Yeast Infection, or Something Else?

An estimated 75% of women get vaginal yeast infections, accompanied by vaginal itching, burning, and discharge. While they're common -- and uncomfortable -- yeast infections are rarely serious. Identifying and treating an uncomplicated yeast infection early relieves the vaginal itching and burning within a few days. However, vaginal and vulvar irritation can last for up to two weeks

Yeast Infections: Too Much Candida

Several kinds of bacteria and other organisms normally live in the vagina, including more than one type of yeast called Candida. Candida albicans normally lives on the surface of your skin, in your digestive tract, and in the vagina, in a healthy balance with other organisms. If something throws off the balance, the yeast can overgrow and cause an infection. Candida albicansis responsible for most vulvovaginal yeast infections.

Yeast infections occur most often in moist and warm places on your body, such as in the vagina or under the arms or breasts. Some "friendly" bacteria in the body -- such as lactobacillus acidophilus, the kind found in some yogurt -- help keep yeast and other types of fungus in check. The normally acidic environment of the vagina also helps prevent candida yeast from overgrowing. But when the acidity, or Ph balance, changes, you can get a yeast overgrowth and infection.

A yeast infection is not considered a sexually transmitted disease, but men can get it from their female sex partners. Up to 15% of male partners of women with vaginal yeast infections will develop itching, a mild rash on the end of the penis, or other symptoms.

What Other Conditions Can Mimic a Yeast Infection?

Yeast infection symptoms -- such as vaginal itching, burning, and occasional vaginal discharge -- can also be caused by sexually transmitted diseases and other vaginal infections. That's why doctors recommend an office visit for testing -- especially for a first-time yeast infection -- to be sure your symptoms aren't caused by something more serious. Your doctor can diagnose a true yeast infection by looking at a few cells, taken from a quick swab of fluids from the vagina, under a microscope.

Other causes of vaginal itching, burning, and discharge -- which are not a yeast infection -- include:

Bacterial vaginosis (BV). This infection is caused by bacteria, not yeast, which normally live in the vagina and can "overgrow" out of balance. The classic signs: a discharge with a strong, fishy odor and pain while urinating.
Trichomoniasis. This infection is caused by a parasite. It's usually spread through sex. Along with vaginal itching, burning, and a foul-smelling green frothy discharge, common symptoms include redness and swelling of the labia. Pain when urinating is another symptom.
STDs. Several sexually transmitted diseases (STDs), such as herpes, and gonorrhea, can mimic symptoms of a yeast infection. These STDs also can cause painful intercourse or redness or swelling of the labia.
Infection in the cervix. An infection in the cervix can trigger the symptoms of burning or discharge during urination or intercourse.
Pinworms. This parasite can cause a vaginal infection, especially in young girls.
A tampon or IUD. An old tampon or birth control device like an IUD (intrauterine device) left in the vagina too long can cause burning, discharge, or irritation.

All of these conditions need prompt medical attention by your doctor to be diagnosed and treated.

WebMD Medical Reference

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Reviewed by Brunilda Nazario, MD on June 26, 2008

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As You Journey through Menopause, Vivelle-Dot Is By Your Side

VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.

INDICATION

Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.

IMPORTANT SAFETY INFORMATION

Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).

Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).

Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.

The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.

You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Please see Full Prescribing Information for Vivelle-Dot.

Prescribing Information