Yeast Infection


Candida vaginitis


  • Many bacteria and fungi inhabit the vagina.  Under normal circumstances, there is a balance among them.  If the balance is disrupted, an overgrowth of one of the organisms may occur.  When the balance tips in favor of candida, a vaginal yeast infection may occur.  Antibiotics can kill off the good bacteria in the vagina and are a common cause of yeast infections.  Anything that stresses the immune system, such as diabetes, may also cause yeast infection.

  • Cheesy white vaginal discharge
  • Vaginal itching
  • Redness outside vagina (e.g., labia)

  • May be unknown
  • Antibiotics
  • Diabetes
  • Pregnancy
  • Obesity

  • KOH (fungal) slide prep shows yeast
  • Fungal culture

  • Diflucan -- one or two doses by mouth
  • Ketoconazole for 5 days (Diflucan has less side effects and is easier to take)
  • Monistat vaginal suppositories or similar products
  • Terconazole vaginal suppositories