Candidiasis (yeast infection) - Gynecology

What is Candidiasis?

Candidiasis, commonly known as a yeast infection, is a fungal infection caused by the Candida species, primarily Candida albicans. This condition is prevalent in women and affects the vaginal area, though it can occur in other parts of the body as well.

What are the Symptoms?

Typical symptoms of vaginal candidiasis include:
Itching and irritation in the vaginal and vulvar area
A thick, white, odorless discharge that resembles cottage cheese
Redness and swelling of the vulva
Pain during intercourse
Burning sensation during urination

What Causes Candidiasis?

The primary cause of candidiasis is an overgrowth of Candida, which is normally present in small amounts in the vagina. Factors that can disrupt the normal vaginal flora and allow Candida to proliferate include:
Antibiotic use
Hormonal changes, such as those during pregnancy or from birth control pills
Uncontrolled diabetes
Weakened immune system
High estrogen levels
Wearing tight or non-breathable clothing

How is Candidiasis Diagnosed?

Diagnosis typically involves a pelvic examination and a sample of vaginal discharge. The sample is examined under a microscope or cultured to identify the presence of Candida. In recurrent cases, additional tests may be necessary to rule out underlying conditions.

How is Candidiasis Treated?

Treatment options include:
Antifungal medications: These can be administered as oral tablets, topical creams, or vaginal suppositories.
Over-the-counter treatments: Many antifungal creams and suppositories are available without a prescription.
Lifestyle modifications: Wearing loose, breathable clothing and maintaining good hygiene can help prevent recurrence.
Probiotics: Some studies suggest that probiotics may help restore the natural vaginal flora.

Can Candidiasis Recur?

Yes, candidiasis can recur, especially if the underlying causes are not addressed. Women who experience frequent infections may need a longer course of treatment or maintenance therapy. It's important to follow preventive measures such as avoiding unnecessary antibiotic use and maintaining optimal blood sugar levels.

Preventive Measures

To reduce the risk of developing candidiasis, consider the following preventive measures:
Maintain good vaginal hygiene.
Wear cotton underwear and avoid tight-fitting clothes.
Avoid douching, as it can disrupt the natural balance of bacteria and yeast in the vagina.
Control blood sugar levels if you have diabetes.
Limit the use of antibiotics to when they are absolutely necessary.

When to See a Doctor

If you experience recurrent yeast infections, severe symptoms, or symptoms that do not improve with over-the-counter treatments, it is important to consult a healthcare provider. They can provide a proper diagnosis and recommend a treatment plan tailored to your needs.



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