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Vaginal Yeast Infection Treatment- Causes, Symptoms & Home Remedies

Alternative names :- Yeast infection - vagina; Vaginal candidiasis; Monilial vaginitis

Vaginal yeast infections are caused by a fungus called Candida albicans. Yeast are tiny organisms that normally live in small numbers on the skin & inside the vagina. The acidic environment of the vagina helps keep yeast from growing. If the vagina becomes less acidic, too many yeast can grow & cause a vaginal infection.

The acidic balance of the vagina can be changed by your period (menstruation), pregnancy, diabetes, some antibiotics, birth control pills & steroids. Moisture & irritation of the vagina also seem to encourage yeast to grow.

Vaginitis is the most common gynecologic problem seen in primary care & gynecology settings. A vaginal yeast infection, also called vulvovaginal candidiasis, is one of three types of vaginitis. The other types are bacterial vaginosis & trichomoniasis. Yeasts are always present in the vagina in small numbers; however, symptoms only appear when overgrowth occurs. As with the other forms of vaginitis. a yeast infection is triggered by changes in the vaginal ecosystem. It's estimated that 75% of all women will have a vaginal yeast infection at some point in their lives.

reason of Vaginal yeast infection

The most common cause (about 90%) of a vaginal yeast infection is a fungus called Candida albicans. Other fungi that may also be responsible include;

• C. glabrata
• C. parapsilosis
• C. tropicalis
• Saccharomyces cerevisiae.

It's unknown exactly why some women are more prone to yeast infections. Even so, some predisposing factors have been identified. including: .

• antibiotic use
• hormonal contraceptives (oral & topical)
• corticosteroid therapy
• douching
• human immunodeficiency virus infection or other immunosuppressed states
• hormones
• increased frequency of sexual intercourse
• multiple sex partners
• oral or anal sexual intercourse
• obesity
• pregnancy
• sexually transmitted diseases
• stress
• tissue abrasion that allows yeast to infiltrate the vaginal epithelium
• uncontrolled diabetes mellitus
• vaginal medications.

Signs & symptoms of Vaginal yeast infection

The most common complaint of women with yeast infections is vulval & vaginal itching. They may also experience irritation & inflammation.

Other symptoms may include:

• dyspareunia (painful intercourse)
• external dysuria as urine passes over the inflamed labia
• burning sensation during urination
• cottage cheese-like discharge.

Women may notice a worsening of symptoms during the week before the onset of menses. with relief during & after menses. due to the hormonal changes that occur during the menstrual cycle. On physical examination. the clinician may note vulvovaginal edema & erythema. A thick. white. usually nonmalodorous discharge may be present. White flecks may be noted adhering to the vaginal wall. Excoriations may be observed due to scratching or irritation. & the vagina may look & feel dry.

Diagnosis information of Vaginal yeast infection

To diagnose a yeast infection. the clinician must:

• assess the color & consistency of any discharge
• check the pH of vaginal fluid
• assess for the presence of amines by performing a whiff test
• prepare wet mount slides with saline & potassium hydroxide (KOH). Vaginal pH is normal (greater than 4.5) in clients with yeast infection. A whiff test is performed by mixing the vaginal discharge with one or two drops of 10% to 20% KOH & assessing for odor. An odor shouldn't be present in patients with yeast infection; this is called a negative whiff test. A positive whiff test is associated with bacterial vaginosis. Microscopic evaluation of the saline slide & KOH wet mounts usually reveal budding yeast cells & pseudohyphae, although they aren't always seen.

Further testing with fungal cultures is indicated in patients with recurrent yeast infections or infections refractory to treatment.

Vaginal yeast infection treatment

Yeast infections can be treated topically or orally. Topical treatments are generally more effective & may be given as creams, suppositories, or a combination of both. Doses are given each night for 3 to 7 days, depending on the agent & concentration. Recurrent or refractory infections warrant longer therapy. Topical medications include:

• clotrimazole (Mycelex)
• miconazole (Monistat)
• butoconazole (Femstat)
• terconazole (Terazol).

Oral treatment is commonly preferred because it isn't as messy & patients are more likely to comply. However, the adverse effect of hepatotoxicity must be kept in mind. One oral dose of fluconazole (Diflucan) can be given. For those with vulvar itching & burning, a topical anti fungal may be prescribed to relieve the discomfort when applied externally. Several over-the-counter treatments are available & can be recommended for clients with previously diagnosed yeast infections who have recurrence of the same symptoms.

Natural Home remedies to cure vaginal yeast infection

• Peel a fresh clove of garlic & make a little tampon by wrapping it in cheesecloth & tying with unwaxed dental floss. You may leave a bit of floss to pull it out afterward. Insert it in vagina & leave there for several hours, say overnight, & remove it in the morning. For severe infection , try this in the morning & during night both. Repeat this until one day after the symptoms disappear.
• Drink at least two glasses of buttermilk a-day, whether infected or not. In fact making curds a part of the daily diet in take reduces the probability of vaginal yeast infection.
• Regularly daubing apple cider vinegar in the areas prone to this infection . Your can add some garlic to stop the itchy feeling; & water to dilute the vinegar concentration
• Dissolve 1 Tb sp of potassium sorbate in 1 cup water. Insert a tampon into the vagina & pour this solution inside to be absorbed by the tampon. Keep it there overnight. Repeat this for several nights. Helps to cure vaginal yeast infection.
• Pour a few drops of Tea tree oil (available from natural health stores) on a lubricated tampon & insert into the vagina. Helps to prevent vaginal yeast infection.

Special considerations & Prevention

Care of the patient with a yeast infection includes teaching about treatment & prevention. Self-diagnosis, treatment, & prohibition must also be addressed.

• For the patient who is self-treating, if symptoms persist or if they recur within 2 months, medical care should besought.
• Intercourse should be avoided until treatment is complete.
• Partner treatment isn't necessary unless symptoms appear, then topical treatment can be given.
• Patients who are pregnant should be treated for 7 days with a topical medication.
• Avoid brewer's yeast or foods rich in yeast .

Patients should be taught about vaginal hygiene, including the following:

• Avoid tight-fitting clothes.
• Wear cotton underwear.
• Dry the vaginal area well after bathing.
• Wipe from front to back after using the toilet.
• Change out of wet swimsuits or damp clothes promptly.
• Avoid deodorant sanitary pads, tampons, & toilet paper.
• Discourage douching or using feminine hygiene sprays.
• Decrease intake of sugar & yeast-containing foods & beverages.

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