Treatment for chronic yeast infections differs from the standard treatment. Okay, you're a lady who knows exactly what she's got. You've had it before and you've tried most of the orthodox yeast infection treatments.
It's time to explore the options on treatment for chronic yeast infections. There is a difference. Most experts suggest a different strategy if you get recurrent yeast infection.
The Centers for Disease Control and Prevention, which is THE accepted body on treatments in the USA, advices NOT to use single dose or 1-3 day treatment for chronic yeast infections.
Their suggestion is 7-14 days of topical antifungal vaginal creams (yes, I know that means 7-14 days of dripping and leaking, but the shorter times just don't work on the chronic cases)
100 mg, 150 mg, or 200 mg Diflucan tablet taken by mouth every third day for a total of 3 doses (That's a tablet on day 1, no tablet on day 2 and 3, tablet on day 4, no tablet on day 5 and 6, tablet on day 7.)
If you suffer from frequent yeast infection it is vital to follow your treatment with a maintenance treatment.
One tablet of Diflucan (100mg, 150mg or 200mg dose) each week for 6 months is the CDC's pick of maintenance treatment for chronic yeast infections.
If you can't do that, try clotrimazole 200 mg vaginal cream twice a week, OR a clotrimazole 500 mg dose vaginal suppository (pessary) once weekly, OR any antifungal vaginal cream or suppository used now and then (eg once a week.) It is important with this maintenance therapy to not do the treatment all the time.
How about trying boric acid capsules. These have a good reputation as treatment for chronic yeast infections. They wouldn't be my first port of call, but if you've tried the standard methods to no avail, then give it a go.
Boric acid does work against C glabrata.2
I don't know about C kruesi (The only source I could find listed C kruesi as a species "against which boric acid may posses activity" and concluded that "data supporting its use is limited."
Do not use boric acid if pregnant or vaginal skin is broken. Do not take by mouth.
Of the women who get four or more bouts of yeast per year, it has been found that between 10-20% of them do not have Candida albicans.
So, find out exactly which species of candida you're dealing with. Fluconazole, which is the generic name for the active ingredient in Diflucan and most of the standard yeast treatments, does not work against any strain of C krusei or against some strains of C glabrata. A very small number of Candida albicans, Candida tropicalis and Candida parapsilosis strains are also not affected by fluconazole although most of them are.1 This could be the reason why standard treatments are not working for you.
Or, how to STAY cured!
Whichever treatment for chronic yeast infection that you go with it, ensure that you also start a course of Fem Dophilus or one of the probiotics that contain Lactobacillus reuteri RC 14 and Lactobacillus rhamnosus GR 1. You need a brand that will give 10 billion cfu (colony forming units) a day. With Fem Dophilus that will be 2 capsules a day. They are taken by MOUTH despite where you want them to do their good work. Trust me on this - these two guys will end up in the right place in no time at all!
This is probiotic tag team that is great for women's urogenital problems. All the studies that have given good results have used 10 billion cfu a day so don't short change yourself with a brand that only gives a small amount.
By finishing off your treatment for chronic yeast infection with this final step there is a very good chance you can beat it permanently.
1. The Fungal Research Trust. http://www.fungalresearchtrust.org/flucon.htmlMayo Clinic
2. Ray D, Goswami R, Banerjee U, et al. Prevalence of Candida glabrata and its response to boric acid vaginal suppositories in comparison with oral fluconazole in patents with diabetes and vulvovaginal candidiasis. Diabetes Care 2007 Feb;30(2):312-7
Centers for Disease Control and Prevention
Measures pH in the correct range for women's health