Recurrent Yeast Infections (Vaginitis)
Vaginitis develops when the vagina experiences inflammation, and most commonly results in a general sense of discomfort, embarrassing discharge, itching, and pain. Typically, it occurs when the normal bacterial presence within the vagina is altered, but an infection can also be the cause. Numerous vaginitis types exist, and each has a different treatment method. The most common include yeast infections, trichomoniasis, bacterial vaginosis, vaginal atrophy, and noninfectious vaginitis.
Vaginitis Causes
The causes of vaginitis will vary depending on the type that you have, and an explanation is discussed below.
Yeast Infections
Yeast infections occur when fungal organisms overgrow in the vaginal environment. The most common organism that causes these infections is C. albicans. This organism also causes other infections such as thrush, nail bed infections, and skin fold infections.
Bacterial Vaginosis
Bacterial vaginosis develops when vaginal organisms overgrow. In typical cases, the good bacteria located within the vagina outnumber the bad. However, if the anaerobic or bad bacteria grow too high in number, bacterial vaginosis can occur. Women who are not sexually active can develop this type of vaginosis, and it can be spread during sexual intercourse.
Trichomoniasis
This sexually transmitted infection is caused by the Trichomonas vaginalis parasite. The parasite spreads during intercourse with a person that already has the infection. It causes no symptoms in men.
Noninfectious Vaginitis
This type of vaginitis is caused by products that stimulate an allergic reaction or act as an irritant to vaginal tissue. Vaginal sprays, perfumed soaps, spermicidal agents, scented detergents, and douches can all be responsible.
Vaginitis Associated Conditions
Vaginitis and its symptoms may be the result of other underlying conditions or diseases. These include:
- Chlamydia
- Pregnancy
- Pelvic inflammatory disease
- Sexually transmitted diseases
It is important to talk to your doctor when symptoms arise to determine whether you are simply battling a vaginal infection or if your symptoms could be the result of a more serious condition or complication.
Symptoms of Vaginitis
Symptoms of vaginitis may include the following:
- Vaginal irritation or itching
- Change in amount, odor, or color of discharge
- Painful urination
- Pain during sexual intercourse
- Spotting or light vaginal bleeding
The appearance of the discharge you are experiencing can indicate what type of vaginitis you are dealing with. Examples can include the following:
Yeast Infections: The primary symptom is itching, but a thick, milky discharge that resembles cottage cheese in consistency may also be noticed.
Bacterial Vaginosis: Discharge may have the odor of fish and can be the most obvious after sex. A grayish-white color is also typical with this type.
Trichomoniasis: The discharge will look frothy and yellow-green in color.
If you begin to experience discomfort in your vaginal area, you should see your doctor. This is especially true if you have never had vaginitis in the past, or if you have previously had a vaginal infection and the new one seems different.
Vaginitis Risk Factors
Risk factors vary depending on the type of vaginitis you are experiencing. For example, factors that increase a woman’s risk of developing a yeast infection includes uncontrolled diabetes, changes in hormones, or the use of certain medications like steroids and antibiotics. Risk factors for bacterial vaginosis include the use of an IUD or women who have multiple sexual partners.
Vaginitis Diagnosis
The process of diagnosing vaginitis is straightforward. Your doctor will review your medical history and will specifically look for any prior vaginal infections. Testing will be done to check for any type of sexually transmitted infections and a pelvic exam may be ordered. Your physician will take a sample of any discharge that they find in order for it to be analyzed in a lab. The results will determine exactly what type of vaginitis is being experienced.
Steps to Preventing Yeast Infections
Preventing yeast infections can be easier than you think. Just follow a few simple steps, and you’ll be on your way to staying fresh and healthy!
- Wear underwear made with natural fabrics – Keep things breathable down there by choosing underwear made of natural fabrics like cotton. Synthetic materials can trap moisture, which yeast just loves.
- Practice good hygiene – Keep the area clean, but do not overdo it. Harsh soaps or douching can upset the balance of your natural flora.
- Keep the area dry – Be sure to change out of wet clothes, like gym gear or swimsuits, promptly to avoid creating a cozy environment for yeast growth.
- Watch your diet – Be mindful of your food intake and diet. Eating probiotic-rich foods like yogurt can help balance the good bacteria in your body.
- Avoiding scented tampons or pads – The chemicals and fragrances in these products can disrupt the natural balance of bacteria and pH levels in the vagina, leading to irritation and a higher risk of infection.
Treatment of Yeast Infections
How can yeast infections be treated?
Treating a yeast infection is simple and effective. Most of our patients use antifungal medications, which come in the form of creams, suppositories, or oral tablets. Over-the-counter options are widely available, but if you are not sure what is best, your doctor at Partners in Pelvic Health can recommend the right treatment. A proper diagnosis is key to addressing your condition in the best way possible.
Which treatment should I choose?
While most yeast infections can be treated using drugstore products, some may be recurring or difficult to address. This is when we advise our patients to call Dr. Sanjay Gandhi of Partners in Pelvic Health for an evaluation to get a proper diagnosis and find a treatment that is strong enough to tackle the most challenging of yeast infections.
Can I prevent yeast infections in the future?
Absolutely! Preventing yeast infections is all about balance and good habits. Wear breathable fabrics like cotton, avoid overly tight clothes, and change out of damp workout gear or swimsuits quickly. Keeping your immune system strong with a balanced diet and staying hydrated also helps. Skip the harsh soaps and douches, as your body has its own cleaning system, and it works pretty well on its own!
Diagnosis of Yeast Infections
How can I tell if I have a yeast infection?
The most common signs of a yeast infection include itching, redness, and unusual discharge. If you’re noticing a thick, white discharge (often compared to cottage cheese), it might be time to check in with your doctor at Partners in Pelvic Health. Keep in mind, though, that symptoms often vary, and other conditions can look similar, so a professional diagnosis is always your best bet!
Do I need to visit a doctor to confirm a yeast infection?
While over-the-counter treatments for yeast infections are widely available, it is still a good idea to visit your doctor, especially if this is your first time having symptoms. Dr. Sanjay Gandhi and his team at Partners in Pelvic Health can perform a quick and simple examination to confirm the diagnosis. Then you will have peace of mind knowing you are treating the right issue with the right treatment.
Can tests for yeast infections be done at home?
Yes, some at-home tests are available, but they typically assess vaginal pH levels rather than directly diagnosing a yeast infection. Elevated pH could indicate other issues, like bacterial vaginosis, not yeast. If unsure, our health professionals have the tools to give you a clear and accurate answer.
