WOMENS-HEALTH Messages for November, 2001: Re: sistant yeast infection

Re: sistant yeast infection

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 20 Nov 2001 10:55:26 -0600 (CST)

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In reply to: nichola: "resistant yeast infection"

At Tue, 20 Nov 2001, nichola wrote: >
>hi, again, no i dont have oral thrush, its verginal thrush ive tried all
>the over the counter stuff, they havent worked, im taking nystan
>100/1000, passsaries now, for 14 days, ive taken 8 out of the 14, but im
>not improving. the doc just says ive got a resistant yeast infection,
>and ive had a aids test and im fine, i also dont have diabetese. do u
>think i sould try boric acid?..and im not sure how to use these, i dont
>want to get poisoned, thanks for listening..hopeing to hear from you
>soon...

Boric acid is effective, but I would use Terezol first, and Diflucan after that, though I have not seen Terezol fail, at least not in the short term.

Recurrent yeast infections and resistent yeast infections are different entities, with a lot of clinical overlap. A resistent yeast infection is a single infection with a strain of yeast that is very difficult to kill, and so it persists despite treatment. Recurrent yeast infections are multiple occurences of treatable yeast infection, in other words, you treat it, and it goes away, but then returns at a later date. It is this recurrent infection that is associated with immune compromised situations, such as AIDS, diabetes, immuno-suppressive drugs and so on, but the overwhelming majority of women with recurrent infections do not have these conditions, but have some other factor that lowers their vagina's resistance to the endemic yeast that lives there all the time in all women. These can include hormonal irregularities, heavy bleeding, intercourse, use of douches, feminine products, scented soaps and shampoos, use of condoms, not using condoms, semen allergies and sensitivties, just to name a few.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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In reply to: nichola: "resistant yeast infection"

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