Monilial Vaginitis

ExitCare ImageVaginitis in a soreness, swelling and redness (inflammation) of the vagina and vulva. Monilial vaginitis is not a sexually transmitted infection.

CAUSES

Yeast vaginitis is caused by yeast (candida) that is normally found in your vagina. With a yeast infection, the candida has overgrown in number to a point that upsets the chemical balance.

SYMPTOMS

  • White, thick vaginal discharge.

  • Swelling, itching, redness and irritation of the vagina and possibly the lips of the vagina (vulva).

  • Burning or painful urination.

  • Painful intercourse.

DIAGNOSIS

Things that may contribute to monilial vaginitis are:

  • Postmenopausal and virginal states.

  • Pregnancy.

  • Infections.

  • Being tired, sick or stressed, especially if you had monilial vaginitis in the past.

  • Diabetes. Good control will help lower the chance.

  • Birth control pills.

  • Tight fitting garments.

  • Using bubble bath, feminine sprays, douches or deodorant tampons.

  • Taking certain medications that kill germs (antibiotics).

  • Sporadic recurrence can occur if you become ill.

TREATMENT

Your caregiver will give you medication.

  • There are several kinds of anti monilial vaginal creams and suppositories specific for monilial vaginitis. For recurrent yeast infections, use a suppository or cream in the vagina 2 times a week, or as directed.

  • Anti-monilial or steroid cream for the itching or irritation of the vulva may also be used. Get your caregiver's permission.

  • Painting the vagina with methylene blue solution may help if the monilial cream does not work.

  • Eating yogurt may help prevent monilial vaginitis.

HOME CARE INSTRUCTIONS

  • Finish all medication as prescribed.

  • Do not have sex until treatment is completed or after your caregiver tells you it is okay.

  • Take warm sitz baths.

  • Do not douche.

  • Do not use tampons, especially scented ones.

  • Wear cotton underwear.

  • Avoid tight pants and panty hose.

  • Tell your sexual partner that you have a yeast infection. They should go to their caregiver if they have symptoms such as mild rash or itching.

  • Your sexual partner should be treated as well if your infection is difficult to eliminate.

  • Practice safer sex. Use condoms.

  • Some vaginal medications cause latex condoms to fail. Vaginal medications that harm condoms are:

  • Cleocin cream.

  • Butoconazole (Femstat®).

  • Terconazole (Terazol®) vaginal suppository.

  • Miconazole (Monistat®) (may be purchased over the counter).

SEEK MEDICAL CARE IF:

  • You have a temperature by mouth above 102° F (38.9° C).

  • The infection is getting worse after 2 days of treatment.

  • The infection is not getting better after 3 days of treatment.

  • You develop blisters in or around your vagina.

  • You develop vaginal bleeding, and it is not your menstrual period.

  • You have pain when you urinate.

  • You develop intestinal problems.

  • You have pain with sexual intercourse.