Candida Infections and Sexual Activity: What You Need to Know - Obstetrics and Gynecology

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Candidiasis and Sexual Activity


I engaged in sexual intercourse during a Candida infection, but I removed all the discharge beforehand.
Afterward, the vaginal walls remained congested, and the moisture level was similar to during intercourse (this has persisted for two days).
However, there has been no appearance of Candida discharge.
During this period and prior, I have been taking related medications and using topical ointments.
I would like to ask the doctor what might be happening.

Xuan Xuan, 10~19 year old female. Ask Date: 2016/10/11

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Miss Hsuan-Hsuan: Your condition may be due to a Candida infection that has healed after medication treatment.
However, Candida infections can recur easily, so it's important to remain vigilant.

Reply Date: 2016/10/11

More Info


Candida infections, commonly known as yeast infections, are caused by an overgrowth of the fungus Candida, 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. When it comes to sexual activity and Candida infections, there are several important considerations to keep in mind.

Firstly, engaging in sexual activity while having a Candida infection can lead to discomfort and may exacerbate the symptoms. The vaginal walls may become inflamed and sensitive, leading to increased discomfort during intercourse. It is important to note that while Candida is not classified as a sexually transmitted infection (STI), sexual activity can sometimes contribute to the imbalance of normal flora in the vagina, potentially leading to an overgrowth of Candida.

In your case, you mentioned that you engaged in sexual activity after attempting to remove the discharge associated with the Candida infection. The fact that the vaginal walls remained engorged and moist for two days post-intercourse may indicate ongoing inflammation or irritation. This could be due to several factors:
1. Inflammation: The vaginal walls may still be inflamed from the infection, which can cause prolonged symptoms such as swelling and increased moisture.

2. Hormonal Changes: Sexual arousal can lead to increased blood flow to the vaginal area, causing temporary swelling and moisture. If the infection is present, this can be exacerbated.

3. Medication Effects: If you are using antifungal medications, they may take some time to fully alleviate the infection. Even after treatment, symptoms can persist for a short period.

4. Recurrent Infection: If you have a history of recurrent Candida infections, it is possible that the infection has not been fully resolved, leading to ongoing symptoms.

5. Other Conditions: It is also important to consider other potential causes of vaginal irritation or discharge, such as bacterial vaginosis or other infections, which may require different treatment.

Regarding your concern about the absence of Candida discharge, it is possible that the infection is still present but not producing noticeable symptoms. Some women may experience a Candida infection without the classic "cottage cheese" discharge.
Given your situation, it is advisable to:
- Consult a Healthcare Provider: If symptoms persist or worsen, it is important to seek medical advice. A healthcare provider can perform a thorough examination and may recommend further testing to rule out other infections or conditions.

- Avoid Sexual Activity: Until the infection is fully resolved, it may be wise to abstain from sexual activity to prevent further irritation and to allow your body to heal.

- Follow Treatment Protocols: Ensure that you are adhering to the prescribed treatment regimen for the Candida infection. This may include oral antifungal medications and topical treatments.

- Monitor Symptoms: Keep track of any changes in your symptoms, including the presence of discharge, itching, or discomfort, and report these to your healthcare provider.

In conclusion, while engaging in sexual activity during a Candida infection is not inherently dangerous, it can lead to discomfort and prolonged symptoms. It is essential to prioritize your health and seek medical advice if you have concerns about your symptoms or the effectiveness of your treatment.

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