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vaginal yeast infection is thought to be recurrent
when you have had four or more symptomatic infections, unrelated to antibiotic
use, within 1 year.
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 initial
treatment for recurrent vaginal 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.1
is then followed by at least 6 months of maintenance therapy, which could be
oral or vaginal medicines.
Some women who are treated for recurrent yeast infections do
not see improvement in their symptoms. These women may have another condition
that is causing symptoms similar to a yeast infection. Additional testing and
treatment may be needed.
Centers for Disease Control and Prevention (2010).
Vulvovaginal candidiasis section of Sexually transmitted diseases treatment
guidelines 2010. MMWR, 59(RR-12):
61–63. Also available online: http://www.cdc.gov/std/treatment/2010/default.htm.
August 18, 2013
Kathleen Romito, MD - Family Medicine & Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology
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North Kansas City Hospital.