What are the treatments for persistent or chronic yeast infections?

### Treatments for Persistent or Chronic Yeast Infections Yeast infections, also known as candidiasis, can be uncomfortable and persistent. While some yeast infections can be treated with over-the-counter (OTC) medications, more severe or recurrent infections may require prescription treatments. Here are the main types of treatments available: #### Short Course Treatments - **Oral Pills:** A one-time pill like fluconazole can be taken orally. - **Antifungal Creams, Tablets, and Suppositories:** These can be used for 3 to 7 days. Some are available OTC, while others need a prescription. #### Long Course Treatments - **Extended Antifungal Vaginal Medication:** Used for about 2 weeks. - **Oral Pills:** Taken in multiple doses over a period of time. - **Boric Acid Tablets:** Inserted into the vagina (never taken orally). #### Over-the-Counter Options - **Antifungal Vaginal Creams:** Available at most drugstores. These can be messy and are often used at bedtime. - **Suppositories and Tablets:** Less messy and often come with an applicator for easy use. #### Prescription Options - **Steroid Creams:** For severe inflammation and soreness. - **Oral Medications:** Such as ibrexafungerp and fluconazole. These are not recommended during pregnancy. - **Oteseconazole:** For those with repeated infections who are postmenopausal or permanently infertile. #### Safety Tips - Always confirm you have a yeast infection before starting treatment. - Follow the medication instructions carefully. - Complete the entire course of medication. - Consult your doctor if symptoms persist or worsen. #### Home Remedies - Some studies suggest coconut oil may help, but it hasn't been tested in people. Other remedies like garlic, essential oils, and vinegar are not proven to cure yeast infections. #### Prevention Tips - Avoid staying in wet clothes for too long. - Manage stress and maintain a healthy diet. - Consult your doctor if you have frequent infections, as this could indicate a more serious condition. Yeast infections are common and treatable. If you experience frequent or severe symptoms, consult your doctor for the best course of action.