What to Do about Chronic Yeast

One in 20 women with a yeast infection will develop chronic and recurrent infections. As our prior post said: gynos define recurrent and chronic as more than 4 a year. Most yeast infections are due to pesky and pervasive Candida albicans. Some experts say albicans are 95% of those infections we see, others knock that percentage down to only 75%. And random healthy women sampling find that 25% of those women walking into any office at any time will culture positive for yeast. If you have that yeast infection, you may or may not rate with Dr. House on the medical diagnostic accuracy scale. And women are not encouraged to self treat if you have never been to a gyno for evaluation of a vaginal yeast infection.If you try to self diagnose, you’re probably right somewhere between 1/3 and 50% of the time. So if your symptoms don’t resolve promptly with your goo of choice, inaccurate diagnosis can be the culprit as often as inaccurate treatment. I like to point out that hormone levels and cycles are related to the numbers of infections. Women are more likely to get yeast infections in the second half of the menstrual cycle, when estrogen is lower, and progesterone is more dominant. Douching for most women, with the available over the counter preparations doesn’t cause yeast infections. In some studies receptive oral sex causes more yeast infections, and in some studies not, but few studies really culture the partners mouths! You can’t always eat your way to a clean vagina either. Dairy elimination diets really haven’t changed the rate of yeast infection in most women. For more information, see us for a gyno check at Women’s Health Practice.

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