{"id":55851,"date":"2022-12-29T22:03:38","date_gmt":"2022-12-30T03:03:38","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=55851"},"modified":"2024-10-25T10:58:28","modified_gmt":"2024-10-25T14:58:28","slug":"recurring-yeast-infections","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/recurring-yeast-infections\/","title":{"rendered":"Why do I keep getting yeast infections?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Like most things in life, balance is key. This mantra holds true to a yeast (type of fungus) called <\/span><i><span style=\"font-weight: 400;\">Candida<\/span><\/i><span style=\"font-weight: 400;\"> which normally lives on skin and inside different areas of the body like the mouth, throat, digestive tract, and vagina. Typically, <\/span><i><span style=\"font-weight: 400;\">Candida<\/span><\/i><span style=\"font-weight: 400;\"> is present without causing any problems. Changes in hormones, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/yeast-infection-from-antibiotics\/\"><span style=\"font-weight: 400;\">medicines like antibiotics<\/span><\/a><span style=\"font-weight: 400;\">, or alterations in the immune system that weaken it may tip the balance and provide conditions which encourage overgrowth of <\/span><i><span style=\"font-weight: 400;\">Candida<\/span><\/i><span style=\"font-weight: 400;\"> and can increase the risk of infections, including <\/span><a href=\"https:\/\/www.cdc.gov\/fungal\/diseases\/candidiasis\/genital\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">vaginal candidiasis<\/span><\/a><span style=\"font-weight: 400;\">. A single yeast infection is uncomfortable on its own, but recurring yeast infections can cause significant frustration with its interruption to day-to-date life. More than 50% of women older than 25 years of age have at least one episode of vulvovaginal candidiasis, or a vaginal yeast infection, in their lifetime; fewer than 5% of these women will experience a recurring, or chronic, yeast infection.&nbsp;<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/male-yeast-infection-treatment\/\"><b>Can men get yeast infections?<\/b><\/a><\/p>\n<h2 id=\"what-is-a-recurring-yeast-infection\"><span style=\"font-weight: 400;\">What is a recurring yeast infection?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Yeast infections occur when too much of a naturally occurring yeast, most commonly <\/span><i><span style=\"font-weight: 400;\">Candida albicans<\/span><\/i><span style=\"font-weight: 400;\">, grows in the vagina. <\/span><a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2000\/0601\/p3306.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Recurring yeast infections <\/span><\/a><span style=\"font-weight: 400;\">are defined as those which occur four or more times in one year or at least three episodes unrelated to antibiotic therapy within one year. There is usually an underlying reason why a woman might suffer from recurring yeast infections and so getting to the root of that problem is crucial to effectively treat and eradicate the infection. Recurring yeast infections differ from persistent yeast infections in that patients will experience a period of symptom-free relief.&nbsp;<\/span><\/p>\n<h2 id=\"causes-of-recurring-yeast-infections\"><span style=\"font-weight: 400;\">Causes of recurring yeast infections<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are a few possible reasons someone may deal with recurrent yeast infections:<\/span><\/p>\n<h3 id=\"1-sexual-activity\"><span style=\"font-weight: 400;\">1. Sexual activity<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">While yeast infections are not a sexually transmitted infection (STI), it is possible in some cases for sexual partners to pass the Candida to each other. To prevent this, use condoms or dental dams and practice good hygiene after sexual intercourse, such as showering. Avoid having sexual intercourse when one partner has a yeast infection.<\/span><\/p>\n<h3 id=\"2-the-original-yeast-infection-was-not-completely-treated\"><span style=\"font-weight: 400;\">2. The original yeast infection was not completely treated&nbsp;<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Symptoms may disappear before the infection is fully treated. When this happens, the yeast infection will come back if treatment is stopped prior to the prescribed duration of therapy.&nbsp;<\/span><\/p>\n<h3 id=\"3-the-yeast-infection-is-caused-by-a-drug-resistant-strain\"><span style=\"font-weight: 400;\">3. The yeast infection is caused by a drug-resistant strain<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are also strains of yeast that are more drug-resistant, which makes it harder to get rid of than others.&nbsp;While <\/span><i><span style=\"font-weight: 400;\">Candida albicans<\/span><\/i><span style=\"font-weight: 400;\"> is the most commonly identified pathogen in patients with vulvovaginal candidiasis, other species of <\/span><i><span style=\"font-weight: 400;\">Candida<\/span><\/i><span style=\"font-weight: 400;\"> like <\/span><i><span style=\"font-weight: 400;\">Candida tropicalis<\/span><\/i><span style=\"font-weight: 400;\"> and <\/span><i><span style=\"font-weight: 400;\">Candida glabrata<\/span><\/i><span style=\"font-weight: 400;\"> can cause infection and may require modifications to therapy.&nbsp;<\/span><\/p>\n<h3 id=\"4-it-is-not-a-yeast-infection\"><span style=\"font-weight: 400;\">4. It is not a yeast infection&nbsp;<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are other infections, such as bacterial vaginosis, or sexually transmitted infections (STIs), that may have similar symptoms. While an initial infection may be diagnosed over the phone, clinical evaluations of recurrent episodes is critical to rule out alternative causes like STIs and receive an accurate diagnosis. It is critical to visit a doctor, such as a gynecologist or primary care physician, when a yeast infection does not clear up, or when you&rsquo;re not sure that what you&rsquo;re dealing with is a yeast infection.<\/span><\/p>\n<h3 id=\"5-other-complicating-conditions\"><span style=\"font-weight: 400;\">5. <\/span><span style=\"font-weight: 400;\">Other complicating conditions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Those with certain conditions, such as weakened immune systems and uncontrolled diabetes, are more susceptible to recurrent infections. Pregnant women may also be more susceptible. Uncontrolled diabetes may be a predisposing factor for recurrent yeast infections since high blood sugar levels encourage the ability of Candida species to bind to vaginal epithelial cells.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&nbsp;<\/span><span style=\"font-weight: 400;\">Noncompliance with treatment may result in concerns of what is mislabeled as a recurrent and is actually more representative of a persistent infection. Some of the over-the-counter therapies, including topical treatments, may be considered inconvenient or messy by women and therefore therapy not completed as indicated. Antibiotics are often implicated in recurrent vaginal candidiasis since they decrease protective vaginal flora, allowing overgrowth of yeast. The risk of a yeast infection increases with duration and frequency of antibiotic use.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mechanical factors, like perspiration associated with tight-fitting clothing or underwear increases vaginal temperature and moisture, fostering overgrowth of <\/span><i><span style=\"font-weight: 400;\">Candida<\/span><\/i><span style=\"font-weight: 400;\"> species.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Contraceptive methods may also promote recurrent vulvovaginal candidiasis by altering normal vaginal flora and increasing adherence of <\/span><i><span style=\"font-weight: 400;\">Candida<\/span><\/i><span style=\"font-weight: 400;\"> species to vaginal epithelial cells. Women who have an <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/iud-birth-control-contraceptive-guide\/\"><span style=\"font-weight: 400;\">intrauterine devices<\/span><\/a><span style=\"font-weight: 400;\"> (IUDs) may be <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3382616\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">predisposed<\/span><\/a><span style=\"font-weight: 400;\"> to vaginal colonization by <\/span><i><span style=\"font-weight: 400;\">Candida <\/span><\/i><span style=\"font-weight: 400;\">species, which could result in an infection.&nbsp;<\/span><\/p>\n<h2 id=\"chronic-yeast-infection-symptoms\"><span style=\"font-weight: 400;\">Chronic yeast infection symptoms<\/span><\/h2>\n<p><a href=\"https:\/\/www.bcm.edu\/healthcare\/specialties\/obstetrics-and-gynecology\/ob-gyn-conditions\/recurrent-yeast-infections\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Symptoms<\/span><\/a><span style=\"font-weight: 400;\"> of chronic yeast infections don&rsquo;t usually differ from a simple yeast infection, and include itching as the primary symptom. A woman may also suffer from a burning sensation in the tissue outside of the vagina, known as the vulva, which may intensify upon urination or during intercourse. The most common symptoms are listed below:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Itching<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Red, swollen, and\/or painful vulva<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased vaginal discharge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal discharge that is white, clumpy and odorless<\/span><\/li>\n<\/ul>\n<h2 id=\"chronic-yeast-infection-treatment\"><span style=\"font-weight: 400;\">Chronic yeast infection treatment<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Recurring or chronic yeast infections require a slightly different approach to management than a simple yeast infection. The <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/yeast-infection-treatment-and-medications\"><span style=\"font-weight: 400;\">first course of treatment<\/span><\/a><span style=\"font-weight: 400;\"> for an uncomplicated yeast infection includes a short-course (single dose or once daily for three days) of any <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/topical-antifungals\"><span style=\"font-weight: 400;\">topical vaginal azole<\/span><\/a><span style=\"font-weight: 400;\">. It is important to note that OTC formulations must be taken as labeled, which may be seven to 14 days in duration. Alternatively, oral <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/fluconazole\/dosage\"><span style=\"font-weight: 400;\">Diflucan (fluconazole) <\/span><\/a><span style=\"font-weight: 400;\">as a single dose of 150 mg may also be used for uncomplicated vulvovaginal candidiasis.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For recurrent infections, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4725385\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">therapy<\/span><\/a><span style=\"font-weight: 400;\"> is managed with both an induction and a maintenance phase in order to achieve a cure. In the induction phase, therapy options include a longer course of a vaginal azole (e.g., for seven to 14 days as opposed to one to three days), or oral Diflucan (fluconazole) taken every three days for three doses (100, 150, or 200 mg). Less common option for the induction phase might include a compounded boric acid capsule that is administered vaginally once daily for 14 days, or a clotrimazole vaginal insert once monthly for six months.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the maintenance phase, which should begin immediately after induction and continue for six months, one might be prescribed once weekly oral fluconazole (100, 150, or 200 mg). In the United States, a less preferable option would be intermittent administration of a vaginal azole, administration of a compounded boric acid capsule for five days at the beginning of each menstrual cycle, or ketoconazole 100 mg once daily.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For fungal infections caused by a different type of yeast, like non-albicans <\/span><i><span style=\"font-weight: 400;\">Candida<\/span><\/i><span style=\"font-weight: 400;\"> species, one might consider treatment with seven to 14 days of a non-fluconazole azole regimen or insertion of a compounded boric acid capsule vaginally once daily for three weeks.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Two newer antifungal medications were recently approved by the Food and Drug Administration (FDA) which may have benefit in the management and prophylaxis of recurrent yeast infections. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/brexafemme\"><span style=\"font-weight: 400;\">Brexafemme (ibrexafungerp)<\/span><\/a><span style=\"font-weight: 400;\"> is an oral triterpenoid antifungal approved for vulvovaginal candidiasis, and is currently under review for FDA-approval for <\/span><a href=\"https:\/\/www.scynexis.com\/news-media\/press-releases\/detail\/297\/scynexis-announces-u-s-food-and-drug-administration\"><span style=\"font-weight: 400;\">prophylaxis of recurrent candidiasis<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/vivjoa\"><span style=\"font-weight: 400;\">Vivjoa (oteseconazole) <\/span><\/a><span style=\"font-weight: 400;\">is a new oral azole antifungal approved specifically for recurrent vulvovaginal candidiasis. This medication would be reserved as a last resort for patients with recurrent yeast infections, and should only be used for patients who are known to be permanently infertile or who are postmenopausal as it is teratogenic in animals and can be detected in human tissues for up to two years following treatment. Two regimens for Vivjoa are approved, and include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vivjoa 600 mg on day one, then 450 mg on day two, then (starting on day 14) 150 mg once weekly for 11 weeks; or<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fluconazole every three days for three doses, followed by Vivjoa (150 mg once daily for seven days, then once weekly for 11 weeks).<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/home-remedies-for-yeast-infection\/\"><b>Home remedies for yeast infection<\/b><\/a><b>  <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/monistat-vs-diflucan\/\"><b>Monistat vs. Diflucan<\/b><\/a><\/p>\n<h2 id=\"how-to-stop-recurring-yeast-infections\"><span style=\"font-weight: 400;\">How to stop recurring yeast infections<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Management of chronic yeast infections takes a little will-power and perseverance. Lifestyle changes may be warranted, especially if the infection is due to sexual activity or uncontrolled diabetes. Avoiding sexual intercourse while experiencing the symptoms of a yeast infection, and good blood sugar control, may stop recurring yeast infections if these are contributing factors. Homeostasis of healthy bacteria in the vaginal tract may also assist in stopping recurring vulvovaginal candidiasis; research suggests that ingestion of probiotics like <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7023241\/\" target=\"_blank\" rel=\"noopener\"><i><span style=\"font-weight: 400;\">Lactobacillus rhamnosus<\/span><\/i><\/a><span style=\"font-weight: 400;\"> can help restore urogenital flora. Other considerations to prevent recurring yeast infections include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Complete the full indicated course of medication when treating a yeast infection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear breathable fabrics, like cotton, that wick moisture away from the body to prevent an environment that allows yeast growth to thrive<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Practice good genital hygiene, which includes use of mild and unscented soaps to keep the vaginal area clean while avoiding douches and perfumed sprays, powders, or tampons<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid a diet high in sugar<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Consider addition of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/probiotics-do-they-work\/\"><span style=\"font-weight: 400;\">probiotics<\/span><\/a><span style=\"font-weight: 400;\">, either in the form of supplementation or by eating yogurt with live bacterial cultures or fermented foods (e.g,, kimchi, kefir and kombucha)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Consult with a healthcare provider at the first signs of persistent or recurrent symptoms to rule out alternative diagnoses or design an induction and maintenance regimen<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Recurring yeast infections can be frustrating, but by taking steps to prevent infection you may be able to minimize the impact to your quality of life.&nbsp;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Like most things in life, balance is key. This mantra holds true to a yeast (type of fungus) called Candida which normally lives on skin and inside different areas of the body like the mouth, throat, digestive tract, and vagina. Typically, Candida is present without causing any problems. Changes in hormones, medicines like antibiotics, or [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":55854,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[8670],"coauthors":[10869],"class_list":["post-55851","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-womens-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Recurring yeast infections: Causes, symptoms, and treatment<\/title>\n<meta name=\"description\" content=\"Recurrent yeast infections are defined as an infection that occurs more than three times in a year. 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