Boric acid (suppository gelatin capsules recommended for non-albicans species).fluconazole (Diflucan), a prescription single-dose pill.OTC and prescription drugs that may be used include: You will need to take the medication for 1 to 7 days, depending on which medication you are using. Vaginal yeast infections are treated with over-the-counter or prescription antifungal creams, ointments, tablets, suppositories, or oral medications. (1,3) Some clinicians can also make a diagnosis by looking at a discharge sample under a microscope, although a bacteria culture is the gold standard. Your doctor will make a diagnosis based on all the findings - a positive fungal culture alone does not mean you have a yeast infection because women can have candida in their vagina without showing symptoms. A lab technician will examine the discharge to determine if there is an overgrowth of candida. To diagnose a yeast infection, your doctor will ask you about your symptoms and medical history, perform a pelvic exam, and take a sample of vaginal discharge. Your symptoms differ from previous yeast infections.Medications for a previous yeast infection are not working on your current infection.(3) In one 2002 study, only about 34 percent of women who purchased OTC antifungal medications accurately diagnosed themselves with a yeast infection. Several other conditions - notably bacterial vaginosis (vaginal infection caused by bacteria), trichomoniasis (a sexually transmitted infection), and dermatitis (irritated skin) - can cause symptoms similar to yeast infections, making self-diagnosis difficult. Though it may be tempting to self-diagnose a vaginal yeast infection, since effective over-the-counter (OTC) treatments exist, experts recommend you see a doctor.
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