Overview

A vaginal yeast infection is a fungal infection that causes irritation, discharge and intense itchiness of the vagina and the vulva — the tissues at the vaginal opening.

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.

A vaginal yeast infection isn’t considered a sexually transmitted infection. But, there’s an increased risk of vaginal yeast infection at the time of first regular sexual activity. There’s also some evidence that infections may be linked to mouth to genital contact (oral-genital sex).

Medications can effectively treat vaginal yeast infections. If you have recurrent yeast infections — four or more within a year — you may need a longer treatment course and a maintenance plan.

Symptoms

Yeast infection symptoms can range from mild to moderate, and include:

  • Itching and irritation in the vagina and vulva
  • A burning sensation, especially 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

Complicated yeast infection

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

When to see a doctor

Make an appointment with your doctor if:

  • This is the first time you’ve had yeast infection symptoms
  • You’re not sure whether you have a yeast infection
  • Your symptoms aren’t relieved after treating with over-the-counter antifungal vaginal creams or suppositories
  • You develop other symptoms

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