Yeast Infections and Birth Control: What You Need to Know

Candidiasis/Fungal issues/Fungal vaginitis/Contraceptive pill issues

Hello, doctor.
My menstrual period was from September 25 to September 29.
On September 26, I visited a gynecologist due to itching at the vaginal opening.
The doctor prescribed oral medication and three days' worth of suppositories (to be used every two days), diagnosing me with vaginitis and candidiasis.
I took the oral medication from September 25 to September 28, used the suppository for the first time on September 29, and the second time on October 1.
On October 2, I had sexual intercourse with my boyfriend and discovered that the condom had broken.
I took the emergency contraceptive pill "Plan B." I used the suppository for the third time on October 3, and from October 3 to October 6, the itching sensation decreased, and I applied an ointment.
On the evening of October 6, while showering, I noticed white curd-like discharge, and later I observed that the curd-like discharge had gray and brown colors.
I would like to ask the doctor if this is a sign of bleeding as a side effect of taking the emergency contraceptive pill, causing the curd-like discharge to appear brown? I have finished all the prescribed medications and suppositories, but there is still curd-like discharge in the vagina.
Should I continue to see a doctor, or can I just buy suppositories and apply the ointment myself? Thank you, doctor.

Xiao Ni Luo, 20~29 year old female. Ask Date: 2021/10/06

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 require proper health education.
It is recommended to visit an outpatient clinic for examination and evaluation by a specialist in obstetrics and gynecology.

Reply Date: 2021/10/06

More Info

When it comes to yeast infections, particularly in the context of recent sexual activity and the use of emergency contraception, there are several important factors to consider.
Firstly, yeast infections, often caused by the fungus Candida, can lead to symptoms such as itching, irritation, and the characteristic "cottage cheese" discharge. The treatment you received, which included oral medication and vaginal suppositories, is typically effective for clearing up such infections. However, it is not uncommon for symptoms to persist or for new symptoms to arise, especially after sexual activity or hormonal changes.

In your case, the appearance of gray or brown discharge after using emergency contraception (Plan B) could be attributed to several factors. Emergency contraceptive pills can cause hormonal fluctuations that may lead to changes in your menstrual cycle, including spotting or irregular bleeding. This is a common side effect and does not necessarily indicate a new infection. However, the presence of "cottage cheese" discharge suggests that the yeast infection may not have been fully resolved.

Given that you have completed your prescribed treatment and are still experiencing symptoms, it is advisable to follow up with your healthcare provider. Self-treating with over-the-counter antifungal medications may not be the best course of action without professional guidance, especially since you are experiencing changes in discharge color and consistency. Your healthcare provider can perform an examination to determine whether the infection persists or if there is another underlying issue that needs to be addressed.

Additionally, it is important to consider the impact of sexual activity on your condition. If your partner has not been treated for a yeast infection, they could potentially reinfect you. Open communication with your partner about symptoms and treatment is essential.

In summary, while hormonal changes from emergency contraception can lead to irregular bleeding and discharge, the persistence of "cottage cheese" discharge indicates that a follow-up with your healthcare provider is warranted. They can provide a thorough evaluation and recommend the appropriate next steps to ensure your health and comfort. Always prioritize professional medical advice over self-treatment, especially when it comes to persistent or concerning symptoms.

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