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Yeast infection
Yeast infection from 2 months due to antibiotics and there is burning sensation in vulva and fluconazole didn't work what to do next
Answers (11)
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When an infection doesn't respond to standard antifungal treatment after this long, it's often either a different resistant strain or another cause entirely, not something to keep self-treating.
Next Steps
Get a vaginal swab and culture test done so the exact cause and correct treatment can be identified.
Health Tips
Please see a gynaecologist in person rather than trying another over-the-counter product without knowing what's actually behind it.
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Persistent yeast infection for 2 months after antibiotics with fluconazole failure suggests either a non-albicans Candida species (resistant to fluconazole) or an ongoing trigger. Non-albicans species like Candida glabrata need different antifungal treatment.
Next Steps
Get a high vaginal swab (HVS) with culture and sensitivity to identify the exact species. Switch to clotrimazole vaginal pessary (100mg) for 7 nights. Apply clotrimazole cream externally for burning. Avoid sugar, tight clothing, synthetic underwear. Consult me on Practo with culture report for targeted treatment.
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You need to do the following-
1. Vaginal suppository (candid+clotrimazole) for 3 consecutive nights
2. Miconazole ointment for local application twice daily for 7 days
3. Maintain local hygiene ( use cotton underwear , keep the area dry, avoid douching the area vigorously)
Health Tips
Drink plenty of water
You may connect if you want to.
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Pls connect for online consultation and advice
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Consult doctor and get perspeculum examination done
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Dr. Prateeksha B S
Obstetrician
7 yrs exp
Bangalore
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Dr. Pendekanti Malleswari
Obstetrician
24 yrs exp
Bangalore
Take consultation and discuss.
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Dr. Kinnari Amin
Gynecologist
14 yrs exp
Ahmedabad
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Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
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Dr. Pushpa Gour
Gynecologist
32 yrs exp
Bhopal
Consult please.
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Dr. Mathe Anusha
Gynecologist
6 yrs exp
Kakinada
Candid vaginal pessaries for 7 days
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.