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Gynecologic Health

Guide to Vaginal Symptoms


Medically Reviewed On: December 29, 2004

Yeast Infections
Yeast infections, the second-most common type of infections, are also due to a change in the vaginal "ecosystem." In a yeast infection, an overgrowth of yeast, usually one called Candida albicans, leads to itching or burning and sometime causes a thick, whitish discharge. Yeast infections are known to occur following a course of antibiotics or the use of oral contraceptives. They are also common in pregnant women, women with diabetes and women who wear underwear or clothes that are tight or made of fabric that does not breathe well, and in women who use feminine hygiene sprays or douches.

"There is a tremendous market for feminine hygiene sprays and douches," says David Soper, MD, a spokesperson for the American College of Ostetricians and Gynecologists vice chair of the department of obstetrics and gynecology at the Medical University of South Carolina in Charleston. "But women are better off not douching or using sprays and instead using mild soaps that don't have detergents."

Health care professionals can identify yeast infections with a physical exam and by examining vaginal fluid under the microscope; they may also choose to send a specimen out for a vaginal yeast culture to confirm an uncertain diagnosis.

Yeast infections are treated with anti-fungal medications, which are available as creams and suppositories, or as a pill called Diflucan. Women with recurrent infections may find relief from a prescription for boric acid that is prepared as a capsule that is inserted into the vagina. Boric acid changes the vaginal pH, inhibiting the growth of yeast.

According to Dr. Soper, women who have had a yeast infection before and who are not at risk for a sexually transmitted disease, can try over-the-counter products if they have the same symptoms. He warns that women should see a health care provider if symptoms don't clear up in a few days, however.

Trichomoniasis
The third most common vaginal infection is trichomoniasis, or "trich," which is a sexually transmitted disease (STD) caused by a parasite that is identified by examining vaginal secretions under the microscope. While trichomoniasis does not always cause symptoms, it can cause itching and irritation as well as a yellow-green, foul-smelling discharge in women. Both partners should be treated with a single dose of a drug called metronidazole, which usually clears the infections if the partners avoid sex over the course of treatment.

Other STDs
Trichomoniasis is not the only STD responsible for vaginal symptoms. Other common STDs that may produce an irritating itch and/or a discharge include gonorrhea, chlamydia and herpes.

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