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Content: Diagnosis and treatment
Yeast infections can be clinically diagnosed on the basis of cottage cheese-like clumpy discharge, external dysuria (burning sensation while urinating), and vulvar itching, pain, swelling, and redness. Saline microscopy, fungal culture, and DNA tests can also be helpful in the diagnosis. For mild to moderate symptoms and infrequent episodes, your doctor might recommend: Short-course vaginal therapy for 3-7 days. Antifungal medications available as creams, ointments, tablets, and suppositories include miconazole (Monistat 3) and terconazole. One-time, single oral dose of fluconazole (Diflucan). To manage more severe symptoms, you might take 2 single doses 3 days apart. Yeast infections that won’t fully go away
Recurrent candidiasis is defined as 3 or more yeast infections in 12 months. In cases caused by Candida albicans, patients should follow their initial treatment with maintenance therapy (since resistance to antifungal therapy is rare). This is usually done with fluconazole (Diflucan) 150 mg orally for 6 months.