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    Recurrent Vaginal Yeast Infections

    Recurrent Vaginal Yeast Infections

    Topic Overview

    A vaginal yeast infection is thought to be recurrent when you have had four or more symptomatic infections, unrelated to antibiotic use, within 1 year.

    If you have a recurrent vaginal yeast infection, your doctor may do a culture to confirm that yeast is present. You may also be tested for certain conditions that could be making you more vulnerable to yeast overgrowth, such as diabetes.

    The recommended initial treatment for recurrent vaginal yeast infections includes vaginal medicines for 7 to 14 days or a single dose of oral fluconazole, with a second dose repeated 3 days and a third dose 7 days later. 1

    Initial treatment is then followed by at least 6 months of maintenance therapy, which could be oral or vaginal medicines.

    Some women who are treated for recurrent yeast infections do not see improvement in their symptoms. These women may have another condition that is causing symptoms similar to a yeast infection. Additional testing and treatment may be needed.

    References

    Citations

    1. Centers for Disease Control and Prevention (2010). Vulvovaginal candidiasis section of Sexually transmitted diseases treatment guidelines 2010. MMWR, 59(RR-12): 61-63. Also available online: http://www.cdc.gov/std/treatment/2010/default.htm.

    Credits

    By Healthwise Staff
    Kathleen Romito, MD - Family Medicine
    Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology
    Last Revised August 18, 2013

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