Yeast infection, which is generally accompanied by extreme vulvar itching and burning, can be nasty. If these chronic yeast infection symptoms occur four or more times a year, it becomes recurrent vaginal yeast infection, a chronic case. So, it’s always better to get a correct diagnosis from a physician, who’ll confirm it by seeing yeast on a wet prep of the vagina or by growing Candida yeast species on culture. This’ll be performed for several recurrences in a row to rule out other kinds of vaginitis, which may not respond to yeast treatment.
Cause of Chronic Vaginal Yeast Infection
Creams, lubricants, spermicides, scented sanitary products, douches, soaps, bubble baths and condom lubricants containing chemicals like propylene glycol, methylparaben, butylated hydroxyanisol, cetyl alcohol, sodium lauryl sulfate and methyl benzethonium chloride are deemed as leading causes of recurrent yeast infection. They all can lead to vulvar and vaginal burning.
Risk factors of chronic yeast infection
You’re at risk for chronic yeast infection, if you’ve insulin resistance, abnormal glucose tolerance or diabetes. Even oral contraceptives or chronic antibiotic therapy can be a cause of recurrent yeast infection. And, if you’re HIV infected with CD4 count below 100, you’re again at risk.
Treatment for chronic yeast infection
Of course, mild products or natural cures may not work in the case of chronic yeast infection. Only powerful antifungal medication would do for chronic yeast infection cure. These are butoconazole, fluconazole and terconazole. Boric acid vaginal suppositories are also effective against Candida albicans . If you’re suffering from recurring vaginal yeast infection, you can prevent them by taking the weekly treatment of terconazole vaginal cream.
There are some preventive measures you can take to prevent the recurrence of this condition. Don’t wear pantyhose or tight pants, such as jeans, which traps moisture in the crotch area. Wear loose, cotton undergarments that absorb body moisture, instead. Also, avoid sweat producing activities and air dry yourself after bathing or swimming. Don’t shave the vulvar area, as pubic hairs prevent the chemicals from making contact with the skin.
However, some preventive measures thought to be effective have actually not been proved. Yogurt with Lactobacillus acidophillus cultures doesn’t seem to decrease the occurrence of yeast infection. Taking fluconazol orally every week also does nothing to alleviate this problem.
Chronic vaginal yeast infection management program
Once the cause of chronic yeast infection has been identified, you can begin the treatment program. For this, you must know the regularity with which the infections occur. Then, depending on it, start a prophylactic regimen of taking the drugs. In case infection seems to occur after menses, use yeast treatment just before or during the menses. If it occurs after heavy intake of carbohydrates, or after a course of antibiotics or steroids, then use yeast treatment at the end.
So, if you suspect recurrent vaginal yeast infections, keep a record of its occurrences. If it occurs more than three times within the year, then after third or fourth occurrence get your vaginal yeast culture microscopically examined. Only this will help your physician to diagnose the condition and suggest the correct line of treatment.