Management of Vaginitis

The CDC10 advises treatment of symptomatic pregnant women with a single 2-g oral dose of metronidazole but does not recommend treatment of asymptomatic pregnant women. However, many women may prefer the simplicity of a single 150-mg oral dose of fluconazole (Diflucan). This might be because only one course of metronidazole was given in the present study instead of two [22]. Can I treat BV with over-the-counter yeast infection medications? Side effects from antibiotics cause nearly 1 in 5 trips to the emergency department. So treating them with antibiotics can do more harm than good. With so many of us coming down with colds right now, odds are good that you'll be taking cold medicine soon too (or meds that treat related conditions, such as the flu, strep throat, or a sinus infection).

Treatment of DIV can be with clindamycin ointment or steroid ointment in the vagina, but needs a doctor’s prescription. Developed in cooperation with the American Academy of Dermatology. To ease itching and swelling, ask your doctor about other treatments, such as creams and ointments that contain medicine. But in most cases, there is something you can do. Yeast infection (candidiasis, monilia), don't use powders like talcum or cornstarch, which can get into a baby's lungs if inhaled. In some patients, fluconazole may cause gastrointestinal upset, headache, dizziness, and rash, although these side effects typically are mild. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

But when it does not go away even with treatment, bacterial vaginosis is frustrating and troublesome. This article looks at how taking antibiotics can lead to yeast infections. Overall there were no clinically or statistically significant differences in serious morbidity therapeutic cure, withdrawals, treatment failure, incidence of pelvic inflammatory disease, vaginosis, fungal infections, incidence of other infections that were reported (Urinary tract infection), additional treatment required for bacterial vaginosis, total adverse events, and withdrawals due to adverse events for Clindesse versus Cleocin. Female partners may need treatment, however. During ovulation, the body can produce a thicker, white, stretchy discharge. If this effect persists or worsens, tell your doctor or pharmacist promptly.

If you have strep throat, a sinus infection, or another bacterial infection, your doctor might prescribe antibiotics to cure it. Treat yeast infections: is it ever ok to treat a yeast infection on your own? Vaginal yeast infections, or candidiasis, are fungal infections of the vagina. Do not use anti-diarrhea medicine unless your doctor tells you to. If you buy something through a link on this page, we may earn a small commission. (3), compared with women not using hormonal contraceptives. Increased glycogen production (a form of sugar) by the cells lining the vagina during the second half of your menstrual cycle (luteal phase).

This means that your bacterial infection might become resistant to the drug and much more difficult to cure.

What Is Clindamycin (Cleocin)?

Gyne-Lotrimin: A physician may observe these signs during a physical examination and may confirm the diagnosis by doing tests of vaginal fluid. Do not give your medicine to anyone else, even if they have the same condition as you.

Bacterial vaginosis infection disrupts the vaginal ecosystem.

Topic Overview

Also, with infections, self-diagnosis is never a good idea. Genitourinary infections and sexually transmitted diseases. However, one meta-analysis25 showed no increased risk of birth defect in infants exposed to metronidazole in utero. Two studies reported higher cure rate (69 and 91 %) at 12-months in women treated with antibiotic and adjuvant lactobacilli but only women using natural method of contraception were included suggesting that they were probably engaged in a more stable relationship and less prone to change of partners and relapses [21, 42]. Vaginal candidiasis, caused by Candida fungus, is the second most common type of vaginal infection in the United States, after bacterial infections. Antimicrobials, which include the 5-nitroimidazoles (metronidazole, tinidazole, secnidazole), and the lincosamide clindamycin, inhibit anaerobes that support Gardnerella vaginalis but do not affect lactobacilli, and thus reduce the risk of relapse. Once diagnosis is confirmed the mainstay of treatment is antibiotic therapy. Do not clean or reuse a disposable applicator.


Pregnant and have symptoms. Unfortunately, they can also destroy your body’s so-called “good” bacteria in the process. The manufacturer's leaflet will give you more information about the medicine and a full list of the side-effects which you may experience from taking it. This form doesn't respond to the "usual" treatment of yeast vaginitis. Some people are more prone to yeast infections than others. She explains that a type of bacteria called Lactobacillus keeps the vagina slightly acidic, which keeps the yeast at bay. Vaginal yeast infections (thrush): what helps?, on the basis of clinical presentation, microbiology, host factors, and response to therapy, VVC can be classified as either uncomplicated or complicated (Box 3). Oral medicines Oral treatment can cause: Topical clindamycin may rarely cause colitis, a potentially life-threatening infection of the colon.

Read more about yeast infections and vaginitis here. Although uncommon, mild stomach upset may occur. Got a yeast infection? try these easy home remedies, you may need a longer course of treatment if your vaginal thrush is difficult to treat or keeps coming back. Heat and dampness can destroy some medicines.

“Vaginal discharge can be normal or abnormal,” says Ob/Gyn Oluwatosin Goje, MD. Sex with a new partner causes utis and yeast infections—help! Several alternative regimens for trichomoniasis have been shown to be efficacious. Check with your doctor as soon as possible if any of the following side effects occur:


Sometimes the use of this medicine allows fungi/yeast to grow and the above symptoms to occur. If this medicine does get into your eyes, rinse them immediately with large amounts of cool tap water. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. That’s according to the Centers for Disease Control and Prevention. On top of that, if you put conditioner and soap.

Alternatively, the patient can be offered the options of treatment or confirmatory culture followed by treatment if the culture is positive. Oral thrush: causes, symptoms, and treatments, thrush is caused when the naturally occurring fungi in the body get out of balance, which is why the very old, very young, and people with weak immune systems are at higher risk. If you are not sure whether you should start taking this medicine, talk to your doctor. The following represents MIC susceptibility data for a few medically significant pathogens. Key search words included bacterial vaginosis, clindamycin, Clindesse, metronidazole. You should also alert your doctor before taking the drug if you are breastfeeding or plan to breastfeed. Clindesse is a semi-solid white cream containing 2% clindamycin phosphate, which is a water-soluble ester of the semi-synthetic antibiotic produced by a 7 (S)-chloro-substitution of the 7(R)-hydroxyl group of the parent antibiotic, lincomycea. If you're on a twice-daily treatment, try to apply it as close to 12 hours apart as you can. At higher concentrations, it may be bactericidal.

It might also be because a higher proportion of women harbored other lactobacilli at the time of inclusion in trial II (44 %) than in trial I (0 %) and those women were colonised less efficiently by the EcoVag® Lactobacillus strains. 18–20 A Cochrane review21 concluded that no evidence supports screening all pregnant women for bacterial vaginosis. It is most commonly used for skin infections, said Dr. If such a test were available for home screening, it would help them to appropriately use yeast medication. If you notice any other effects, check with your healthcare professional. Caution should be exercised in basing treatment decisions on a patient’s self-diagnosis of yeast infection. While eating yogurt can help to replenish good bacteria, applying it near your vagina may also offer a little help.

Before Using

Additional research is needed to fully explore these relationships. However, BV frequently recurs and can be chronic in some women. Some doctors recommend that all pregnant women avoid vaginal treatment.

10,38 Consequently, patients with vaginal trichomoniasis should be offered HIV and other STD screening.

Thrush and Other Yeast Infections in Children

If you’re super prone to yeast infections, talk to your doctor about taking an oral probiotic and using an anti-yeast medication (like Monistat) while you're on antibiotics, suggests Dr. 7,28 TREATMENT All standard treatment regimens for uncomplicated vulvovaginal candidiasis are equally efficacious, resulting in a clinical cure rate of approximately 80 percent7 (Table 3). Kombucha: uses, side effects, interactions, dosage, and warning, most people I’ve worked with find their Candida symptoms and issues greatly decrease or even disappear once they remove Kombucha from the equation. Thanks for visiting!

Research has not indicated that a single 150-mg dose of fluconazole can cause this effect, but taking it for longer periods or at a higher dosage carries this risk. Why does my yeast infection keep coming back? Regardless, you should tell your doctor if you are pregnant or plan to become pregnant before taking this medication. Candidiasis, lavender oil also inhibits the growth of candida and is effective at preventing the spread of the infection. When people take baths, they normally do so to clean their bodies as well as soak, she said. 31 It is important to remember that fluconazole is a pregnancy class C agent. The discharge and odor are most notable after sex, or you might notice them before and after your period, Dr. Most male partners of women with yeast infection do not experience any symptoms of the infection.

What To Think About

Common choices include Flagyl (chemical name: )So, before I explain what yeast does (other than help dough rise) and how a diagnosis of abnormal vaginal yeast infection is made, I want to say a few words about bacterial causes of vaginal pain and discharge. A UTI is the overgrowth of bacteria in the bladder. Vaginal creams and suppositories for treatment of "yeast" (Candida) infections do not treat BV. Monistat-1 vaginal ovule: People who take clindamycin for long periods of time are at increased risk of developing C. This slightly acidic environment keeps the yeast growing in the vagina under control. And she says that if Diflucan doesn’t work, another solution could be to use an over-the-counter antifungal cream, such as Monistat.

Research Questions

The message is that not all antibiotics are associated with yeast vaginitis; it’s certain classes of antibiotics that carry the highest risk," said senior investigator Sharon L. "(5, positive whiff test, clue cells in a wet-mount preparation). Keep all of your doctor's appointments so that your progress can be checked.

Bacterial Vaginosis

Unpleasant metallic taste in the mouth (common with metronidazole or tinidazole). It also has anti-inflammatory effects, so it makes pimples less red and swollen. BV reflects a change in the vaginal ecosystem. A small amount of Candida fungus is usually present in the vagina, and beneficial bacteria help keep this fungus in check. Side effects are also listed in the information that comes with your medicine. For more information, see Treatments for Vaginal Dryness and Irritation.

But if your doctor does recommend taking them, make sure to finish the entire course. 1 Although vaginitis can have a variety of causes (Table 1), it most often is associated with infection or atrophic changes. Many people using this medication do not have serious side effects. Toxoplasmosis, an infection caused by the parasite Toxoplasma gondii, is sometimes treated by clindamycin if the patient cannot take sulfadizine or other sulfa medications. Clindamycin is an antibiotic that fights bacteria. 44 The decision to treat trichomoniasis during pregnancy is further complicated by the fact that physicians are reluctant to use metronidazole in pregnant women. Bacterial vaginosis (BV) is the most common of three vaginal infections that fall under the category known as vaginitis.

Questions to Ask Review the following Questions to Ask about bacterial vaginosis (BV) so you're prepared to discuss this important health issue with your health care professional. That being said, Meera Garcia, MD, assistant professor of obstetrics and gynecology at Columbia University Irving Medical Center, told POPSUGAR that though the antibiotics with a "wider spectrum of kill" will usually have increased potential for causing yeast buildup, it all depends on the interaction between the antibiotics and the person. If the infections keep recurring, though, you and your doctor need to look for an underlying cause. You might be instructed to take one pill on the first day and another pill every seven days until you finish the antibiotics.

A Word From Verywell

Why is it important to determine what type of vaginitis I have? This condition may occur during treatment or weeks to months after treatment has stopped. These causes may include allergic and irritative factors or other STDs. Clindamycin is available as a generic drug, for both systemic (oral and intravenous) and topical use. Painful urination and/or intercourse are common. You may get new pimples during the first few weeks of treatment, so don't let that discourage you. Wash your hands with soap and water before and after applying this medicine. Cervical inflammation from these products often is associated with abnormal vaginal discharge, but can be distinguished from true vaginal infections by appropriate diagnostic tests.