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Taken Diflucan For Yeast Infection. Have Itchy Vagina. No Relief From Monistat Cream. Suggestion?

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Posted on Fri, 12 Apr 2013
Question: I have severe itching near the top of my vagina.
I have taken diflucan already for a previous yeast
Infection. I have tried monistat cream. It is driving
me nuts. Suggestions?
doctor
Answered by Dr. Aarti Abraham (6 minutes later)
Hello
Thank you for your query.

Firstly,you are assuming that this is a repeat yeast infection.
Even if that is the case, you should still consult a doctor and have a swab of the area, because sometimes, you might be having resistant yeast infections which require intensive treatment instead of OTC creams.
At 46, you would be perimenopausal, and the hormonal changes could make your vaginal tissue thin and friable and prone to itching, dryness and superimposed infection.
Other infections like bacterial vaginosis and trichomoniasis and chlamydial infection could also cause the itching.
Allergy to fabric, detergent, tampons, soaps, cleansers etc could give rise to allergic itching.

I would say it is unwise to use anything without consulting a gynecologist, particularly in your age group.

Avoid rubbing, cleaning or itching the area vigorously.
Use an anti itch cream like Vagisil for the time being.
Do not use allergic synthetic undergarments.
Keep the private parts clean and dry.
Avoid wearing wet moist bathing suits and exercise gear for long.
Do not use perfumed, medicated cleansers or local products.
Avoid condom use for the time being, as well as tampons.

Consult a gynecologist for a thorough pelvic examination, a pap smear if not done, culture of the itching area / any discharge.
Get your blood sugars tested.

Take care, and feel free to discuss further.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Taken Diflucan For Yeast Infection. Have Itchy Vagina. No Relief From Monistat Cream. Suggestion?

Hello
Thank you for your query.

Firstly,you are assuming that this is a repeat yeast infection.
Even if that is the case, you should still consult a doctor and have a swab of the area, because sometimes, you might be having resistant yeast infections which require intensive treatment instead of OTC creams.
At 46, you would be perimenopausal, and the hormonal changes could make your vaginal tissue thin and friable and prone to itching, dryness and superimposed infection.
Other infections like bacterial vaginosis and trichomoniasis and chlamydial infection could also cause the itching.
Allergy to fabric, detergent, tampons, soaps, cleansers etc could give rise to allergic itching.

I would say it is unwise to use anything without consulting a gynecologist, particularly in your age group.

Avoid rubbing, cleaning or itching the area vigorously.
Use an anti itch cream like Vagisil for the time being.
Do not use allergic synthetic undergarments.
Keep the private parts clean and dry.
Avoid wearing wet moist bathing suits and exercise gear for long.
Do not use perfumed, medicated cleansers or local products.
Avoid condom use for the time being, as well as tampons.

Consult a gynecologist for a thorough pelvic examination, a pap smear if not done, culture of the itching area / any discharge.
Get your blood sugars tested.

Take care, and feel free to discuss further.