Topic Overview

A
vaginal yeast infection is thought to be recurrent
when:

  • You have had four or more infections within 1 year.
  • The infections have caused symptoms.
  • The infections are not related to the use of antibiotics.

If you have a recurrent
vaginal yeast infection, your doctor may do a
culture to confirm that yeast is present. You may also
be tested for certain conditions that could be making you more vulnerable to
yeast overgrowth, such as diabetes.

The recommended first
treatment for these yeast infections includes vaginal medicines for
7 to 14 days or a single dose of oral fluconazole, with a second dose
repeated 3 days and a third dose 7 days later.footnote 1

This first treatment
is then followed by at least 6 months of maintenance therapy. This could be
oral or vaginal medicines.

Some women who are treated for recurrent yeast infections do
not see their symptoms improve. These women may have another condition
that is causing symptoms like those of a yeast infection. Further testing and
treatment may be needed.

Related Information

References

Citations

  1. Centers for Disease Control and Prevention (2015). Sexually transmitted diseases treatment guidelines, 2015. MMWR, 64(RR-03): 1-137. https://www.cdc.gov/std/tg2015. Accessed July 2, 2015. [Erratum in MMWR, 64(33): 924. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6433a9.htm?s_cid=mm6433a9_w. Accessed January 25, 2016.]

Credits

ByHealthwise Staff
Primary Medical Reviewer Kathleen Romito, MD – Family Medicine
Martin J. Gabica, MD – Family Medicine
Specialist Medical Reviewer Deborah A. Penava, BA, MD, FRCSC, MPH – Obstetrics and Gynecology

Current as ofOctober 6, 2017