Vaginal Candidiasis: Symptoms, Treatment, and Safe Sex

Vulvovaginal candidiasis

Hello doctor, I have been suffering from a Candida albicans infection for a long time, lasting five months.
I have been using suppositories, taking medication, and applying ointments as prescribed by my doctor, but I still experience recurrent infections.
I previously had a vaginal ultrasound that showed no issues, and I use condoms when having intercourse with my boyfriend.
However, after a few days, I notice vaginal itching and very minimal discharge.
Could this be related to the condoms? Can I continue to have safe sexual intercourse during the treatment period? Recently, I have experienced some lower abdominal pain; could this be related to my pelvic area? Does my male partner need to see a doctor? He does not have any itching or redness, and the doctor did not mention any pelvic issues during the internal examination! How deep should I insert the suppository? Sometimes when I insert it, my finger touches a raised point (which feels like I need to urinate when pressed lightly); is that the G-spot inside the vagina? I am not very familiar with the internal structure of the vagina since I do not often perform digital penetration.

Tian Tian, 20~29 year old female. Ask Date: 2021/08/05

Dr. Wu Xianghui reply Obstetrics and Gynecology

"Vaginal infections" can cause abnormal discharge, perineal itching, odor, burning sensation during urination, frequent urination, and bleeding.
In more severe cases, it may lead to abdominal pain or fever.
"Treatment methods" vary depending on the symptoms, and proper health education is also necessary.
It is recommended to visit an outpatient clinic for examination and evaluation by a specialist in obstetrics and gynecology.

Reply Date: 2021/08/05

More Info

Vaginal candidiasis, commonly known as a yeast infection, is a prevalent condition that can cause discomfort and distress for many individuals. The symptoms typically include itching, irritation, and abnormal discharge, often described as thick and white, resembling cottage cheese. In your case, it seems that you have been experiencing recurrent infections despite treatment, which can be frustrating.

Understanding Recurrent Candidiasis
Recurrent vaginal candidiasis can be attributed to several factors. One common reason is the imbalance of the natural flora in the vagina, which can be influenced by antibiotics, hormonal changes, or even lifestyle factors such as stress and diet. It’s important to note that while condoms can help prevent sexually transmitted infections, they do not necessarily prevent yeast infections. In some cases, certain materials in condoms or lubricants can irritate the vaginal area, potentially exacerbating symptoms.

Treatment and Safe Sex
Regarding your treatment, it’s crucial to follow your healthcare provider's recommendations closely. If you are using antifungal medications such as suppositories, it’s essential to use them as directed. The number of doses and the duration of treatment can vary based on the severity of the infection. If you are experiencing discomfort while inserting the suppository, it may be due to inflammation or irritation in the vaginal area, but it is not indicative of the G-spot or any anatomical abnormality.

During treatment for a yeast infection, engaging in sexual activity can be a gray area. While using condoms can reduce the risk of transmitting infections, it is generally advisable to avoid sexual intercourse until the infection has fully resolved. This is to prevent further irritation and to allow the vaginal flora to restore its natural balance. If you choose to engage in sexual activity, ensure that both you and your partner are comfortable and that you are using protection.

Pelvic Pain and Partner Considerations
The lower abdominal pain you are experiencing could be related to pelvic issues, but it is essential to consult with your healthcare provider for a thorough evaluation. Conditions such as pelvic inflammatory disease (PID) or other gynecological issues can cause similar symptoms. If your partner is asymptomatic, it may not be necessary for him to seek treatment unless he develops symptoms or if your healthcare provider recommends it based on your recurrent infections.

Conclusion
In summary, recurrent vaginal candidiasis can be challenging, but with proper management and communication with your healthcare provider, you can find relief. It is essential to maintain open communication with your partner about your health and any concerns you may have. If your symptoms persist or worsen, consider revisiting your healthcare provider for further evaluation and potential adjustments to your treatment plan. Remember, your health and comfort are paramount, and seeking help is a proactive step towards better well-being.

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