Grzybica pochwy
Objawy

Grzybica pochwy (vulvovaginitis candidiasis) jest zakażeniem wywołanym głównie przez Candida albicans, odpowiedzialną za około 92% przypadków. Szacuje się, że 75% kobiet doświadczy przynajmniej jednego epizodu w życiu, a 40-45% będzie miało nawroty. Objawy obejmują świąd, pieczenie, zaczerwienienie i obrzęk sromu, ból pochwy oraz charakterystyczną gęstą, białą, grudkowatą wydzielinę o zapachu drożdży. Nasilenie objawów klasyfikuje się jako łagodne, umiarkowane lub ciężkie, przy czym ciężka postać charakteryzuje się rozległym zaczerwienieniem, obrzękiem i pęknięciami skóry. Leczenie zwykle prowadzi do ustąpienia objawów w ciągu 3-14 dni, jednak nieleczona infekcja może się nasilać i prowadzić do powikłań, takich jak wtórne zakażenia bakteryjne czy przewlekły stan zapalny.

Grzybica pochwy – objawy

Grzybica pochwy, znana również jako kandydoza pochwy (łac. vulvovaginitis candidiasis), to zakażenie grzybicze pochwy, najczęściej wywołane przez grzyby z rodzaju Candida, zwłaszcza Candida albicans, który jest odpowiedzialny za około 92% wszystkich przypadków 12. Infekcja powstaje w wyniku nadmiernego namnażania się grzybów, które naturalnie występują w pochwie w niewielkich ilościach 3. Szacuje się, że około 75% kobiet doświadczy co najmniej jednego epizodu grzybicy pochwy w ciągu swojego życia, a u 40-45% wystąpi ona co najmniej dwukrotnie 45.

Główne objawy

Objawy grzybicy pochwy mogą wahać się od łagodnych do umiarkowanych, a niektóre kobiety mogą nie doświadczać żadnych objawów 67. Najczęstsze objawy grzybicy pochwy to:

  • Świąd i podrażnienie pochwy oraz tkanek w okolicy ujścia pochwy (sromu) – jest to najwcześniejszy i najbardziej powszechny objaw 68
  • Uczucie pieczenia, szczególnie podczas stosunku płciowego lub oddawania moczu 67
  • Zaczerwienienie i obrzęk sromu – zaczerwienienie może być trudniejsze do zauważenia na ciemniejszej skórze 69
  • Ból i tkliwość pochwy 610
  • Charakterystyczna wydzielina pochwowa – gęsta, biała, grudkowata, przypominająca twarożek lub gęsty jogurt, zwykle bez zapachu lub o delikatnym zapachu drożdży 61112

Objawy dodatkowe

Oprócz głównych objawów, grzybica pochwy może powodować:

  • Dyskomfort lub ból podczas stosunku płciowego (dyspareunia) 1314
  • Bolesne oddawanie moczu (dyzuria), szczególnie gdy mocz dotyka podrażnionej skóry 1516
  • Drobne pęknięcia lub nacięcia na skórze sromu spowodowane delikatną, podrażnioną skórą 79
  • Wodnistą wydzielinę pochwową – w niektórych przypadkach 917
  • Wysypkę pochwową 9

Warto zauważyć, że nie wszystkie zakażenia grzybicze powodują wydzielinę, a objawy mogą nasilać się w tygodniu poprzedzającym miesiączkę 181519.

Przebieg grzybicy pochwy

Stadia zakażenia

Grzybicę pochwy można sklasyfikować według nasilenia objawów jako łagodną, umiarkowaną lub ciężką 20:

  • Łagodna: Występują niektóre objawy z umiarkowanym dyskomfortem 20
  • Umiarkowana: Występuje większość objawów z tolerowanym dyskomfortem 20
  • Ciężka: Objawy są przedłużone lub nasilają się, a leki dostępne bez recepty nie przynoszą ulgi; występuje powikłana grzybica pochwy (rozległe zaczerwienienie, obrzęk i świąd prowadzący do łez, pęknięć lub ran w pochwie) 206

Czas trwania i progresja

Czas trwania grzybicy pochwy zależy od nasilenia zakażenia i zastosowanego leczenia 21:

  • Łagodna grzybica pochwy może ustąpić w ciągu 3-7 dni bez leczenia, choć nie zawsze 2213
  • Przy odpowiednim leczeniu, większość typowych zakażeń grzybiczych ustępuje w ciągu kilku dni do tygodnia 1323
  • Umiarkowana do ciężkiej grzybica pochwy może wymagać od 1 do 2 tygodni na wyleczenie 22
  • W niektórych przypadkach objawy mogą utrzymywać się nawet po wyleczeniu infekcji 24

Nieleczona grzybica pochwy zwykle nie ustępuje samoistnie i może się nasilać 1325. Długotrwałe swędzenie może prowadzić do drapania, co może spowodować pękanie skóry, krwawienie i ryzyko wtórnych zakażeń 26.

Oznaki zdrowienia

Podczas procesu zdrowienia można zaobserwować następujące zmiany 22:

  • Powrót wydzieliny pochwowej do normalnej konsystencji i zapachu
  • Zmniejszenie lub ustąpienie świądu
  • Ustąpienie podrażnienia, stanu zapalnego i zaczerwienienia

Jeśli objawy nie ustępują po tygodniu od rozpoczęcia leczenia, należy skonsultować się z lekarzem 2123.

Powikłana grzybica pochwy

Powikłana grzybica pochwy występuje, gdy zakażenie jest ciężkie, nawracające lub występuje u kobiet z określonymi czynnikami ryzyka 627. Możesz mieć powikłaną grzybicę pochwy, jeśli:

  • Masz ciężkie objawy, takie jak znaczne zaczerwienienie, obrzęk i świąd prowadzący do łez, pęknięć lub ran w pochwie 628
  • Masz cztery lub więcej zakażeń grzybiczych w ciągu roku (nawracająca kandydoza pochwy, RVVC) 627
  • Twoje zakażenie jest wywołane przez mniej powszechny typ grzyba, taki jak Candida glabrata lub Candida krusei 624
  • Jesteś w ciąży 629
  • Masz cukrzycę, która nie jest dobrze kontrolowana 629
  • Twój układ odpornościowy jest osłabiony z powodu określonych leków lub schorzeń, takich jak zakażenie HIV 64

Około 5-9% kobiet doświadcza nawracającej grzybicy pochwy, definiowanej jako co najmniej trzy lub cztery potwierdzone zakażenia w ciągu roku 42427.

Grzybica pochwy w ciąży

Zakażenia grzybicze występują u 20-30% kobiet w ciąży z powodu zwiększonego poziomu estrogenu, który tworzy bardziej sprzyjające środowisko dla rozwoju grzybów 30. Objawy grzybicy pochwy, takie jak świąd, podrażnienie i nieprawidłowa wydzielina pochwowa, mogą być bardziej wyraźne podczas ciąży ze względu na zmiany hormonalne i zwiększoną wilgotność pochwy 31.

Grzybica pochwy występuje najczęściej w drugim trymestrze ciąży 32. Choć zakażenia grzybicze zwykle nie wpływają bezpośrednio na rozwijający się płód, nieleczone lub nawracające zakażenia mogą zwiększać ryzyko powikłań, takich jak dyskomfort i wpływ na jakość życia, a także ryzyko kandydozy noworodkowej (pleśniawki) u noworodków, jeśli zakażenie nie jest odpowiednio leczone przed porodem 3334.

Różnicowanie objawów

Objawy grzybicy pochwy mogą być podobne do innych stanów, takich jak 147:

  • Bakteryjna waginoza (BV) – charakteryzuje się cienką, wodnistą wydzieliną o „rybim” zapachu, często szarawą lub białawą 3536
  • Rzęsistkowica (trichomoniasis) – zakażenie przenoszone drogą płciową 14
  • Zapalenie skóry (dermatitis) – podrażnienie skóry 14
  • Zakażenie dróg moczowych (UTI) – zakażenia dróg moczowych zazwyczaj powodują ból i pieczenie podczas oddawania moczu oraz nieprzyjemnie pachnący mocz, ale nie powodują zmian w wydzielinie pochwowej 25
  • Nieinfekcyjne zapalenie pochwy – może powodować świąd, pieczenie i wydzielinę pochwową 35
  • Choroby skóry jak egzema, łuszczyca oraz liszaj twardzinowy 35

Ważne jest, aby uzyskać właściwą diagnozę, ponieważ próba samoleczenia może pogorszyć objawy 37. Badanie fizykalne i testy laboratoryjne są niezbędne do określenia przyczyny objawów 24.

Jedna z istotnych różnic między grzybicą pochwy a innymi zakażeniami: wydzielina przy grzybicy zwykle nie ma zapachu lub pachnie drożdżami, podczas gdy BV powoduje charakterystyczny, nieprzyjemny, „rybi” zapach 3836.

Kiedy szukać pomocy medycznej

Należy skonsultować się z lekarzem, jeśli 172923:

  • Jest to pierwszy raz, gdy doświadczasz objawów grzybicy pochwy
  • Nie jesteś pewna, czy masz grzybicę pochwy
  • Objawy nie ustępują po zastosowaniu leków dostępnych bez recepty
  • Występują dodatkowe objawy, takie jak:
    • Gorączka
    • Dreszcze
    • Ból w dolnej części brzucha, pleców lub ramion
    • Nudności lub wymioty
    • Nieprzyjemnie pachnąca lub zielonkawa/szarawa wydzielina pochwowa
  • Masz częste nawroty zakażenia (cztery lub więcej w ciągu roku)
  • Jesteś w ciąży

Przy ciężkiej grzybicy pochwy, charakteryzującej się rozległym zaczerwienieniem, obrzękiem i świądem prowadzącym do łez, pęknięć lub ran w pochwie, należy natychmiast skonsultować się z lekarzem 39.

Prognoza i przewidywany przebieg

Większość grzybic pochwy ustępuje w ciągu kilku dni do tygodnia po rozpoczęciu leczenia, a właściwie leczone zakażenia mają wskaźnik wyleczenia wynoszący 80-90% 413.

W niektórych przypadkach, mimo wyleczenia infekcji, mogą utrzymywać się uczucie swędzenia i podrażnienia 24. Powikłania związane z grzybicą pochwy są rzadkie, ale w ciężkich przypadkach mogą wystąpić rozległe zaczerwienienie sromu, obrzęk, otarcia i tworzenie się szczelin 40.

Nawroty grzybicy pochwy są stosunkowo częste i szacuje się, że występują u 14-28% kobiet, które są poza tym zdrowe 40. Najczęściej nawracająca choroba wynika z przetrwałych organizmów pochwowych lub endogennego ponownego zakażenia tym samym szczepem Candida 40.

W bardzo rzadkich przypadkach, grzybica może prowadzić do ogólnoustrojowej choroby kandydozowej, która jest śmiertelna w 75% przypadków 41. Występuje to, gdy zakażenie rozprzestrzenia się po całym ciele przez krwioobieg. Kobiety z osłabionym układem odpornościowym są najbardziej podatne na tego typu powikłania 41.

Podsumowanie objawów i przebiegu grzybicy pochwy

Grzybica pochwy to powszechne zakażenie grzybicze, które może powodować szereg nieprzyjemnych objawów, od swędzenia i pieczenia po charakterystyczną białą, grudkowatą wydzielinę 67. Objawy mogą wahać się od łagodnych do ciężkich i mogą obejmować dyskomfort podczas oddawania moczu i stosunków płciowych 20.

Większość zakażeń grzybiczych reaguje dobrze na leczenie i ustępuje w ciągu kilku dni do tygodnia 1323. Jednak w niektórych przypadkach zakażenia mogą być trudne do leczenia lub nawracać 42. Osoby z nawracającymi zakażeniami, ciężkimi objawami lub czynnikami ryzyka, takimi jak cukrzyca lub osłabiony układ odpornościowy, powinny być ocenione pod kątem powikłanej grzybicy pochwy 6.

Ważne jest, aby uzyskać właściwą diagnozę, ponieważ objawy grzybicy pochwy mogą być podobne do innych stanów 14. Wczesna i odpowiednia terapia przeciwgrzybicza może przynieść ulgę w objawach i zapobiec powikłaniom 11.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Vaginal Yeast Infection: Symptoms, Causes & How to Treat
    https://www.emedicinehealth.com/vaginal_yeast_infections/article_em.htm
    A vaginal yeast infection, also known as vaginal candidiasis, genital candidiasis, or vulvovaginal candidiasis (VVC), is an infection involving a type of fungus, or yeast. The fungus most commonly associated with vaginal yeast infection is called Candida albicans, which account for up to 92% of all cases, with the remainder due to other species of Candida. […] When Candida albicans in the vagina multiply to the point of infection, this infection can cause vaginal inflammation, irritation, odor, discharge, and itching. […] The following are symptoms associated with vaginal yeast infections: irritated vagina and vaginal area, vaginal discharge (typically white-gray and thick, with a consistency resembling cottage cheese), intense itching of the genitals, painful or burning urination, or painful intercourse.
  • #2 Vaginal Candidiasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459317/
    Vulvovaginitis, or inflammation of the vulva and vagina, most commonly occurs in reproductive-aged women and is caused by several underlying etiologies. Candidiasis is a fungal infection caused by Candida albicans, a polymorphic opportunistic fungus; vulvovaginitis secondary to candidiasis is also known as vaginal candidiasis. Candidal vulvovaginitis is responsible for about one-third of vulvovaginitis occurrences. Typical clinical features include vulvar and vaginal erythema, excoriations, thick white adherent discharge, and swelling. […] Characteristic clinical symptoms of vaginal candidiasis include vaginal and vulvar irritation, itching, and burning. Symptoms are often prominent just before the patient’s menstrual period. Many patients have a history of similar symptoms and report attempting over-the-counter treatment with topical agents or alternative therapies.
  • #3 Vaginal yeast infection – Wikipedia
    https://en.wikipedia.org/wiki/Vaginal_yeast_infection
    Vaginal yeast infection, also known as candidal vulvovaginitis and vaginal thrush, is excessive growth of yeast in the vagina that results in irritation. The most common symptom is vaginal itching, which may be severe. Other symptoms include burning with urination, a thick, white vaginal discharge that typically does not smell bad, pain during sex, and redness around the vagina. Symptoms often worsen just before a period. […] Vaginal yeast infections are due to excessive growth of Candida. These yeast are normally present in the vagina in small numbers. Vaginal yeast infections are typically caused by the yeast species Candida albicans. […] The symptoms of vaginal thrush include vulval itching, vulval soreness and irritation, pain or discomfort during sexual intercourse (superficial dyspareunia), pain or discomfort during urination (dysuria) and vaginal discharge, which is usually odourless. Although the vaginal discharge associated with yeast infection is often described as thick and lumpy, like paper paste or cottage cheese, it can also be thin and watery, or thick and of uniform texture.
  • #4 Vulvovaginal Candidiasis – STI Treatment Guidelines
    https://www.cdc.gov/std/treatment-guidelines/candidiasis.htm
    VVC usually is caused by Candida albicans but can occasionally be caused by other Candida species or yeasts. Typical symptoms of VVC include pruritus, vaginal soreness, dyspareunia, external dysuria, and abnormal vaginal discharge. None of these symptoms is specific for VVC. An estimated 75% of women will have at least one episode of VVC, and 40%45% will have two or more episodes. Approximately 10%20% of women will have complicated VVC, requiring special diagnostic and therapeutic considerations. A diagnosis of Candida vaginitis is clinically indicated by the presence of external dysuria and vulvar pruritus, pain, swelling, and redness. Signs include vulvar edema, fissures, excoriations, and thick curdy vaginal discharge. Most healthy women with uncomplicated VVC have no identifiable precipitating factors. The diagnosis can be made in a woman who has signs and symptoms of vaginitis when either a wet preparation (saline, 10% KOH) of vaginal discharge demonstrates budding yeasts, hyphae, or pseudohyphae, or a culture or other test yields a positive result for a yeast species. Candida vaginitis is associated with normal vaginal pH (4.5). Short-course topical formulations (i.e., single dose and regimens of 13 days) effectively treat uncomplicated VVC. Treatment with azoles results in relief of symptoms and negative cultures in 80%90% of patients who complete therapy. Recurrent VVC, usually defined as three or more episodes of symptomatic VVC in 1 year, affects 5% of women but carries a substantial economic burden. Recurrent VVC can be either idiopathic or secondary (related to frequent antibiotic use, diabetes, or other underlying host factors). The pathogenesis of recurrent VVC is poorly understood, and the majority of women with recurrent VVC have no apparent predisposing or underlying conditions. Severe VVC (i.e., extensive vulvar erythema, edema, excoriation, and fissure formation) is associated with lower clinical response rates among patients treated with short courses of topical or oral therapy. Vaginal culture or PCR should be obtained from women with complicated VVC to confirm clinical diagnosis and identify nonalbicans Candida. Vaginal Candida colonization rates among women with HIV infection are higher than among women without HIV with similar demographic and risk behavior characteristics, and the colonization rates correlate with increasing severity of immunosuppression. Symptomatic VVC is also more frequent among women with HIV infection and similarly correlates with severity of immunodeficiency.
  • #5 Preventing Vaginal Yeast Infections With Lifestyle and Diet Changes
    https://intermountainhealthcare.org/blogs/preventing-vaginal-yeast-infections-with-lifestyle-and-diet-changes
    About 75% of women will experience a vaginal yeast infection sometime in their life, and up to 45% of those women will have repeat yeast infections. […] A vaginal yeast infection can be a miserable experience. Symptoms typically include: Redness, swelling, and itching in and around your vaginal opening, Vaginal pain, Watery or thick discharge that looks like cottage cheese, Burning sensation while urinating or during intercourse. […] Even with all of your preventive efforts, you can still get a yeast infection. So when should you see a doctor? You should consider making an appointment if: Youre experiencing a yeast infection for the first time, Your symptoms dont go away after using over-the-counter antifungal vaginal creams or suppositories, Youre not sure if you have a yeast infection, You develop unrelated symptoms, You have recurrent yeast infections regardless of any preventive efforts.
  • #6 Yeast infection (vaginal) | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/yeast-infection-vaginal
    A vaginal yeast infection is a fungal infection. It causes irritation, discharge and itching of the vagina and the vulva. Vaginal yeast infection also is called vaginal candidiasis. […] Yeast infection symptoms range from mild to moderate. They may include: Itching and irritation in the vagina and tissues at the vaginal opening, called the vulva. A burning feeling, mainly during intercourse or while urinating. Redness and swelling of the vulva. Redness may be harder to see on Black or brown skin than on white skin. Vaginal pain and soreness. Thick, white vaginal shedding of fluid and cells, called discharge, with little or no odor. The discharge looks like cottage cheese. […] You might have a complicated yeast infection if: You have severe symptoms, such as a lot of redness, swelling and itching that leads to tears, cracks or sores in the vagina. You have four or more yeast infections in a year. Your infection is caused by a less common type of fungus. You’re pregnant. You have diabetes that isn’t well-managed. Your immune system is weakened because of certain medicines or conditions such as HIV infection.
  • #7 Vaginal Yeast Infection: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/5019-vaginal-yeast-infection
    A vaginal yeast infection causes the skin around your vagina to burn and itch, and it may change the consistency of your vaginal discharge. […] A yeast infection causes burning, itching, redness in your vulva (the outside parts of your vagina) and changes to your vaginal discharge. […] The way your vulva looks and feels and the type of discharge that comes from your vagina may change if you have a yeast infection. The area of skin just outside your vaginal opening may itch and burn. The itching and burning can feel worse when you pee or have sex. Your vaginal discharge may become thicker and lumpier, but it shouldn’t smell different. Not everyone experiences symptoms or has the same symptoms. […] There are several tell-tale signs of a vaginal yeast infection. These symptoms can include: An itchy or burning sensation in your vagina and vulva. A thick, white vaginal discharge with the consistency of cottage cheese. Redness and swelling of your vagina and vulva. Small cuts or tiny cracks in the skin of your vulva because of fragile skin in the area. A burning feeling when you pee.
  • #8 6 Warning Signs of a Vaginal Yeast Infection | BASS Medical Group
    https://www.bassmedicalgroup.com/blog-post/6-warning-signs-for-yeast-infections
    Vaginal yeast infections are common and treatable. Caused by an overgrowth of Candida, a naturally occurring yeast, these infections can cause irritation, discharge, and discomfort. […] Persistent itching or burning around the vaginal area is one of the earliest and most common signs. […] Often described as cottage cheese-like, the discharge is usually odorless but unusually thick and white. […] Inflammation may cause the vulva to become red, swollen, and tender to the touch. […] Irritated skin may develop tiny cuts or cracks around the vaginal opening. […] Pain or stinging during urination is common when the surrounding skin is inflamed. […] Yeast infections can lead to vaginal sensitivity, making sex uncomfortable or painful. […] These symptoms can also occur with STIs or other infections. That’s why it’s important to consult a medical provider for an accurate diagnosis.
  • #9 Vaginal Yeast Infection: Symptoms, Causes, and Treatment
    https://www.webmd.com/women/understanding-vaginal-yeast-infection-basics
    Itchiness and discomfort are the main symptoms of a yeast infection, but there are others: […] Burning, redness, and swelling of the vagina and the vulva (the outer part of the female genitals) […] Pain or burning when you pee […] Pain during sex […] A thick, white, odorless discharge, similar to cottage cheese […] Watery discharge […] Vaginal rash […] Small cuts or tiny cracks in the skin of your vulva. […] Vaginal yeast infections are common, with symptoms including itchiness, redness, swelling, pain during urination or sex, and a thick, white discharge.
  • #10 Signs of Yeast Infection: Clearing Up Misconceptions about Yeast Infections
    https://www.monistat.com/vaginal-health-blog-articles/unveiling-truth-clearing-misconceptions-about-yeast-infections
    Most people who have a yeast infection have one or more of the following symptoms: […] Itching in and around the vagina […] Discharge that may be thick, white, and lumpy like cottage cheese […] Redness, swelling, or rash around the vagina […] Burning, soreness, or pain […] Pain when urinating or having sex. […] Yeast infections can be relatively easy to treat and can go away within a few days to a week. […] Once you start treatment, you should feel some relief of symptoms within the first few days.
  • #11 Overview: Vaginal yeast infection (thrush) – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK543220/
    Vaginal yeast infections (thrush) can cause itching, burning and abnormal vaginal discharge. The typical symptoms of a vaginal yeast infection are itching, an unpleasant burning feeling and pain. The membranes lining the vagina become red and have a whitish coating. Vaginal yeast infections often lead to a whitish-yellowish vaginal discharge. It can be watery or chunky, a bit like curdled milk or cottage cheese. […] The symptoms usually clear up after a short course of treatment with antifungal vaginal suppositories or creams.
  • #12 Is It a Vaginal Yeast Infection or Something Else? | Monistat
    https://www.monistat.com/vaginal-health-blog-articles/it-vaginal-yeast-infection-or-something-else
    Not all women will experience noticeable symptoms of a yeast infection. If the infection is mild, the symptoms may be subtle. Knowing whats normal for you will help you identify changes in your vaginal health. If you are experiencing any of these symptoms for the first time, consult your healthcare professional for a diagnosis. Most women have one or more of these yeast infection symptoms: Burning, redness, and swelling of the vagina and vulva […] Pain when urinating or having sex […] Vulvar inflammation (redness, swelling, rash) […] Vaginal pain, soreness, or burning […] Vaginal discharge that may be thick, white, and lumpy like cottage cheese. If you experience any of the following symptoms, ask a healthcare professional before using MONISTAT, as they could be signs of another type of infection: Fever […] Chills […] Rash or hives […] Lower abdominal, back or shoulder pain […] Nausea or vomiting […] Foul-smelling or greenish/grayish vaginal discharge […] Missed periods […] Frequent urination, an urgent need to urinate or difficulty passing urine.
  • #13 Vaginal Yeast Infection: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/5019-vaginal-yeast-infection
    In some cases, another symptom of a vaginal yeast infection can be pain during sex. […] Symptoms of a yeast infection are similar to the symptoms people feel when they have a sexually transmitted infection (STI) or other vaginal infection. […] Most yeast infections clear up with medication after a few days, but it may take a full week. More severe cases may last longer and take longer to treat. […] No, a yeast infection can’t go away on its own. Only a medication that destroys fungus (yeast) will treat a vaginal yeast infection.
  • #14 Patient education: Vaginal yeast infection (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/vaginal-yeast-infection-beyond-the-basics/print
    Vaginal yeast infections (also called yeast vaginitis or vaginal candidiasis) are a common problem in women. The most common symptoms are itching and irritation of the vulva and around the opening of the vagina. Vaginal yeast infections usually occur as infrequent episodes, but can recur frequently and may cause chronic persistent symptoms. […] The most common symptoms of a yeast infection include: […] Itching or irritation of the vulva and around the vaginal opening (figure 1). […] Pain with urination. […] Vulvar soreness or irritation. […] Pain with intercourse. […] Reddened and swollen vulvar and vaginal tissues. […] Some women have no abnormal vaginal discharge. Others have white clumpy (curd-like) or watery vaginal discharge. […] Symptoms of a yeast infection are similar to a number of other conditions, including bacterial vaginosis (a bacterial infection of the vagina), trichomoniasis (a sexually transmitted infection), and dermatitis (irritated skin).
  • #15 Vaginal Yeast Infections | HealthLink BC
    https://www.healthlinkbc.ca/healthwise/vaginal-yeast-infections
    A yeast infection can cause itching or irritation in the vagina or vulva. […] It sometimes causes pain or burning when you urinate or have sex. […] And it may also cause a thick, clumpy, white discharge that has no odour and looks a little like cottage cheese. […] The symptoms of vaginal yeast infection include: […] Itching in the vagina or vulva. […] Thick, clumpy, white vaginal discharge. It has no odour. It looks a little like cottage cheese. […] A red, irritated vulva. […] Pain while urinating. This occurs when urine touches irritated skin. […] Pain in the vagina during sexual intercourse. […] Symptoms are more likely to occur during the week before your menstrual period. […] Vaginal yeast infections may clear up on their own without treatment. This may happen when menstruation begins.
  • #16 Vaginal yeast infection: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001511.htm
    Vaginal yeast infection is an infection of the vagina. It is most often due to the fungus Candida albicans. […] Symptoms include: Abnormal vaginal discharge. Discharge can range from slightly watery, white discharge to thick, white, and chunky (like cottage cheese). Itching and burning of the vagina and labia. Pain with intercourse. Painful urination. Redness and swelling of the skin just outside of the vagina (vulva). […] Most of the time, symptoms go away completely with proper treatment. […] A woman may have diabetes or weak immune system (such as in HIV) if: The infection recurs right after treatment. The yeast infection does not respond well to treatment.
  • #17 Beginning Signs of a Yeast Infection – The Woman’s Clinic in Little Rock, Arkansas
    https://www.arobgyn.com/beginning-signs-of-a-yeast-infection/
    A vaginal yeast infection is a common condition that affects many women at some point in their lives. It is caused by an overgrowth of the fungus candida albicans, which leads to irritation, discharge, and intense itchiness in the vagina and vulva. […] The symptoms of a yeast infection can vary from mild to moderate and may include: Itching and irritation in the vagina and vulva, Burning sensation during intercourse or while urinating, Redness and swelling of the vulva, Vaginal pain and soreness, Vaginal rash, Thick, white, odor-free vaginal discharge with a cottage cheese appearance, Watery vaginal discharge. […] You may have a complicated yeast infection if: You experience severe signs and symptoms such as extensive redness, swelling, itching that leads to tears, cracks, or sores. […] Its important to make an appointment with your doctor if: This is the first time youve had yeast infection symptoms, Youre not sure whether you have a yeast infection, Your symptoms arent relieved after treating with over-the-counter antifungal vaginal creams or suppositories, You develop other symptoms.
  • #18 How Long Does a Yeast Infection Last? | UPMC HealthBeat
    https://share.upmc.com/2021/12/vaginal-yeast-infection-treatment/
    An itchy feeling in the vagina and vulva. […] Redness and swelling of the vulva. […] Small tears or tiny cracks in the skin of the vulva. […] White vaginal discharge, sometimes with the consistency of cottage cheese. It’s important to note that not all vaginal yeast infections cause discharge. […] Burning with urination. […] Pain during sexual intercourse. […] How long a vaginal yeast infection lasts depends on how severe the infection is and what treatment you receive. If you get treatment for the right type of infection with the right medication, most common yeast infections will clear up within a week or so. […] While some mild yeast infections may go away on their own, most infections need medication to clear them up.
  • #19 Vaginal Yeast Infection (Candidiasis) – Women’s Health Issues – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/women-s-health-issues/vaginitis-cervicitis-and-pelvic-inflammatory-disease/vaginal-yeast-infection-candidiasis
    A vaginal yeast infection may cause intense itching of the vagina and vulva, and women often have a thick, white, curd-like discharge. […] The vagina and vulva may itch or burn, which may be particularly severe during sexual intercourse. The genital area may become red and swollen. Women may have a white discharge, often thick and curd-like. […] Vaginal yeast infection symptoms may worsen the week before a menstrual period begins.
  • #20 How Long Does a Yeast Infection Last? | UPMC HealthBeat
    https://share.upmc.com/2021/12/vaginal-yeast-infection-treatment/
    Vaginal yeast infections are common in women. They are so common, in fact, that 3 out of 4 women will have a yeast infection at some point in their lifetimes. Nearly half will have more than one. […] Vaginal yeast infections, which are a type of vaginitis, may cause itching and irritation of the vagina and vulva. […] The stages of yeast infections may be classified as mild, moderate, or severe: […] Mild: You are experiencing some symptoms with some discomfort. […] Moderate: You are experiencing some to most symptoms with tolerable discomfort. […] Severe: Symptoms are prolonged or getting worse and over-the-counter medicine doesn’t relieve them; you have a complicated yeast infection (extensive redness, swelling, and itching that leads to tears, cracks, or sores). […] What Are the Symptoms of Yeast Infections? There are several symptoms of a common vaginal yeast infection. They include:
  • #21 How long does a yeast infection last?
    https://www.medicalnewstoday.com/articles/321342
    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. […] 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. […] The symptoms of a yeast infection typically ease within a week with treatment. If they do not, a doctor can recommend further treatment. […] Vaginal yeast infections are a common condition that typically causes symptoms, including itching, burning, and thick or clumpy discharge. […] In most cases, symptoms should ease within a week of starting treatment. However, doctors may recommend further treatment for persistent or recurrent infections.
  • #22 Yeast Infections: How Do You Know When It Is Healing? Causes
    https://www.medicinenet.com/yeast_infections_how_do_you_know_when_it_heals/article.htm
    Yeast infections are the most frequent, causing itching, redness, discharge, and pain. […] A yeast infection typically needs three to seven days to recover without medication. […] A moderate to a severe yeast infection can take one to two weeks to heal. […] The first thing you will notice is that your vaginal discharge has reverted to its usual consistency and odor. […] Yeast infections are characterized by recurrent and continued itching. […] You will notice that the itching has subsided, eliminating much of the discomfort. […] Finally, all irritation, inflammation, or redness will go away. […] Vaginal yeast infections are caused by a yeast called candida. […] It irritates the vagina and vulva (the tissues at the vaginal opening) and causes discharge and severe itching. […] Symptoms of a vaginal yeast infection include vaginal pain with urination, vaginal discharge, odor, and itching.
  • #23 Vaginal Yeast Infections (for Teens) | Nemours KidsHealth
    https://kidshealth.org/en/teens/yeast-infections.html
    Vaginal yeast infections can cause: […] itching and irritation in the vagina […] redness, swelling, or itching of the vulva (the folds of skin outside the vagina) […] a thick, white discharge that can look like cottage cheese and is usually odorless, although it might smell like bread or yeast […] pain or burning when urinating (peeing) or during sex. […] If you have any of these symptoms, see your doctor or gynecologist. […] Yeast infections can happen to any girl. Many girls find that they tend to show up right before they get their periods because of the hormonal changes that come with the menstrual cycle. […] If you do have a yeast infection, your health care provider probably will prescribe a pill to swallow or a cream, tablet, or suppository to put in the vagina. […] All these types of medicine can clear up your symptoms in a couple of days and cure the infection within a week. […] If you’re not feeling better within a few days of finishing treatment, call your doctor.
  • #24 Patient education: Vaginal yeast infection (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/vaginal-yeast-infection-beyond-the-basics
    Most yeast infections go away within a few days of starting treatment. However, you may continue to feel itchy and irritated, even after the infection is gone. If you do not get better within a few days after finishing treatment, call your doctor or nurse for advice. […] Between 5 and 9 percent of women have recurrent yeast infections, defined as three or more confirmed infections per year. […] Most vaginal yeast infections are caused by a fungus called Candida albicans. Persistent or recurrent infections may be due to infection with one of the less common species of Candida, such as Candida glabrata or Candida krusei. […] Symptoms of a yeast infection are similar to a number of other conditions. A physical examination and laboratory testing are needed to determine the cause of symptoms.
  • #25 11 Home Remedies for Vaginal Yeast Infection
    https://www.healthline.com/health/womens-health/yeast-infection-home-remedy
    pain during sex […] tenderness or swelling around the vagina […] rash. […] If your infection goes away with a home remedy but then returns, it’s best to contact a doctor for advice. You may need a prescription-strength treatment to get rid of the infection for good. […] It may go away, but it is likely to return. Your symptoms may also get worse without treatment. […] Yeast infections and UTIs occur in the same area, but they have very different symptoms. […] With a vaginal yeast infection, you may have unusual, generally odorless vaginal discharge that has a thick and milky appearance. You may also have pain or itchiness in your genital area. […] With a UTI, you may notice pain and burning when urinating and foul-smelling urine. […] BV and vaginal yeast infections have similar symptoms but different causes and treatments.
  • #26 How Long Does a Yeast Infection Last?
    https://www.verywellhealth.com/how-long-does-a-yeast-infection-last-5116305
    If you do not treat your yeast infection in a timely manner, your symptoms will likely worsen. A person may scratch at their irritated skin, which can cause the area to crack, bleed, and become infected. […] A genital yeast infection can impact the surrounding skin on your legs, anus, and buttocks. […] When you’re coping with a yeast infection, you likely want relief as soon as possible. […] If your symptoms do not resolve after a week of using the over-the-counter treatment, consult your doctor. […] Yeast infections can impact many different people for a variety of reasons, so you shouldn’t be embarrassed.
  • #27 Vaginal yeast infection – Wikipedia
    https://en.wikipedia.org/wiki/Vaginal_yeast_infection
    As well as the above symptoms of thrush, vulvovaginal inflammation can also be present. The signs of vulvovaginal inflammation include erythema (redness) of the vagina and vulva, vaginal fissuring (cracked skin), edema (swelling from a build-up of fluid), also in severe cases, satellite lesions (sores in the surrounding area). […] Uncomplicated thrush is when there are less than four episodes in a year, the symptoms are mild or moderate, it is likely caused by Candida albicans, and there are no significant host factors such as poor immune function. Complicated thrush is four or more episodes of thrush in a year or when severe symptoms of vulvovaginal inflammation are experienced. […] About 5-8% of the reproductive age female population will have four or more episodes of symptomatic Candida infection per year; this condition is called recurrent vulvovaginal candidiasis (RVVC).
  • #28 Yeast Infection: Signs & Symptoms
    https://www.webmd.com/women/common-symptoms-of-a-yeast-infection
    Sometimes the symptoms of a yeast infection can be more serious and require extra care. Or you may get repeated infections. You might need a longer course of treatment or a prevention plan with your doctor to keep the infection from coming back. Severe yeast infections are also called complicated yeast infections. […] Signs of a complicated infection include: Symptoms (such as redness, swelling, and itching) so severe that it causes tears or sores, A recurrence of yeast infection four or more times in a year. […] If you have itching around your vagina or penis and a thick, white, chunky, or watery discharge, there’s a chance you have a yeast infection. Call your doctor if you’re not sure. Over-the-counter treatments often provide relief in a few days.
  • #29 Yeast Infections | American Pregnancy Association
    https://americanpregnancy.org/womens-health/yeast-infections/
    Swelling, soreness, or rash on the outer lips of the vagina […] Vaginal rash. […] You might have a complicated yeast infection if: […] You have severe signs and symptoms, such as extensive redness, swelling and itching that leads to tears, cracks or sores […] You have four or more yeast infections in a year […] Your infection is caused by a less typical type of fungus […] You’re pregnant […] You have uncontrolled diabetes […] Your immune system is weakened because of certain medications or conditions such as HIV infection. […] If you are experiencing the symptoms described in this article, you should call your doctor now. Yeast infections symptoms can be similar to other infections and STDs. Proper diagnosis every time you think you may have a yeast infection is vital for the most effective, immediate treatment, or your condition may worsen. […] If you see no improvement within three days, or the symptoms worsen or come back after treatment, you should contact your health care provider again.
  • #30 Answers to 6 burning questions about yeast infection during pregnancy | Your Pregnancy Matters | UT Southwestern Medical Center
    https://utswmed.org/medblog/yeast-infection-pregnant/
    Yeast infections occur in up to 30% of pregnant women because an increase in estrogen creates a more favorable climate for them. […] Vaginal candidiasis, also known as a yeast infection, can be a real pain. The itching, burning, and discharge can be especially worrisome during pregnancy. […] Common symptoms can include redness, itching, or irritation on the external genital area (vulva), an increase in white or tan vaginal discharge, and a burning sensation during urination or intercourse. […] Studies have found that 20%-30% of women develop a yeast infection during pregnancy. An increase in the hormone estrogen creates a more hospitable climate for yeast to colonize the vagina because it binds to the protein factor H on the surface of the cells that cause vulvovaginal candidiasis. […] No. A yeast infection won’t affect your developing baby that’s why we don’t treat yeast infections that don’t have symptoms. However, most symptomatic yeast infections get worse when left untreated. This means more itching, redness, and inflammation. If the skin becomes cracked or torn from repeated scratching, a skin infection can result. In rare cases, an untreated yeast infection can lead to fatigue, oral thrush, or digestive problems.
  • #31 Vaginal Yeast Infection: Symptoms, Causes, and Treatments | Thomson Medical
    https://www.thomsonmedical.com/blog/womens-health/vaginal-yeast-infection
    Common symptoms can range from mild to moderate and may include: […] Itching or irritation in the vaginal area […] Inflammation of the vulva […] Thick, white, cottage cheese-like vaginal discharge […] Burning sensation during urination or intercourse […] Soreness or general discomfort in the vaginal area. […] Persistent or frequently occurring symptoms can affect quality of life. […] A more severe form of yeast infection with extensive inflammation and symptoms. […] Symptoms of vaginal yeast infections like itching, irritation and abnormal vaginal discharge may be more pronounced during pregnancy due to hormonal changes and increased vaginal moisture. […] Vaginal yeast infections generally do not directly harm the developing foetus. The infection is confined to the vaginal area and does not typically affect the baby in the womb.
  • #32 Answers to 6 burning questions about yeast infection during pregnancy | Your Pregnancy Matters | UT Southwestern Medical Center
    https://utswmed.org/medblog/yeast-infection-pregnant/
    Yeast infections can occur any time, but they are most common during the second trimester. […] Topical creams or vaginal suppositories are the recommended yeast infection treatment options during pregnancy or while breastfeeding. Over-the-counter medications such as Miconazole, Clotrimazole, and Terconazole have been shown to eliminate a yeast infection safely and effectively. […] If you’re pregnant and notice signs of a yeast infection, discuss treatment options with your doctor so you can eliminate these disruptive symptoms.
  • #33 Vaginal Yeast Infection: Symptoms, Causes, and Treatments | Thomson Medical
    https://www.thomsonmedical.com/blog/womens-health/vaginal-yeast-infection
    While vaginal yeast infections are usually harmless, untreated or recurrent infections may increase the risk of complications, such as: […] Increased discomfort and impact on quality of life. […] Risk of neonatal candidiasis (thrush) in newborns if the infection is not adequately managed before delivery.
  • #34 Vaginal yeast infection: symptoms, treatment, prevention
    https://gesund.bund.de/en/vaginal-yeast-infection
    Symptoms can intensify a few days before menstruation. […] If the infection spreads to the external genital organs, the labia, for example, are also red and swollen. […] The disease is often accompanied by a white-yellowish discharge from the vagina. […] The discharge may be watery or crumbly and resemble curdled milk. […] During the infection, sexual intercourse may be painful. […] If the urethra also becomes inflamed, affected women also experience pain when urinating. […] If the vaginal mucosa is inflamed or the itchy skin around the labia is scratched, other pathogens can settle more easily and aggravate the symptoms. […] Serious complications are very rare. […] In pregnant women, vaginal infections can slightly increase the risk of complications, such as premature labor, miscarriage, and premature birth. […] In addition, the baby can become infected during birth. […] In newborns, fungi can cause inflammation of the oral mucosa or diaper rash, among other symptoms.
  • #35 Conditions You Might Mistake for Yeast Infection Symptoms| Banner
    https://www.bannerhealth.com/healthcareblog/better-me/is-it-a-yeast-infection-or-something-else
    A vaginal yeast infection is a common fungal infection that causes burning, itching, a thick, white, cottage cheese like discharge and discomfort in the genital area, said Jennifer Nelson, DO, an internal medicine-pediatric specialist at Banner University Medicine Internal Medicine Clinic in Phoenix, AZ. […] Symptoms of bacterial vaginosis include thin, fishy smelling, off-white vaginal discharge. […] This kind of vaginal irritation is known as noninfectious vaginitis. It can cause itching and burning and vaginal discharge. […] Skin conditions like eczema and psoriasis as well as lichen sclerosus, an inflammatory condition that is more common in postmenopausal people, can mimic symptoms of a yeast infection. The symptoms of lichen sclerosus are primarily severe itching. […] Whenever you have any burning, itching, discharge or other vaginal concerns see your health care provider.
  • #36 11 Home Remedies for Vaginal Yeast Infection
    https://www.healthline.com/health/womens-health/yeast-infection-home-remedy
    One of the differences between BV and a yeast infection is that BV produces a foul-smelling, fishy odor, while a yeast infection produces a yeast or dough-like-to-no vaginal odor. […] To determine whether a vaginal infection is BV or a yeast infection, a doctor may […] perform an examination to look for signs of infection and vaginal discharge […] take a sample of the discharge for analysis to check for an overgrowth of harmful bacteria or fungi.
  • #37 Yeast Infections | American Pregnancy Association
    https://americanpregnancy.org/womens-health/yeast-infections/
    A yeast infection occurs when the normal levels of acid and yeast in the vagina are out of balance and cause a very uncomfortable, but not serious, a condition. Also called vaginal candidiasis, vaginal yeast infection affects up to 3 out of 4 women at some point in their lifetimes. Many women experience at least two episodes. […] If you are experiencing symptoms, you should see your physician for accurate diagnosis and treatment, because trying to treat yourself may make symptoms worse. […] Yeast infection symptoms can range from mild to moderate, and include: […] Itching, burning, soreness in the vagina and vulva […] Thick, white, vaginal discharge that looks like cottage cheese and may smell like yeast/bread, though usually odorless […] Watery vaginal discharge […] Burning during urination and intercourse
  • #38 How to treat a vaginal yeast infection | News & articles | UnitedHealthcare
    https://www.uhc.com/news-articles/healthy-living/how-to-treat-a-vaginal-yeast-infection
    Truthfully, a vaginal yeast infection can be unpleasant. It causes itching and burning, which can make the vagina feel pretty sore. Going to the bathroom or having intercourse can become painful too. […] When that happens, you might notice a white discharge either watery or clumpy like cottage cheese. That may be in addition to other symptoms such as redness, painful urination, and itching or burning. […] For example, yeast infections dont generally have a strong smell. But other infections with similar symptoms, such as bacterial vaginosis, may have a foul or fishy odor. […] Using estrogen-based birth control could make you more prone to these types of infections. […] Topical antifungal yeast medications are available without a prescription. These are for women who have had a mild case of yeast infection before.
  • #39 Vaginal Yeast Infection Symptoms, Causes, Treatment, and More
    https://www.healthline.com/health/vaginal-yeast-infection
    Vaginal yeast infections typically cause: vaginal itching, swelling around the vaginal opening, burning during urination, pain during penetrative vaginal sex (dyspareunia), soreness, redness. […] Whitish-yellow and clumpy vaginal discharge is another symptom. Some people describe the discharge as looking like cottage cheese. Sometimes, the discharge may also be watery. […] Treating a vaginal yeast infection can relieve symptoms within a few days. In more severe cases, it may take longer. […] If you recognize that you have a yeast infection, you can also treat it at home with OTC products. […] Your healthcare professional will likely treat your yeast infection as if it were a severe or complicated case if you have severe redness, swelling, and itching that leads to sores or tears in your vaginal tissue.
  • #40 Vaginal Candidiasis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459317/
    The inflammatory response results in copious thick discharge and vaginal irritation, excoriations, dysuria, itching, burning, dyspareunia, or swelling. […] Most infections are secondary to Candida albicans; therefore, consistent microscopy findings in the clinical setting of a reproductive-age woman with vulvovaginitis, confirmatory cultures for Candida are unnecessary. […] Despite appropriate treatment, recurrence is relatively common and is estimated to range from 14% to 28% in otherwise healthy individuals. Most often, recurrent disease arises from persistent vaginal organisms or endogenous reinfection with an identical strain of Candida. Less commonly, the disease may result from a new strain of Candida. Recurrent disease may be triggered by antibiotic use, sexual activity, or dietary factors. […] Complications secondary to vaginal candidiasis are rare but, in severe cases, may cause extensive vulvar erythema, edema, excoriation, and vaginal or vulvar fissures.
  • #41 Vaginal Yeast Infection: Symptoms, Causes & How to Treat
    https://www.emedicinehealth.com/vaginal_yeast_infections/article_em.htm
    Vaginal yeast infections may cause unpleasant itching, but they should not cause pain. Women experiencing pain should contact their doctor. […] Recurring yeast infections may be a sign of a serious disease such as diabetes, leukemia, or AIDS. […] In very rare cases, a yeast infection can lead to systemic Candidal disease, which is fatal in 75% of people who develop this major complication. This occurs when the infection spreads throughout the body via the bloodstream. Women with weakened immune systems are most susceptible to this type of complication.
  • #42 Vaginal Yeast Infections | HealthLink BC
    https://www.healthlinkbc.ca/healthwise/vaginal-yeast-infections
    If your symptoms don’t go away on their own, treatment can help. But in some cases yeast infections may be difficult to treat. Or they may come back after treatment. If you have a recurring yeast infection, you may be evaluated for other causes (such as diabetes, hormone therapy, or treatment-resistant strains of yeast) so that the cause can be treated.