection and vulvitis?

Vaginal yeast infection and vulvitis may be treated with antifungal medications that are applied topically in and around the vagina or with antifungal medications taken by mouth. Sometimes, mixed infections with more than one microbe can require combinations of treatments.

Topically applied antifungal creams include:

  • butoconazole (Femstat 3),
  • clotrimazole (Lotrimin),
  • miconazole (Monistat), and
  • terconazole (Terazol 3).

The over-the-counter topical treatments are an option for some women when yeast is the cause of the infection. As previously mentioned, infection other than yeast can cause similar symptoms. These include bacterial vaginosis, Chlamydia, and gonorrhea. If symptoms are not eliminated by over-the-counter products, women should see their doctor for evaluation.

Antifungal medications that are also available as vaginal tablets include:

  • clotrimazole (Lotrimin, Mycelex),
  • miconazole (Monistat; Micatin),
  • terconazole (Terazol), and
  • nystatin (Mycostatin)

Oral medications for yeast vaginitis and vulvitis include fluconazole (Diflucan).

Most doctors prefer to treat vaginal yeast infections with vaginal tablets or suppositories rather than oral medications. Oral antifungal medication can cause side effects such as headache, nausea, and abdominal pain, while vaginal treatment is unlikely to cause these side effects.

How can a yeast infection be treated if I am pregnant?

Yeast infections are common during pregnancy. Pregnant women who develop signs of a yeast infection should see a health care professional. He or she can recommend medications and treatments that are safe during pregnancy. Oral antifungal medications are not recommended for use during some states of pregnancy.

Medically Reviewed by a Doctor on 7/22/2014

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