Yeast Infections - Gynecology

What is a Yeast Infection?

A yeast infection, also known as vulvovaginal candidiasis, is a common fungal infection caused by an overgrowth of Candida species, predominantly Candida albicans. It affects the vaginal area and can lead to discomfort and other symptoms that need to be addressed.

What Causes Yeast Infections?

Yeast infections are primarily caused by an imbalance in the vaginal flora. The overgrowth of Candida can be triggered by several factors, including:
Antibiotic use, which can disrupt the natural balance of bacteria and yeast in the vagina.
Hormonal changes during pregnancy, menstruation, or due to oral contraceptives.
Diabetes, particularly if blood sugar levels are not well-controlled.
Weakened immune system due to conditions such as HIV/AIDS or certain medications.
High estrogen levels, which can be due to hormone replacement therapy.
Moist and warm environments that promote yeast growth, such as tight clothing or wet swimwear.

What are the Symptoms?

Common symptoms of a yeast infection include:
Itching and irritation in the vaginal area.
Redness and swelling of the vulva.
Thick, white, odorless vaginal discharge resembling cottage cheese.
Burning sensation, especially during urination or intercourse.
Pain and soreness in the vaginal region.

How is it Diagnosed?

Diagnosis typically involves a pelvic exam where the healthcare provider examines the vaginal area and collects a sample of vaginal discharge. This sample is then analyzed under a microscope or cultured to identify the presence of Candida.

How is it Treated?

Treatment options for yeast infections include:
Antifungal medications such as clotrimazole, miconazole, or fluconazole, which can be administered as creams, ointments, suppositories, or oral tablets.
Over-the-counter treatments are available, but a prescription may be necessary for recurrent or severe infections.
Maintaining good vaginal hygiene can help prevent recurrences.

Can Yeast Infections be Prevented?

Preventive measures include:
Wearing loose, breathable clothing and cotton underwear to reduce moisture.
Avoiding douching and scented feminine products that can disrupt the natural vaginal flora.
Practicing good hygiene by keeping the genital area clean and dry.
Managing underlying conditions such as diabetes to maintain overall health.
Limiting the use of unnecessary antibiotics.

When to See a Doctor?

It is important to consult a healthcare provider if:
This is your first yeast infection.
Symptoms are severe or do not improve with over-the-counter treatments.
Infections are recurrent, occurring four or more times in a year.
You are pregnant or have an underlying health condition, such as diabetes or a weakened immune system.

Conclusion

Yeast infections are a common yet manageable condition. Understanding the causes, symptoms, and treatment options can help in effectively dealing with them. Preventive measures play a crucial role in reducing the incidence of yeast infections, and timely medical intervention can ensure optimal reproductive health.

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