What is a YEAST INFECTION?
- A vaginal yeast infection develops when an overgrowth of yeast organisms in the vagina occurs due to an imbalance among the normal vaginal microorganisms.

Causes and symptoms of a YEAST INFECTION
- Vaginal overgrowth  by one of the following organisms: Candida albicans (most common), Candida glabarata, and Candida tropicalis.
- Yeast infections are commonly associated with changes in vaginal pH, hormonal changes and the use of antibiotics and steroids.
- Yeast infections are also associated with pregnancy, diabetes, and diseases impairing immune function.
- Itching, redness and swelling in the vaginal area and painful urination and intercourse may be present.
- A thick, white, cottage cheese-like vaginal discharge may also be present.

A physician should be contacted if:
- the yeast infection has recurred within 2 months or if it is the first yeast infection. (A "first time" yeast infection should be diagnosed by a physician.)
- the woman is under 12 years old.
- the woman is pregnant or has a compromised immune system.
- the woman experiences pelvic or lower abdominal pain, fever or vaginal discharge with unusual odor.
- OTC antifungal creams fail to improve the yeast infection within 3 days or do not cure it within 7 days.
- any unusual discharge lasting more than two weeks.

Prevention and treatment of a YEAST INFECTION
- The vaginal area should be dried well after bathing or swimming and wet bathing suits and work-out clothing should be changed as soon as possible
- Cotton or cotton-lined underwear should be worn and tight-fitting pants and undergarments should be avoided (they increase body heat which may allow yeast to grow more easily in the vagina).
- Feminine sprays, talcs, or perfumes should be avoided in the vaginal area.
- Excessive cleaning of the vaginal area should be avoided. The vaginal area should be washed once a day with plain water or a mild, non-perfumed soap.
- Douching should be avoided unless instructed to by a health care professional.
- The vaginal and perianal areas should be wiped from front to back after urination, bowel movements and when washing.
- Eating a daily cup of live culture yogurt (especially when taking antibiotics) may help prevent a yeast infection.
- Sexual intercourse should be avoided for at least 7 days from the start of therapy.
- Vaginal creams and suppositories containing antifungal agents are available over-the-counter and by prescription. (Specific products may be recommended by a physician or pharmacist.)
- The oral anti-fungal tablets (one day treatment) are available by prescription only.

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This information is of a general nature and may not apply to your special circumstances. If you have specific questions, please contact your physician or an appropriate health care professional.  These monographs are counseling aids for healthcare professionals only and are not to be used as a reference to diagnose or treat medical conditions.          Copyright 2005 RXinsider LTD