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Vulvovaginitis

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What over the counter medication can I take for yeast infection while I'm pregnant?


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replied November 10th, 2008
Pregnancy Q and A Answer A4824
According to the data you provided, it is unclear whether you have a vulvovaginal candidiasis or not. However, this condition is very common in pregnancy. Also, there’s no info whether your pregnancy is led as normal or pathological.

Generally speaking, the first incidence of yeast infection should be treated by your health care provider. After the first infection, if you develop another infection and you are absolutely certain it is a yeast infection, you might treat it locally, for at least 7 days (1 and 3-day regimens are not effective in pregnancy) with over-the-counter vaginal creams/vaginal tablets/suppositories such as miconazole or clotrimazole, but only if you are not allergic to them and only during 2nd and 3rd trimesters in pregnancy. Oral medication should be avoided during pregnancy. Symptoms that don't go away should be evaluated by your gynecologist or primary health care provider.

You could also try to rebalance the normal vaginal flora with Lactobacillus acidophilus capsules orally and the same tablets vaginally. It is recommended that you drink 2-4 glasses of yogurt daily.

Hygiene is essential: wash your vulva externally, only with plain water, chamomile tea or a special mild shampoo with pH between 3.8 and 4.5 (normal vaginal pH). Do not douche inside. Dry it thoroughly afterwards.

Dietary modification and nutritional supplementation may also be helpful in the treatment of vulvovaginitis. Antioxidant vitamins including A, C, and E, as well as B-complex vitamins and vitamin D, are recommended. Foods to avoid include sugar (yeast’s main food), chocolate, fruits, alcohol, cheese, soy sauce, vinegar and any fermented foods. Wearing cotton underwear and loose fitting clothes and avoiding panty hose can help keep the vagina cool and dry, thus helping to prevent and cure vulvovaginitis. Cases of chronic vulvovaginitis should be addressed on a systemic level by a family doctor.

Special remark: All medicines (except for vitamins) mentioned here are in drug class C, which means that safety for use during pregnancy has not been established in humans. Therefore, it is absolutely necessary that you consult either your GP or your gynecologist about their usage in pregnancy!




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