Do not self-treat a vaginal yeast infection if you:
- Are pregnant.
- Are not sure your symptoms are caused by a vaginal yeast infection. If you have never been diagnosed with a vaginal yeast infection, see your doctor before treating it with a nonprescription antifungal cream. Sometimes women think they have a vaginal yeast infection when symptoms are caused by a different condition, such as bacterial vaginosis or a sexually transmitted infection (STI).
- Have been exposed to a sexually transmitted infection (STI), which would require a medical exam.
- Are having a recurrent infection.
Using nonprescription medicine
When using a nonprescription vaginal medicine for a vaginal yeast infection, follow the directions on the package insert, as well as these guidelines:
- Use pads instead of tampons while you are using nonprescription vaginal medicines. Tampons can absorb the medicine.
- Avoid using soap when cleaning the vaginal area-rinse with water only.
- If sexual intercourse is painful, avoid it. Otherwise, use a water-soluble lubricating jelly (such as K-Y Jelly) to reduce irritation. The oil in antifungal creams or suppositories can weaken latex. This means condoms and diaphragms may break, and you may not be protected from STI or pregnancy.
- If the genital area is swollen or painful, sitting in warm water (in a bathtub or sitz bath, not a hot tub) may help. Or instead, you may try putting a cool, damp cloth on the area. Do not rub to try to relieve itching.
Report your symptoms to your doctor if:
- You are not sure that you have a yeast infection.
- Your self-treatment is not working after one complete course of therapy.
Things to consider
The risk of self-treatment is that your symptoms may be caused by a type of vaginal infection other than a yeast infection, such as bacterial vaginosis or a sexually transmitted infection (STI). If you have pelvic pain or fever, get an evaluation by a doctor.
If you are pregnant, it is important to be evaluated for vaginal symptoms. Some vaginal infections, such as bacterial vaginosis, gonorrhea, or chlamydia, may increase your risk of complications during pregnancy.
If you have risk factors for an STI, discuss your symptoms with your doctor before using a nonprescription medicine. Risk factors for an STI include having sex without a condom or having more than one sex partner.
Talk to your doctor before you try unproven home treatment methods, such as applying tea tree oil in the vagina or taking garlic supplements. These treatments have not been well studied. They may even cause other problems, such as allergic reactions, in some women.2Douching is not recommended, because it can make some infections worse.
Vaginal Yeast Infections - Medications
Antifungal medicines are the standard treatment for a vaginal yeast infection. You can insert a cream or suppository antifungal cream into your vagina or take a pill by mouth. Vaginal boric acid capsules are sometimes used.
Antifungal medicines that you take as a pill by mouth affect the entire body (so it can also treat any yeast infection elsewhere in the body). Vaginal medicine only affects the area in which it is applied.
If you are thinking about using nonprescription treatment, see:
Medicine choices
- Vaginal antifungal medicines are available in 1-day, 3-day, and longer courses, depending on the strength of the medicine.
- Oral antifungal medicines are easy to use.
- Vaginal boric acid capsules are available over-the-counter. But they are not safe to use if you are pregnant.
What to think about
Antifungal creams and suppositories that you put into your vagina have fewer side effects than antifungal pills you take by mouth. This is because vaginal medicine isn't absorbed into your body and only affects the genital area. Antifungal pills that are taken by mouth affect your entire body. Side effects from these pills are rare with one treatment dose. Side effects can include nausea, headaches, and belly pain. But taking a pill is convenient and is not messy. Medicine put into the vagina can be uncomfortable. And it may seem like more of a hassle than taking a pill.
The oil in antifungal creams or suppositories can weaken latex. This means condoms and diaphragms may break, and you may not be protected from STI or pregnancy.
If you are taking the anticoagulant medicine warfarin and you use a nonprescription vaginal yeast-fighting medicine, you may have increased bruising and abnormal bleeding. Talk with your doctor before using an antifungal medicine along with warfarin.
You are more likely to use a treatment correctly and complete the treatment if you get to choose the type you prefer. Talk with your doctor about the advantages and disadvantages of vaginal and oral medicines, including:
- How a medicine can be administered. Most of the vaginal treatments are available as creams, vaginal tablets, or suppositories.
- Whether oral or vaginal medicine is recommended. You may prefer to take pills rather than use medicine that is inserted into the vagina. Or the type of yeast infection you have may respond better to one method than to the other.
- Whether you should avoid sexual intercourse if you are using vaginal medicine. Some doctors advise that women avoid sex during treatment.
- Whether treatment should be continued during your menstrual period. Tampons can absorb medicine, so use pads if you are being treated with vaginal medicines during your period.
Check with your doctor or pharmacist to see whether you can get a generic form of a prescription medicine. Many generic medicines are now available to treat vaginal yeast infections. They are often less expensive than brand-name medicines.
Vaginal Yeast Infections - Other Treatment
Some experts may recommend vaginal boric acid capsules as a treatment option for vaginal yeast infection, particularly infections that can't be cured by prescription or nonprescription antifungal yeast infection medicines.1 Boric acid is a white, crystalline chemical substance that has antifungal and antiviral properties. It is used in various pharmaceutical products and is also available without a prescription.
If you are pregnant, do not use vaginal boric acid treatment.

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