Persistent Yeast Infection

Vulvovaginal Candidalisis can sometimes become persistent for various reasons in women which could affect the quality of life of their life over time. Vulvovaginal yeast infection is considered as a recurrent infection if a woman has suffered for more than 4 times in a year or at least 3 times due to antibiotic therapy in a year. Although 50 percent of women develop Candida yeast infection by the age of 25, it still can be controlled by taking proper measures. Women suffering from persistent yeast infection often refer to their physician about vaginal discomfort and irritation. These symptoms may include: odorless whitish vaginal discharge, itchiness, dysuria etc.

Although Candida Albicans is the fungus detected in most patients, but some patients are also found to having Candida tropicalis and Candida glabrata as well. Persistent yeast infections occur due to the resistant developed by the fungus against antifungal agents.

The use of antifungal agents can sometimes fail or don’t seem to clear a yeast infection fully, but there are many other causes that may be the actual reason for a persistent yeast infection. Recurrent infections may occur due to non-compliance with the treatment regime. For example when a patient does not complete the course of medicines prescribed for the cure. The Candida yeast tends to develop a resistant against the antifungals and antibiotics. If a person suffers from the same symptoms within 3 months of treatment, she is likely suffering from a different Candida fungus, and may require a different antifungal medication.

 

Risk of developing Yeast Infection:

 
Persistent Yeast Infection Signs
 

During a recent study it was found that probiotics were a possible agent to prevent recurrence of Vulvovaginal Candida yeast infection. This study found that the development of Candida infection was associated with the low amount of lactobacilli in the vagina. However, many studies doesn’t support this statement and further studies have been carried out to find out the reason for persistent yeast infection. Vitro studies have shown that the lactobacilli bacteria can inhibit the growth of Candida in the vaginal epithelium. Some clinical trials were also made to prove the effectiveness of the lactobacillus by administering lactobacillus orally or intra-vaginally in colonizing the vagina and preventing the colonization of the Candida Albicans in the vaginal area. Thus the available evidence for the use of probiotics for controlling the recurrence of Candida yeast infection is limited. Although the use of probiotic has been found to control the recurrence to some extent for the women having adverse effect from contraindications for the use of antifungal agents. It has also been found that the adverse effect of probiotics is very rare. It can therefore be concluded that although there has been some promising results from different studies that have been carried out, there is still some further need for research on this matter to prove the effectiveness of probiotics in controlling the recurrence of vulvovaginal yeast infection.

Another study was conducted with 100 women with recurrent vaginal Candida infection. Each were given a dose of miconazole using two 100 mg vaginal pessaries a day for a week and then one pessaries twice a week for three months followed by one pessary a week for further three months. Fifty four women continued with the same dosage for a consistent six months, and it was found that Candida yeast infection did not occur in any of the patients who maintained the treatment regularly. Out of the 46 patients that discontinued the treatment, 22 suffered from persistent yeast infection. As a conclusion it was made certain that maintenance of prophylactic with miconazolepessaries was effective and acceptable method to control the recurrence of vaginal Candidosis. This study also goes to show the importance of finishing a course of antifungal medication fully, as this ensures that one has a better chance of clearing the yeast infection properly.

 

Treatment:

 

Although this infection can be difficult to treat, there are a few ways to keep the recurrence of vaginal Candidiasis in control:

  1. Prophylaxis is a recommended medicine that should be used for six months at a stretch

  2. Ketoconazole if administered orally everyday, which would reduce the chance of recurrence

Keeping a natural healthy diet is also very effective. Having curd daily may reduce the chance of Candida overgrowth. Keeping the vaginal area clean is the most effective way. All said and done, taking care of own self’s lifestyle is best way to keep away from persistent yeast infection.

 

The Best Yogurt for Yeast Infection:

 

If you find yourself suffering from an infestation of Candida, you may know that one thing you can do to help allay the Candida infection is to introduce probiotic bacteria to the site of the Candida infection. One bacteria that has been shown to help stop a yeast infection is Lactobacillus acidophilus, a lactic acid producing bacteria. To get Lactobacillus acidophilus introduced to the area where the Candida has invaded you can use a Lactobacillus acidophilus pill or you can make your own Yogurt that contains live cultures of Lactobacillus acidophilus.

Yogurt yeast infection cures are inexpensive, safe, and available to nearly everyone. Yogurt cures will not work with all kinds of yogurt, as a good yogurt treatment requires live bacteria to actually be effective. It is living bacteria that allow for live culture yogurts to fight off yeast infections. Without living bacteria, yogurt is nothing more than an amalgamation of fats, carbohydrates, and proteins. Yogurt that does not contain live bacteria that can survive the stomach’s acid, such as lactobacillus acidophilus, will not help in fighting a gastrointestinal yeast infection. If the bacteria cannot survive the stomach acid and thrive in the intestines, they cannot progress from the gut to the vagina to fight off vaginal yeast infections.

 

 

References:

Probiotics for recurrent vulvovaginal candidiasis – Journal of Antimicrobial Chemotherapy – 2006 – By Matthew E. Falagas, Gregoria I. Betsi and Stavros Athanasiou
jac.oxfordjournals.org/content/58/2/266.full

 

Recurrent vaginal candidosis – Genitourinary Medicine Journal – 1988 – By Balsdon MJ and Tobin JM
europepmc.org/abstract/MED/3384428

 

Treatment of Recurrent Candidiasis – American Family Physician Journal – 2000 – By ERIKA N. RINGDAHL, M.D
www.aafp.org/afp/2000/0601/p3306.html

 

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