How Safe is Boric Acid for Bacterial Vaginosis (BV)?



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How Long Does A Yeast Infection Take To Go Away?

How long vaginal yeast infections last can vary, but most infections clear up within a week when treated correctly. However, time frames also depend on infection severity and treatment types.

Vaginal yeast infections are extremely common, and there are many ways to treat them. Choosing a treatment is a personal decision. Some infections will go away faster than others.

This article looks at how long a yeast infection can last without treatment, as well as recovery times for both over-the-counter (OTC) and home treatment options.

A yeast infection happens when there is a disruption of the balance of yeast and bacteria in the vagina. This allows a fungus called Candida to multiply.

A yeast infection can cause an itching or burning sensation in the vagina, as well as clumpy or thick white discharge.

The severity of a yeast infection depends on how much the Candida multiplies before a person seeks treatment. Yeast infections may be mild, moderate, or severe.

A mild yeast infection may go away on its own. However, this is rare. It is always a good idea to treat a yeast infection, even if it is mild. If people do not treat yeast infections correctly, the infections will be more likely to return.

Treatments for yeast infections soothe the affected area and target the overgrown Candida fungus. This double action reduces the itching and burning and restores a healthy balance of yeast and bacteria.

Many people choose to try home remedies to treat mild to moderate yeast infections.

Science has not backed all home remedies, though recent studies have medically tested the following methods:

Tea tree oil

Tea tree oil is another promising home remedy for yeast infections. A 2015 study found that tea tree oil is effective against all types of Candida fungus.

To use tea tree oil for a yeast infection, pour a few drops across the top and sides of a tampon and insert the tampon into the vagina. Leave in place for a few hours and then remove.

While tea tree oil may be effective, it may not be as fast-acting as OTC options.

Yogurt

The topical or internal application of yogurt is an effective home treatment for yeast infections.

Natural yogurt contains bacteria called Lactobacillus. These bacteria produce hydrogen peroxide that kills the excess Candida.

A 2015 study found that yogurt might be more effective than clotrimazole (Canesten), an antifungal cream.

Using yogurt without any added sugar is essential. Sugar can cause Candida to multiply more, making the infection worse.

Plain, natural yogurt can be smoothed onto the surface of the vagina or applied internally.

Some people find inserting an unused tampon applicator filled with yogurt works well. Freezing it first may bring additional cooling relief. Others simply use their fingers to apply the yogurt.

While yogurt may be effective, it may not be as fast-acting as antifungal treatments.

Boric acid

Boric acid is another home remedy for yeast infections that some research suggests is effective.

A 2019 review concluded that boric acid could also be particularly useful for the prevention of recurrent yeast infections.

Boric acid suppositories are available for purchase in pharmacies and online. People can also make their own by putting no more than 600 milligrams of boric acid into a clean gel capsule.

Boric acid suppositories can sometimes cause side effects, including vaginal burning and discharge.

People can repeat this treatment once a day until the infection clears. It is not suitable for people who are pregnant.

Doctors recommend OTC antifungal drug treatments called azoles for mild to moderate yeast infections. These are available as:

  • creams
  • ointments
  • tablets
  • suppositories
  • These treatments may irritate when first applied. After a few days of use, the yeast infection symptoms should start to fade.

    A course of treatment typically lasts about 1–7 days. The yeast infection will likely clear within this time.

    Many yeast infection treatments are available for purchase OTC or online.

    For more severe yeast infections, a doctor may prescribe a longer course of prescription azole treatment.

    Similarly to short-acting azoles, longer courses of azoles are available as:

  • creams
  • ointments
  • tablets
  • suppositories
  • Prescription azole treatment typically lasts between 7–14 days. The yeast infection should clear up within this period.

    Doctors may also prescribe a single or multidose oral medication called fluconazole.

    Once the symptoms resolve, the yeast infection should be gone. However, it is important to complete the full course of any treatment, as recommended.

    Completing treatment ensures the return of the natural balance of bacteria and yeast in the vagina. If people do not treat yeast infections fully, the infections are more likely to return.

    If a person is experiencing symptoms of a yeast infection for the first time, it is best to speak with a doctor to get a diagnosis.

    The symptoms of a yeast infection typically ease within a week with treatment. If they do not, a doctor can recommend further treatment.

    Yeast infections are common. However, persistent or recurrent infections may indicate an underlying health condition, such as diabetes. Anyone who has more than one yeast infection a year should speak with a doctor.

    Learn more about the link between diabetes and yeast infections here.

    Here are some frequently asked questions about yeast infections.

    What happens if a person leaves a yeast infection untreated?

    If left untreated, the symptoms of a yeast infection may worsen over time. In severe cases, it could also increase the risk of other infections, along with complications such as sepsis.

    What should a person do if a yeast infection does not go away?

    If a yeast infection does not clear up with OTC treatments, it is important to contact a doctor. As well as testing to rule out other causes or infections, a doctor can also help recommend the best course of treatment based on a person's symptoms and medical history.

    What could it be if not a yeast infection?

    Many symptoms of a yeast infection can also be from other conditions, such as bacterial vaginosis or sexually transmitted infections such as herpes, chlamydia, gonorrhea, or trichomoniasis. A doctor can help determine the cause and appropriate course of treatment for a person's symptoms.

    Vaginal yeast infections are a common condition that typically causes symptoms, including itching, burning, and thick or clumpy discharge.

    There are many treatment options available for yeast infections, including many home remedies and prescription or OTC medications.

    In most cases, symptoms should ease within a week of starting treatment. However, doctors may recommend further treatment for persistent or recurrent infections.


    What Is A Yeast Infection On Skin?

    A yeast infection on the skin, or cutaneous candidiasis, is a fungal infection caused by an overgrowth of the yeast Candida. Candida and other fungi and bacteria live on the skin and usually help protect your body from harmful pathogens. While Candida is usually harmless, certain factors can lead to an overgrowth of Candida, causing a yeast infection and symptoms such as redness, itching, and pus-filled bumps around the edge of the rash. 

    A yeast infection can develop anywhere on the skin but is most common in moist areas, such as the armpits, groin, and skin folds. Antifungal medicines effectively treat skin yeast infections, and keeping your skin clean and dry can promote healing and prevent recurrent (repeat) infections.

    A yeast infection on the skin commonly affects warm, moist areas of the skin, such as skin folds, the groin area, between the fingers and toes, armpits, and under the breasts. In babies, it may appear on the buttocks or near the genitals (diaper rash). A Candida infection on your skin can cause a red, intensely itchy rash. When Candida overgrowth leads to an infection, it may cause symptoms such as: A red raised rash that may appear in patches  Small, pus-filled bumps or blisters along the edges of the rash  Intense itching  Burning sensation  DermNet NZ DermNet NZ Yeast infections on the skin are caused by an overgrowth of Candida, a type of yeast that naturally lives on the skin in small amounts without causing harm. Certain factors can create an environment that causes Candida to multiply uncontrollably, leading to a yeast infection on the skin. Common causes include: Moisture and warmth: Candida thrives in warm, moist environments. Excessive sweating, wearing tight or non-breathable clothing, or living in humid climates can cause yeast to become overgrown. Weakened immune system: A compromised immune system can make it harder for your body to control the growth of Candida, allowing it to multiply more rapidly. Your immune system may be weakened due to having a condition like diabetes or HIV/AIDS, or by taking immunosuppressive medication. Antibiotics: Antibiotics are medications used to kill harmful bacteria. However, they can also kill "good" bacteria, disrupting the natural balance of microorganisms on your skin, including Candida, and lead to an overgrowth of yeast.  Hormonal changes: Fluctuations in hormone levels—such as those occurring during pregnancy or while taking hormonal medications—can alter your skin's environment and contribute to the growth of Candida. Risk Factors Yeast infections on the skin are common and can affect anyone, but certain factors can increase your risk, including: Certain medical conditions (e.G., diabetes, psoriasis)  Hot, humid weather Prolonged use of corticosteroids  Chemotherapy  Having obesity  Working in wet conditions  Poor hygiene  Wearing tight or damp clothing  Pregnancy  Infrequent undergarment changes or diaper changes To diagnose a yeast infection on the skin, your healthcare provider will begin by asking about your medical history and symptoms. They will perform a physical exam and closely examine your skin to look for the classic signs of a skin yeast infection (e.G., raised, bumpy, red rash).  They may gently scrape a small sample (called a "culture") of the affected skin and send it to the lab for testing to confirm the presence of yeast, determine which type of yeast is causing the infection, and rule out other potential causes. This is a noninvasive, routine test with a relatively fast turnaround time (1-3 days), but can sometimes take a week or longer. Treatment for a yeast infection on the skin involves eliminating the overgrowth of Candida and relieve symptoms like redness and itchy. Treatment approaches may vary depending on the severity of your infection. Common treatment options include topical and oral antifungal medications and lifestyle modifications. Topical Antifungal Medications Topical antifungal medications available over-the-counter (OTC) or by prescription are applied directly to the affected area. They are available in cream, ointment, gel, powder, and spray form and contain active ingredients such as naftifine, ketoconazole, or nystatin. Oral Antifungal Medications More severe or persistent yeast infections on the skin are often treated with oral antifungal medications. Your healthcare provider may prescribe fluconazole (brand names include Azocan, Diflucan, and Canesten) or clotrimazole (brand name is Lotrimin) in capsule form to control the overgrowth of Candida. Lifestyle Modifications Properly caring for the affected skin by keeping it clean and dry and avoiding irritants can promote healing and relieve symptoms of a yeast infection on the skin. Taking these simple steps can help ease discomfort and ensure the infection does not worsen: Keep the affected area clean and dry  Regularly wash the area with mild soap and water and gently pat it dry  Wear loose-fitting, breathable clothing (e.G., cotton, linen)  Avoid excessive moisture and heat The best way to prevent a yeast infection on the skin is to keep your skin clean and dry. Other ways to lower your risk of cutaneous candidiasis include: Wear loose-fitting, breathable fabrics that allow air circulation and help prevent excessive moisture buildup on the skin, especially when sweating Immediately change out of damp clothing, such as swimwear or workout gear  Apply antifungal powders or creams to areas prone to moisture (e.G., armpits, groin)  Avoid harsh soaps, scented products, and tight synthetic clothing (e.G. Polyester, acrylic, rayon), which can irritate your skin  Ensure any existing health conditions are well-managed and you follow your treatment plan, especially if you have conditions that increase your risk of fungal infections (e.G., diabetes)  While a yeast infection on the skin can be uncomfortable, most are not serious and do not cause long-term problems. If left untreated or improperly managed, cutaneous candidiasis may lead to complications such as:  Nail infection: Candida can invade the nail bed on the fingers or toes, leading to thickened, discolored nails that may become brittle, crumbly, or distorted in shape. Invasive candidiasis: In rare cases, the yeast infection can enter the bloodstream, leading to a systemic (bodywide) infection that may affect major organs (e.G., heart, brain). Chronic mucocutaneous candidiasis (CMC): Recurrent and persistent Candida skin infections can occur in people with weakened immune systems. Yeast infections on the skin (cutaneous candidiasis) occur when a yeast called Candida multiplies and grows uncontrollably, causing a red, itchy rash. An infection can develop anywhere on the skin but is most common in warm, moist places, including the armpits, groin area, and skin folds. Healthcare providers diagnose cutaneous candidiasis by looking at your skin and sending a skin sample to the lab to confirm the diagnosis and find the type of yeast causing your infection. Treatment options include over-the-counter and prescription topical antifungal creams applied directly to the skin. Oral antifungal medications may be prescribed for more severe infections. Keeping your skin clean and dry, promptly changing out of wet bathing suits and sports gear, and wearing loose-fitting clothing can help promote healing and prevent future infections. 

    How Is Bacterial Vaginosis Different From A Yeast Infection?

    Bacterial vaginosis (BV) and vaginal yeast infections can both cause pain and discomfort, difficulty urinating, and itching. Other symptoms, such as vaginal discharge, may differ. Treatment will depend on which infection a person has.

    A yeast infection and BV are both infections that cause vaginitis.

    Vaginitis is the medical term for inflammation of the vagina. It can lead to uncomfortable symptoms, including:

  • itching
  • pain
  • burning
  • changes in vaginal discharge
  • a foul-smelling odor
  • Below, we describe the differences between BV and a yeast infection. In particular, we explore the symptoms of both issues and the steps a person can take to prevent them.

    BV and yeast infections have different causes and risk factors, but both cause inflammation of the vagina — vaginitis. In fact, these infections are two of the most common causes of vaginitis.

    When a doctor diagnoses a cause of vaginitis, the cause is:

  • BV in around 40–50% of cases
  • a yeast infection in 20–25% of cases
  • trichomoniasis in 15–20% of cases
  • not an infection in the remaining 5–10% of cases
  • It can sometimes be hard to tell whether a person has BV or a yeast infection, but there are some characteristic signs.

    The table below summarizes similarities and differences in the symptoms of BV and a yeast infection:

    BV causes

    "Vaginal flora" collectively refers to the bacteria that live in the vagina.

    Usually, among the vaginal flora, there is more of a type of helpful bacteria, called Lactobacillus, than harmful bacteria.

    Certain activities can disrupt the natural balance of the microorganisms in the vagina, and this disruption leads to BV.

    Risk factors for BV include:

  • vaginal douching
  • smoking
  • having new or multiple sexual partners
  • having sex without a condom or another barrier method
  • a natural lack of Lactobacillus bacteria
  • Yeast infection causes

    Bacteria do not cause vaginal yeast infections. Instead, the cause is usually a type of fungus, or yeast, called Candida.

    This fungus can be naturally present in the vaginal area, but Lactobacillus bacteria usually restrict the growth of Candida.

    However, in some situations, Candida multiplies unchecked, leading to a yeast infection.

    Risk factors for a yeast infection include:

    To determine whether a vaginal infection is BV or a yeast infection, a doctor may:

  • Ask about the person's medical history, including previous vaginal infections, which may have been sexually transmitted.
  • Perform an examinationto look for signs of infection and vaginal discharge.
  • Take a sample of the discharge for analysis, to see whether an overgrowth of harmful bacteria or fungi is present.
  • Test the pH of the vagina, as a pH of 4.5 or above can indicate BV.
  • Around 20% of healthy females tend to have Candida in their vaginas, so a positive fungal culture does not necessarily indicate that the fungus is responsible for any symptoms.

    The treatments for BV and a yeast infection are different. Also, the right course of treatment can depend on the severity of the infection.

    BV treatment

    To treat BV, a doctor may prescribe antibiotic medications, such as:

  • Metronidazole (Flagyl). This is available as a pill or a vaginal gel.
  • Clindamycin (Cleocin). This is a cream that a person inserts into their vagina.
  • Tinidazole (Tindamax). This comes in pill form.
  • Yeast infection treatment

    If a person experiences mild to moderate symptoms of a yeast infection, a doctor may recommend one of the following antifungal medications:

  • Miconazole (Monistat) or terconazole (Terazol). Both can be pills, creams, ointments, or suppositories — available over the counter or by prescription.
  • Fluconazole (Diflucan). This is a prescription, single-dose oral medication.
  • If a person has a severe yeast infection, a doctor may recommend taking a long course of antifungal medication, involving multiple doses.

    Some strains of Candida are resistant to conventional medications. When one of these strains is causing the infection, the doctor will recommend special antifungal treatments.

    It is not always possible to prevent BV or a yeast infection. However, doing the following can reduce the risk:

  • Not douching. Douching can upset the natural balance of organisms in the vagina, increasing the risk of infection.
  • Wiping from front to back. Wiping from front to back after using the bathroom helps prevent harmful bacteria from entering the vagina.
  • Wearing cotton underwear. Cotton allows air to flow to the vagina and keeps moisture from collecting and creating an environment in which yeast thrives.
  • Avoiding hot baths and hot tubs. Instead, a person could soak in a warm bath or take a shower.
  • Drying thoroughly after washing. Rubbing the genitals can cause or worsen irritation, so a person should gently pat the area dry instead.
  • Staying away from irritants. Avoiding harsh or scented soap products can help prevent or ease irritation.
  • BV and a yeast infection can cause similar symptoms, though there are telltale differences.

    Different issues cause the two infections, so they require different treatments.

    BV results from an overgrowth of harmful bacteria in the vagina, while an overgrowth of Candida fungus causes a yeast infection.

    Both infections cause changes in vaginal discharge. BV causes thin discharge with a fishy odor, while a yeast infection causes discharge that is thick and odorless.

    Doctors typically recommend antibiotic medications to treat BV and antifungal medications to treat yeast infections. Also, over-the-counter tablets, creams, ointments, and suppositories are available to treat mild to moderate yeast infections.






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