Do notself-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.3Douching is not recommended, because it can make some infections worse.