Vaginal yeast infection and vulvitis respond well to treatment. The infection is cured in most women. Your doctor will examine you and recommend treatment.
These are meant to be applied topically in and around the vagina. The commonly used topical antifungal creams are:
Many over-the-counter topical treatments are also available for vaginal yeast infection. But if the symptoms do not improve or recur, consult your doctor as infections can also be caused by other factors that can cause similar symptoms.
Many antifungal medications are also available as vaginal suppositories or creams. These are meant to be inserted into the vagina. These vaginal suppositories or creams come with special applicators for proper administration. Some antifungal medications available as vaginal tablets are:
Topical antifungal creams or vaginal suppositories are preferred to oral medications. Oral medications can cause side effects such as headache, nausea, and abdominal pain. Also the use of oral antifungal medications is not recommended during pregnancy. The side effects of vaginally applied treatments include vaginal burning and itching, rarely contact dermatitis, irritation, inflammation.
The commonly prescribed oral agents include fluconazole, ketoconazole and itraconazole. There are various treatment regimens for vaginal yeast infection. If you have mild infections, only a single dose or daily doses for a short duration may be adequate. Antifungal drugs stop the multiplication of the fungus by inhibiting their ability to form new cell membranes. If you have an allergy to any ingredient in these products then do not take them. If you are pregnant, inform your doctor as oral antifungal medications should not be used during pregnancy.
Your doctor will recommend oral, topical or vaginal medication based on the severity of infection, whether infection is recurrent, and your personal history (such as diabetes or pregnancy). If required you will be prescribed combination treatment, that includes an oral agent followed by vaginal application (vaginal tablet, cream or suppository). Women with severe or recurrent infections may be given maintenance treatment. These medications are usually taken periodically (for example, once in a week).
Women with recurrent infections need treatment for longer duration. You may be given a topical (cream or suppository) medication along with oral treatment. To prevent further recurrence preventive therapy with fluconazole (150 mg orally once per week) or clotrimazole (500 mg vaginal suppositories administered once per week) may be started.
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