Yeast infections

Yeast infections

Recurring or occasional yeast infections: understand the role of the flora and prevent recurrences.

Understanding yeast infections

A vulvovaginal yeast infection (candidiasis) is an overgrowth of the fungus Candida, most often Candida albicans, normally present in small amounts. It causes intense itching, thick white discharge ‘like cottage cheese’, burning, and usually no marked odour.

It is extremely common, and it is not about hygiene:

  • About 75% of women have at least one episode in their lifetime.
  • Some have recurrent forms (≥ 4 per year), which are harder to manage.
  • Risk factors: antibiotics, pregnancy, diabetes, estrogen, over-washing.
~75%
of women have at least one yeast infection in their lifetime
20-25%
of vaginitis is candidiasis (Paladine, 2018)
Recurrence
a weakened flora promotes recurrent yeast infections
Vulvovaginal candidosis, AWMF S2k guideline, 2020.

Why yeast infections happen

A flora dominated by lactobacilli and an acidic pH keep Candida in check. When that balance breaks, the fungus overgrows and causes inflammation.

What destabilises the flora and opens the door to yeast:

  • Antibiotics, which also destroy the good bacteria.
  • Hormonal shifts: pregnancy, the pill, the premenstrual phase.
  • Poorly controlled diabetes, excess sugar, immune fatigue.
  • Over-washing, scented soaps, synthetic underwear.
pH
an acidic pH and lactobacilli keep Candida in check
Antibiotics
they unbalance the flora and promote yeast
Terrain
supporting the flora helps prevent recurrence
CDC STI Treatment Guidelines, 2021, Vulvovaginal candidiasis.

“An acute yeast infection is treated with an antifungal: that is the standard of care. But the real issue, especially with recurrence, is the terrain. Restoring a strong flora and an acidic pH is what lowers the risk of it coming back. Botanical care is a preventive complement, not a substitute for treatment.”

Vulvovaginal candidosis, AWMF S2k guideline (2020)

What to do day to day

Treat the episode, then strengthen the terrain against recurrence.

1. Treat the yeast infection

A confirmed yeast infection is treated with an antifungal (pessary, cream or oral). If in doubt or for a first episode, get confirmation from a professional.

2. Do not over-wash

Over-washing and scented soaps make it worse. Gentle cleansing with water or a physiological-pH product, once a day.

3. Cotton and dry

Cotton underwear, avoid tight synthetics, and do not stay in a damp swimsuit or sportswear.

4. Limit triggers

Antibiotics only when needed, balanced sugar/diabetes, managing fatigue.

5. Support the flora

Between episodes, a targeted botanical care helps maintain a protective acidic pH and limit recurrence.

What to expect

An indicative guide: every body responds at its own pace.

Days 1-3

Treatment kicks in

On an antifungal, itching and burning start to subside.

Days 3-7

Symptoms resolve

Discharge and discomfort clear as the inflammation settles.

2-4 weeks

Strengthen the terrain

By supporting the flora, the pH stabilises and the lining becomes resilient again.

Prevention

Limit recurrence

A gentle routine and supported flora reduce the risk of a new episode.

Why act, and when to see a doctor

Yeast responds well to treatment; recurrence needs a real terrain strategy.

Relief

Calm the episode

Itching, burning and discharge: proper treatment relieves within a few days.

Prevention

Break the recurrence

Supporting the flora between episodes is key to reducing recurrent yeast.

Comfort

Regain peace of mind

Fewer episodes means fewer treatments and a calmer intimate life.

Caution

When to see a doctor

See a doctor for a first episode, if symptoms resist treatment, or for recurrence (≥ 4 per year).

Your questions about yeast infections

  • No, often the opposite: over-washing and scented soaps unbalance the flora and promote yeast. It is not about cleanliness.

  • No. Candidiasis is not a sexually transmitted infection. It comes from a flora imbalance, not from contamination.

  • Antibiotics, hormones, diabetes, over-washing or a fragile flora sustain recurrence. Beyond 4 episodes a year, medical advice and a terrain strategy are needed.

  • For an established infection, the antifungal remains the standard treatment. Botanical care works as a complement, mainly to prevent recurrence between episodes.

  • See a doctor for a first episode, if symptoms resist, or for recurrence (CDC 2021 recommendations).

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