Vaginal Yeast Infections: Treatment, Symptoms, and Concerns

Vulvovaginal candidiasis

Hello, doctor...
Last week, I was diagnosed with a fungal vaginal infection.
I have been using suppositories and ointment for almost a week now.
I would like to ask if the discharge from the suppository is supposed to be thick? It seems like there is some leftover medication inside.
The doctor mentioned that the suppository should be inserted as deeply as possible, but I have very little discharge and it's quite dry.
It hurts a bit every time I insert it, and I only manage to insert it to about one or two knuckles deep.
Is that okay? Additionally, can I engage in sexual intercourse during this time? My menstrual period is approaching; can I continue using the suppository or should I pause? I'm also worried if the infection could be due to sexual activity.
I'm quite anxious about this...

Lin, 10~19 year old female. Ask Date: 2004/09/30

Dr. Zhou Dali reply Obstetrics and Gynecology

1.
Please take medication as directed by your physician.

2.
Please refrain from sexual activity during the inflammation period.

3.
Please return for follow-up appointments as scheduled.

Reply Date: 2004/09/30

More Info

Vaginal yeast infections, commonly caused by an overgrowth of Candida species, are a prevalent issue among women. Symptoms typically include itching, burning, and a thick, white discharge resembling cottage cheese. Treatment often involves antifungal medications, which can be administered in various forms, including topical creams, oral medications, and vaginal suppositories.

From your description, it seems you are currently using a vaginal suppository and experiencing some discomfort. It's not uncommon for women to notice a thick or clumpy discharge after using these medications, as they are designed to dissolve and release the antifungal agent directly into the vaginal canal. If you are seeing remnants of the suppository, it could be due to the medication not fully dissolving or being expelled from the vagina. It's essential to follow your doctor's instructions regarding the depth of insertion; however, if you are experiencing pain, it may be worth discussing this with your healthcare provider. They can assess whether the pain is a normal side effect or if an alternative treatment might be more suitable for you.

Regarding sexual activity during treatment, it is generally advisable to avoid intercourse until the infection has cleared up. Engaging in sexual activity can exacerbate irritation and may also lead to the transmission of the infection to your partner. Additionally, if you are nearing your menstrual period, it is typically recommended to pause the use of vaginal medications during menstruation, as the flow can wash away the medication, reducing its effectiveness. Always consult your healthcare provider for personalized advice based on your specific situation.

It's also important to note that while yeast infections can be triggered by various factors, including antibiotics, hormonal changes, and diabetes, they are not classified as sexually transmitted infections (STIs). However, sexual activity can sometimes contribute to an imbalance in the vaginal flora, leading to an increased risk of developing a yeast infection.

If you are concerned about the possibility of having contracted a yeast infection through sexual contact, it is essential to communicate openly with your partner and consider discussing STI testing with your healthcare provider. They can provide guidance on the appropriate tests and preventive measures.

In summary, while you are undergoing treatment for a yeast infection, it is crucial to monitor your symptoms and maintain open communication with your healthcare provider. If you experience persistent pain, unusual discharge, or any other concerning symptoms, do not hesitate to reach out for further evaluation and guidance. Your health and comfort are paramount, and your provider can help ensure you receive the most effective treatment for your condition.

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