Managing Chronic Yeast Infections: Probiotics and Treatment Options - Obstetrics and Gynecology

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Candidiasis infection


Hello, doctor.
I have been experiencing fungal infections for about 1-2 years.
Recently, I have been paying more attention to my diet and lifestyle, but there has been no improvement.
I almost get infected 1-2 times every month.
I read online that using probiotic suppositories can help with treatment and maintenance.
I have tried two bottles of LactoFit and many different oral probiotics, but none seem to be effective.
Unfortunately, the AdbiFem product recommended by many online users is not available in Taiwan.
Can I use LactoFit as a suppository directly? Or could you recommend a probiotic suppository that I can use?

Miss Yan, 20~29 year old female. Ask Date: 2020/04/07

Dr. Wu Xianghui reply Obstetrics and Gynecology


1.
Probiotics currently do not have any specific indications defined by the National Health Insurance Administration.
2.
For infection-related issues, please consult a specialist in obstetrics and gynecology at the outpatient clinic for evaluation.

Reply Date: 2020/04/07

More Info


Chronic yeast infections can be a frustrating and persistent issue for many individuals. The condition is often caused by an overgrowth of Candida, a type of yeast that normally resides in the body but can proliferate under certain conditions, leading to infections. Managing these infections effectively requires a multifaceted approach that includes lifestyle changes, dietary adjustments, and sometimes the use of probiotics and antifungal treatments.


Understanding Yeast Infections
Yeast infections typically manifest as itching, burning, and unusual discharge. They can be triggered by various factors, including hormonal changes, antibiotic use, a weakened immune system, and certain medical conditions like diabetes. The recurrence of these infections, as you have experienced, can be particularly challenging and may require a comprehensive treatment strategy.


Probiotics and Their Role
Probiotics are live microorganisms that can provide health benefits, particularly for gut health. They are thought to help restore the natural balance of bacteria and yeast in the body, which can be beneficial in preventing yeast infections. Some studies suggest that probiotics may help reduce the recurrence of yeast infections by promoting the growth of beneficial bacteria that inhibit the growth of Candida.

However, the effectiveness of probiotics can vary significantly from person to person. While some individuals may find relief from using probiotic supplements or vaginal probiotic suppositories, others may not experience the same benefits. It’s important to note that not all probiotics are created equal, and the strains used can influence their effectiveness against yeast infections.


Recommendations for Probiotic Use
1. Probiotic Supplements: While you mentioned using various probiotic supplements, it’s crucial to choose those that contain specific strains known to combat yeast infections, such as Lactobacillus rhamnosus and Lactobacillus reuteri. These strains have been shown in some studies to help restore the vaginal flora and may reduce the incidence of yeast infections.

2. Vaginal Probiotics: Some products are specifically designed for vaginal use, which may be more effective than oral probiotics for treating or preventing yeast infections. You should consult with your healthcare provider about the best options available in your area.

3. Dietary Changes: Alongside probiotics, consider dietary adjustments. Reducing sugar intake can be beneficial, as sugar can promote yeast growth. Incorporating more fermented foods, such as yogurt, kefir, sauerkraut, and kimchi, can also help introduce beneficial bacteria into your system.

4. Lifestyle Modifications: Maintaining good hygiene, wearing breathable cotton underwear, and avoiding irritants such as scented soaps and douches can help reduce the risk of infections. Additionally, managing stress and ensuring adequate sleep can support your immune system.


Addressing Your Specific Questions
Regarding your inquiry about using "樂伊妥" (likely referring to a specific probiotic brand) as a vaginal suppository, it’s essential to follow the manufacturer’s instructions. If the product is not specifically designed for vaginal use, it may not be advisable to use it in that manner. Always consult with your healthcare provider before making such changes to ensure safety and efficacy.

If you are looking for specific recommendations for probiotic suppositories, I would suggest discussing this with your healthcare provider, who can recommend products that are available in your area and are known to be effective for yeast infections.


Conclusion
Chronic yeast infections can be a complex issue requiring a tailored approach. While probiotics can play a role in managing these infections, they are often most effective when combined with other lifestyle and dietary changes. If you continue to experience recurrent infections despite these efforts, it may be beneficial to consult with a specialist, such as a gynecologist or an infectious disease expert, who can provide further evaluation and treatment options.

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