Treatment Options for Yeast Infections

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Treatment Options for Yeast Infections

Question:

Is it necessary to treat a yeast infection both externally and internally or will internal treatment make the external symptoms go away?

Answer

Yeast infections caused by the fungus Candida albicans are common in women. Fortunately, they usually go away quickly when treated.

Yeast may be present in the vagina in small amounts without causing symptoms. If the yeast grows, moderate itching of the vagina and vulvar area is the most common symptom. Some women also have a thick, white vaginal discharge and a diffuse, red rash over the external skin.

Antifungal creams and suppositories are safe and available without a prescription. The medicine is placed in the vagina. It usually relieves internal and external symptoms in two to three days. If a woman has a prominent rash, antifungal cream can be applied directly to the external skin. However, if the skin is very red and inflamed, using these creams may cause irritation.

Vaginal and vulvar yeast infections also may be treated with an oral drug called fluconazole. A prescription from a health professional is necessary to obtain these pills.

Oral and vaginal treatments are nearly equally effective. They have different costs, convenience, side effects, and potential reactions. Consider these factors when choosing the best options for you.

Joan Bengtson, M.D., is assistant professor of obstetrics, gynecology and reproductive biology at Harvard Medical School and a member of the Department of Obstetrics, Gynecology & Reproduction at Brigham and Women's Hospital.

Last updated:	July 20, 2009