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Persistent yeast infections are a problem for women and their doctors

By jeremyc | December 15, 2009

Dear Dr. Donohue: I have had a vaginal yeast infection for three years. I was retested, and it is a yeast infection. I tried over-the-counter stuff, and my doctor prescribed one thing after another. I have type 2 diabetes, and I know it makes me prone to yeast infection, but this is ridiculous. What is the best possible cure? I take probiotics and eat yogurt daily. I need help.

- B.K.

A: The yeast most often responsible for vaginal infections is Candida. It is found in small numbers in many women’s vaginas. When something upsets the balance of the normal vaginal inhabitants, the yeast population soars, and troubles begin. Antibiotics given for some other reason often are the reason Candida grows out of hand.

Candida infection produces a discharge that is thick, white and curdlike, but it also can be scanty and thin. Swelling of adjacent skin occurs.

Itching is often present. Painful urination and painful intercourse can result.

Candida infections that persist or recur are called complicated infections. In such instances, a culture should be done to be sure of the true cause; you had that. Testing the yeast for its susceptibility to drugs is advisable, but often impossible. Many labs are not equipped to carry out such testing.

You say you have had the entire book when it comes to treatments, so I won’t mention them. However, for persistent or recurring infections, boric acid powder, 600 mg, in a gelatin capsule suitable for vaginal insertion, used daily for two weeks often can turn the corner for someone like you.

The capsules have to be compounded by a pharmacist.

If you can’t find one equipped to prepare them, then take another route. Creams or ointments of clotrimazole, terconazole or tioconazole applied daily for two weeks usually can end symptoms. This treatment is then followed by oral fluconazole, taken weekly for six months. This six-month regimen of weekly oral fluconazole should follow boric acid treatment also. I hope this works for you.

Topics: | Women's Health |

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