Candida Infections: Treatment, Partners, and Lifestyle Impact - Obstetrics and Gynecology

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Candidiasis infection


Hello Doctor, I experienced my first Candida infection in the middle of last month.
Around the fifth day of treatment, I stopped using the medication (I had one dose left) due to the onset of my menstrual period.
After my period ended, I did not notice any unusual symptoms, and I began to pay more attention to personal hygiene.
However, after having intercourse with my boyfriend one day this week, I started to experience some mild itching the following day.
I used the topical cream prescribed by my doctor for the Candida infection until last night when I noticed some watery discharge that was slightly yellowish.
I would like to know if continuing to apply the topical cream will help me recover.
Also, does my boyfriend need to undergo treatment as well? I have been taking birth control pills for almost a year, but I have only experienced these issues in the last two months.
The past two months have been stressful due to a job change and a new living environment, which has caused me to go to bed after 2 AM.
If I improve my sleep habits, will it help reduce the incidence of Candida infections? I do not plan to stop taking the birth control pills.
Thank you, Doctor.

lucy, 10~19 year old female. Ask Date: 2016/08/21

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Ms.
Lucy: It is best to use both vaginal suppositories and ointments simultaneously for better effectiveness and a greater chance of healing.
Male partners do not need to be treated for vaginal candidiasis.
Improving your sleep habits will greatly help in preventing the recurrence of candidiasis.

Reply Date: 2016/08/21

More Info


Candida infections, commonly referred to as yeast infections, are caused by an overgrowth of the Candida fungus, which is normally present in small amounts in the body. These infections can occur in various parts of the body, including the mouth, throat, and genital area. Understanding the treatment, the role of partners, and the impact of lifestyle choices is crucial for managing these infections effectively.

Treatment of Candida Infections:
In your case, it seems you have already started treatment with an antifungal medication, which is typically effective in resolving the infection. However, it is essential to complete the full course of treatment as prescribed by your healthcare provider, even if symptoms improve. Stopping treatment prematurely can lead to a recurrence of the infection. If you are experiencing new symptoms, such as a watery discharge with a yellow tint, it is advisable to consult your doctor. They may recommend a different treatment or further evaluation to rule out other potential infections, such as bacterial vaginosis or sexually transmitted infections.

Using topical antifungal creams can help alleviate symptoms, but they may not be sufficient if the infection is more severe or if there is a concurrent infection. Therefore, it is important to follow up with your healthcare provider for a proper assessment.

Partner Treatment:
Regarding your boyfriend, it is generally recommended that sexual partners be treated simultaneously for Candida infections, especially if one partner is experiencing symptoms. This is to prevent reinfection, as the fungus can be transmitted during sexual activity. Even if your boyfriend is asymptomatic, treating both partners can help ensure that the infection does not recur. It is best to discuss this with your healthcare provider, who can provide specific guidance based on your situation.

Lifestyle Impact:
Your lifestyle choices can significantly impact your susceptibility to Candida infections. Factors such as stress, lack of sleep, and changes in diet can affect your immune system and the balance of microorganisms in your body. You mentioned that you have been experiencing changes in your sleep schedule due to work and lifestyle changes. Improving your sleep hygiene—such as establishing a regular sleep schedule, reducing screen time before bed, and creating a restful environment—can help strengthen your immune system and reduce the likelihood of infections.

Additionally, maintaining good personal hygiene and being mindful of your diet can also play a role in preventing yeast infections. A diet high in sugar and refined carbohydrates can promote the growth of Candida, so focusing on a balanced diet rich in whole foods, vegetables, and probiotics may be beneficial.

In summary, to effectively manage your Candida infection, it is crucial to complete your treatment, consider partner treatment, and make lifestyle adjustments to support your overall health. If symptoms persist or worsen, do not hesitate to seek medical advice for further evaluation and treatment options. Remember, open communication with your healthcare provider is key to addressing any concerns you may have regarding your health and treatment.

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