Managing Vaginal Yeast Infections: Treatment and Menstrual Concerns

Fungal infection of the vagina (Vaginal candidiasis)

Hello Doctor, I recently experienced itching in the genital area, with discharge resembling cottage cheese and some vaginal bleeding.
After visiting a gynecologist, the doctor prescribed a suppository and a topical medication for the vulva.
After using the suppository once, the bleeding increased, which I believe is my period starting.
The doctor advised me to continue using the suppository until the bleeding is minimal.
Currently, the bleeding has decreased to a small amount, and I am continuing the medication.
However, my period started 3 to 4 days earlier than expected, on June 14th.
I would like to ask if I should continue using the suppository while there is still some bleeding, or wait until the bleeding has completely stopped before resuming treatment.
Additionally, since I had some spotting before my period, if I continue to bleed after my period ends, should I use the suppository for treatment? Thank you.

Dudu, 20~29 year old female. Ask Date: 2017/06/18

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Recently, I experienced itching in the genital area, with discharge resembling cottage cheese and some vaginal bleeding.
After visiting a gynecologist, the doctor prescribed a suppository and a topical medication for the vulva.
After using the suppository once, the bleeding increased, which I believe is my menstrual period.
The doctor advised me to continue using the suppository until the bleeding decreases significantly.
Currently, there is still a small amount of bleeding, and I have been continuing the medication.
However, my menstrual period started 3 to 4 days earlier than expected, on June 14th.
I would like to ask the doctor if I should continue using the suppository while there is still some bleeding, or should I wait until the bleeding completely stops? Additionally, since I had some spotting before my period, if the bleeding continues after my period, should I still use the suppository for treatment?
Answer: It is acceptable to continue using the suppository while there is still some bleeding.

Reply Date: 2017/06/18

More Info

Managing vaginal yeast infections can be a challenging experience, especially when menstrual concerns complicate the situation. Based on your description, it seems you are dealing with a yeast infection characterized by itching and discharge resembling cottage cheese, along with some vaginal bleeding. Here’s how to approach your treatment and manage your symptoms effectively.

First and foremost, it’s essential to understand that yeast infections are often caused by an overgrowth of Candida, a type of fungus that normally exists in small amounts in the body. Factors such as hormonal changes, antibiotic use, and a weakened immune system can contribute to this overgrowth, leading to the symptoms you are experiencing.

Regarding your current treatment, it’s important to follow your doctor’s instructions carefully. If your doctor has prescribed a vaginal suppository (often referred to as a "suppressant" or "insert"), it is generally recommended to continue using it even if you have light bleeding, as long as your doctor has not advised against it. However, if the bleeding is significant or if you experience increased discomfort, it may be wise to consult your healthcare provider for personalized advice.

In your case, since you mentioned that your menstrual cycle has started earlier than expected, it’s crucial to differentiate between menstrual bleeding and any potential complications from the yeast infection or treatment. If the bleeding is light and you feel comfortable, you can continue with the treatment. However, if the bleeding becomes heavier or if you notice any unusual symptoms (such as a foul odor, severe pain, or fever), you should reach out to your healthcare provider immediately.

After your menstrual period ends, if you still experience bleeding or any persistent symptoms of a yeast infection, it would be advisable to consult your doctor before continuing any treatment. They may want to reassess your condition to ensure that the bleeding is not related to another underlying issue, such as a different type of infection or a hormonal imbalance.

Additionally, it’s important to maintain good hygiene practices during this time. Wearing breathable cotton underwear, avoiding tight-fitting clothing, and keeping the genital area dry can help prevent further irritation and support the healing process. If you are using any topical treatments, ensure that they are applied gently and avoid any harsh soaps or douches that could disrupt the natural flora of the vagina.

In summary, continue with your prescribed treatment unless advised otherwise by your doctor. Monitor your symptoms closely, and do not hesitate to seek medical advice if you have concerns about your bleeding or if your symptoms worsen. Yeast infections can be effectively treated, and with the right approach, you can manage your symptoms and maintain your overall vaginal health. Always prioritize open communication with your healthcare provider to ensure the best possible outcomes for your health.

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