Candida Infections: Symptoms, Treatment, and Misconceptions

Candidiasis infection

Hello Doctor, last week I noticed some small swelling near the vaginal opening, and I was concerned it might be a genital wart infection, so I went to see a doctor.
The two doctors I consulted both indicated that it was likely a candidal or fungal infection, and that the slight swelling was due to inflammation, confirming it was definitely not a genital wart infection.
They prescribed me a suppository and an ointment.
I also underwent an HPV DNA test afterward, which came back normal.
However, after a week of treatment, the swelling has not subsided.
I would like to ask the doctor:
1.
How long does it typically take to treat a candidal infection? The doctors mentioned that my infection is somewhat severe.
2.
Is it normal to have slight swelling around the vagina and vaginal opening after a candidal infection? It appears to be skin-colored but is noticeably slightly swollen.
3.
I have seen many people share that candidal infection discharge is white and resembles cottage cheese, but I do not have this issue.
However, during the internal examination, the doctor used a cotton swab and showed me that the discharge was yellow.
Is it necessary for the discharge from a candidal infection to always look like cottage cheese?
Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2018/09/17

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Candidiasis or fungal infection can cause some swelling due to inflammation, and it is definitely not a case of genital warts.
I have been prescribed a suppository and ointment, and I also underwent an HPV DNA test, which returned normal results.
However, after a week of treatment, the swollen area has not diminished.
I would like to ask the doctor:
1.
How long does treatment for candidiasis typically take? The doctor mentioned that my infection is somewhat severe.
Answer: 7-14 days.

2.
Is it normal to have slight swelling around the vagina and vaginal opening after a candidiasis infection? It appears to be skin-colored but shows some swelling.
Answer: Inflammation can cause some swelling.
3.
I have seen many people share that the discharge from a candidiasis infection is white and resembles cottage cheese, but I do not have this issue.
However, during the doctor's examination, the discharge observed with a cotton swab was yellow.
Does the discharge from a candidiasis infection always look like cottage cheese? Answer: The typical discharge from a candidiasis infection resembles cottage cheese.

Reply Date: 2018/09/17

More Info

Understanding Candida infections, particularly vaginal candidiasis, is essential for both patients and healthcare providers. Your concerns regarding the symptoms, treatment duration, and misconceptions about the appearance of discharge are valid and common among individuals experiencing similar issues.

1. Treatment Duration for Candida Infections: The treatment duration for a Candida infection can vary based on the severity of the infection and the specific antifungal medication prescribed. Typically, mild to moderate cases may require treatment for about one to two weeks. However, if your healthcare provider has indicated that your infection is somewhat severe, it may take longer to resolve. In such cases, it is crucial to follow the prescribed treatment regimen diligently and attend follow-up appointments to monitor progress. If symptoms persist beyond the expected duration of treatment, further evaluation may be necessary to rule out other underlying conditions or complications.

2. Swelling and Inflammation: It is not uncommon for individuals with a Candida infection to experience some degree of swelling or inflammation in the vaginal area. This can manifest as localized edema, which may appear as slight swelling around the vaginal opening or surrounding tissues. The inflammation is typically a response to the infection and can cause discomfort. While some degree of swelling can be normal, it is essential to monitor the area for any changes. If the swelling does not improve with treatment or worsens, it is advisable to consult your healthcare provider for further assessment.

3. Discharge Characteristics: The classic description of Candida infection discharge is often referred to as "cottage cheese" or "tofu-like," which is typically thick, white, and clumpy. However, it is important to note that not all Candida infections present with this characteristic discharge. The appearance of vaginal discharge can vary significantly among individuals and even from one infection to another. Yellow discharge, as you described, can occur and may not necessarily indicate a different type of infection. The presence of yellow discharge could be due to several factors, including the body's inflammatory response to the infection or the presence of other microorganisms. Therefore, it is crucial to rely on your healthcare provider's assessment and the results of any tests conducted, such as the HPV DNA test you mentioned, which returned normal.

In summary, while Candida infections can present with a range of symptoms and discharge characteristics, it is essential to adhere to treatment and maintain open communication with your healthcare provider. If you have concerns about the effectiveness of your treatment or the persistence of symptoms, do not hesitate to seek further medical advice. Early intervention and appropriate management are key to resolving infections and preventing complications.

Similar Q&A

Understanding Candida Infections: Persistent Symptoms and Treatment Options

Hello Doctor: 1. My symptoms: (1) Since the end of June, I have experienced abnormal vaginal discharge, which was diagnosed as a Candida infection (during that time, I had chronic tonsillitis for about two months and was on antibiotics for a period). (2) After the doctor...

Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Miss Ali: 1. Vaginal candidiasis is a condition that is prone to recurrence and does not necessarily indicate that there is a problem in any specific area. 2. Vaginal suppositories are a form of localized treatment and generally have fewer side effects compared to oral medi...

Understanding Candida Infections: Duration and When to Seek Further Care

Long-term white, watery, thick discharge with an odor that does not cause itching has been diagnosed by a doctor as a Candida infection. You have been using Clotrimazole suppositories for two weeks, and while there was improvement, you recently experienced a sudden return of whit...

Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Candidiasis is closely related to individual immunity and lifestyle habits. It is recommended that you seek medical examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Understanding Candida Infections: Symptoms, Treatment, and Solutions

Hello, doctor! Recently, I suspected I had a Candida infection after having sexual intercourse with my wife. I visited a doctor who prescribed antibiotics for me. However, my condition has been fluctuating between better and worse. I often experience a burning sensation on the gl...

Dr. Xu Weikai reply Urology
Hello, I understand your concerns. 1. It is recommended that both partners undergo treatment simultaneously. 2. For glans care, please refer to the suggestions I previously provided online. If there is still no improvement, it may indicate a coexisting infection, and I recomme...

Understanding Candida Infections: Treatment Options and FAQs for Women

Hello doctor, I would like to ask about my situation. After my menstrual cycle this month, I developed an infection and went to see a doctor. The doctor diagnosed me with a Candida infection and administered an anti-inflammatory injection at the clinic. However, the doctor prescr...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the treatment for vaginal candidiasis primarily involves the use of suppositories and topical creams. For patients with drug resistance or recurrent infections, oral medications may also be used. The dosage for Diflucan is 150 mg taken as a single dose; however, it is impo...