Lower Abdominal Pain and Recurrent Yeast Infections in Women

Occasional dull and sharp pain in the lower abdomen?

Hello Doctor, after my menstrual period ended, I experienced intermittent dull and sharp pain in my lower abdomen for several days (almost a week), along with symptoms of frequent urination.
Additionally, I have had a recurrence of vulvar candidiasis (which has been intermittent since October 2015).
At that time, I was diagnosed with polycystic ovary syndrome (PCOS), and the doctor only advised me to lose weight without suggesting any other treatment options.
My height is 149 cm and my weight is 65 kg.
I am currently applying medication for the candidiasis.
I would like to ask: 1.
Should I seek immediate medical attention for the abdominal pain, or will it resolve on its own after a while? 2.
How can I prevent the recurrence of candidiasis? 3.
What are the treatment options for polycystic ovary syndrome?

Wang, 20~29 year old female. Ask Date: 2016/02/20

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, if you are experiencing intermittent dull or sharp pain in your lower abdomen along with symptoms of frequent urination, it could be a sign of inflammation.
If there is no improvement, you should seek medical attention.
To prevent recurrent candidiasis, it is generally advised to change underwear frequently and avoid using panty liners.
If you experience discomfort, consult a physician promptly.
The primary treatment for polycystic ovary syndrome (PCOS) is ovulation-inducing medications, which most patients respond to well.
Wishing you good health.

Reply Date: 2016/02/20

More Info

Lower abdominal pain and recurrent yeast infections can be distressing symptoms for many women, and understanding their underlying causes and management strategies is essential for improving quality of life.
1. Immediate Medical Attention for Lower Abdominal Pain: Given your symptoms of lower abdominal pain persisting after your menstrual period, along with frequent urination and a history of recurrent yeast infections, it is advisable to seek medical attention promptly. While some mild abdominal discomfort can resolve on its own, persistent or severe pain may indicate underlying issues such as pelvic inflammatory disease, ovarian cysts, or other gynecological conditions that require evaluation. A healthcare provider can perform a thorough examination, possibly including pelvic ultrasound or other imaging studies, to determine the cause of your pain and recommend appropriate treatment.

2. Preventing Recurrent Yeast Infections: Recurrent yeast infections, particularly those caused by Candida species, can be frustrating. Here are some strategies to help prevent their recurrence:
- Maintain Proper Hygiene: Keep the genital area clean and dry. Avoid using scented soaps, douches, or feminine hygiene sprays that can disrupt the natural flora.

- Wear Breathable Fabrics: Opt for cotton underwear and avoid tight-fitting clothing to reduce moisture buildup.

- Dietary Considerations: Some studies suggest that a diet low in sugar and refined carbohydrates may help reduce yeast overgrowth. Probiotics, either through supplements or fermented foods, may also support a healthy vaginal flora.

- Antibiotic Use: If you have been prescribed antibiotics for other infections, discuss with your doctor the potential need for antifungal prophylaxis, as antibiotics can disrupt the balance of normal flora and lead to yeast infections.

3. Management of Polycystic Ovary Syndrome (PCOS): PCOS is a common endocrine disorder that can lead to various symptoms, including irregular menstrual cycles, weight gain, and fertility issues. Management strategies often include:
- Lifestyle Modifications: Weight loss through diet and exercise can significantly improve symptoms and hormonal balance in women with PCOS. Even a modest weight loss of 5-10% can have beneficial effects.

- Medications: Depending on your symptoms, your doctor may recommend hormonal contraceptives to regulate menstrual cycles and reduce androgen levels. Metformin, a medication commonly used for type 2 diabetes, may also be prescribed to improve insulin sensitivity and help with weight management.

- Fertility Treatments: If you are considering pregnancy, medications such as clomiphene citrate may be used to induce ovulation.

In summary, it is crucial to address your lower abdominal pain with a healthcare provider to rule out any serious conditions. Additionally, implementing preventive measures for yeast infections and managing PCOS through lifestyle changes and medical interventions can significantly improve your overall health and well-being. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

Similar Q&A

Why Does Candida Keep Coming Back? Understanding Recurring Infections

Candida keeps recurring?! Does it mean Candida will never go away? Why do I keep having relapses?

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Dear Inquirer, Your inquiry regarding vulvovaginal candidiasis is addressed as follows: Introduction: In Taiwan, it is estimated that over 80% of women have experienced a yeast infection, with approximately half of these cases being recurrent infections. The most common organis...

Understanding Uterine Inflammation and Chronic Vaginal Infections

Hello, Doctor: I have been suffering from chronic vaginal infections, endometrial hyperplasia, and endometriosis. Around July 25, I started experiencing abdominal pain, and on the 27th, I consulted a doctor who diagnosed me with uterine inflammation and a vaginal infection. The d...

Dr. Lü Lizheng reply Obstetrics and Gynecology
Dear Ean: 1. Why do I frequently experience vaginal infections and uterine inflammation, and how can I maintain and cure this condition? Answer: Vaginal infections may be caused by fungi, particularly Candida, which can easily recur and may develop resistance to treatment. If r...

Understanding Pelvic Inflammatory Disease: Symptoms, Causes, and Treatment

1. Hello Doctor, I have been experiencing recurrent Candida infections over the past year. On one occasion, I had itching and was diagnosed with E. coli in the vagina. In the previous 30 years, I had this type of infection only 2 or 3 times, but now it keeps recurring. Could this...

Dr. Huang Jianzhong reply Obstetrics and Gynecology
1. I have been experiencing recurrent Candida infections over the past year. During one visit for itching, I was diagnosed with E. coli in the vagina. In the past 30 years, I have only had this type of infection about 2 or 3 times, but now it keeps recurring. Could this be relate...

Understanding Recurrent Infections: A Comprehensive Guide for Women

I have been experiencing intermittent dull or sharp abdominal pain, and I have a vaginal infection almost every month (which has been treated) for nearly a year. Last September, abnormal cells were found on my cervix, and after treatment, my Pap smear in March showed normal resul...

Dr. Chen Changfu reply Obstetrics and Gynecology
Abdominal pain that occurs intermittently may be caused by different organ-related issues at various times. Vaginal infections with white, creamy discharge may indicate candidal vaginitis, which is a fungal infection. This pathogen is generally easy to treat, but it tends to recu...