Symptoms of Yeast Infections
The main symptom of this type of inflammation is intense itching, burning and redness of the vaginal tissues.
Treatment of Yeast Infections
In general, local application of antifungal therapy is effective in treating yeast vaginitis. There does, however, seem to be two distinct types of patients with this condition. The most common type of patient has isolated, infrequent vaginal yeast infections that respond readily to topical therapy.
The other type of patient has frequently recurring infections that may become chronic and even intractable. Most providers of women’s health care are familiar with this condition of recurrent yeast vaginitis. A large number of antifungal agents are currently available for the treatment of vulvo-vaginal candidiasis.
There are two major classes of modern antifungal agents; the polyenes (nystatin, amphotericin) and the imidazole derivatives. The earlier imidazoles (miconazole and clotrimazole) and the newer imidazoles (butoconazole and ketoconazole) now provide the mainstay of antifungal therapy, although the polyenes may still be employed effectively.
For relief of simple yeast vaginitis, numerous agents in various doses have been successfully employed with success rates that vary from 70 to 95 percent. Nystatin vaginal suppositories can be inserted twice daily for 10 days or twice daily for seven days, followed by once daily for seven days. This has been a widely used regimen for years.
In some situations, a single oral dose of fluconazole (Diflucan) appears to be as effective as a seven-day course of daily topical treatment with clotrimazole for treating vaginal infections. Because this is a convenient and effective treatment, it is being used more frequently, however, it is usually more expensive than topical treatment.
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