Some women experience chronic recurrent vulvovaginitis, which often requires long-term or prophylactic oral azole therapy for control. So for that, the recommended regimen is fluconazole 150 mg every other day for 3 doses, followed by weekly fluconazole 150-200 mg for 6 months. This regimen abates the symptoms and prevents further recurrence in the majority of women.
Boric acid wash for the vagina can be used in resistant cases, as an alternative measure with the consultation of your physician. For recurrent yeast infections (more than 3 infections per year), you can try over-the-counter boric acid vaginal suppositories 600mg inserted vaginally every night for at 7-14 days followed by inserting one suppository 1-2 times a week for 3-4 months.
A specific culture; Nickerson or Sabouraud mediums should be performed in refractory or recurrent cases of vaginal candidiasis to confirm the infection. So you can talk to your doctor to get this culture before you start the treatment.
Women who do not improve with the above can use clotrimazole 500 mg vaginal suppositories administered once per week for six months which is also effective.
Also, avoid (if you do) the following;
1) panty liners,
3) sexual lubricants
The following would help you:
4) You can help restore the normal bowel flora by eating live bacterial culture yogurt every day for a few weeks and taking acidophilus tablets/brand Rephresh Pro-B three times a day for one month.
5) Do not use tampons until the end of the treatment.
6) Wear loose, all-cotton underwear as they absorb body moisture.
7) Wipe from front to back when you urinate or have a bowel movement. Bowel bacteria can infect the vagina.
8) Do not shave the vulvar area as the pubic hair protects against chemicals making contact with the skin.
9) Avoid all chemicals in the Vulvovaginal area.
10) Avoid pantyhose and tight pants such as jeans which trap moisture near the perineum
11) After exercise or any sweat-producing activity, bathing or swimming, make sure the perineum is air-dried., Moist surfaces that rub against each other break down and provide an area for yeast secondary growth,
12) Follow a low carbohydrate diet. Take steroids, antibiotics, and oral contraceptives only if very necessary.
I wish your symptoms resolve soon.
I would be happy to assist you further if you need any more information.
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