[29F] With recurring vaginal yeast infections and menstrual irregularities

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Recurrent Vaginal Yeast Infections (Candidiasis): Yeast infections are caused by an overgrowth of the fungus Candida. Symptoms include itching, abnormal discharge, and discomfort during urination and intercourse. Recurrent infections can be due to various factors, including hormonal changes, weakened immune system, or antibiotic use.

  • Typical Treatments: Antifungal medications, either oral or topical, are commonly used. Boric acid suppositories can also be effective for recurrent infections. Your healthcare provider might recommend a longer course of treatment or maintenance therapy to prevent recurrence.

• Hormonal Imbalance: Changes in your menstrual cycle, such as delayed periods, shorter duration, and spotting, could indicate a hormonal imbalance. Hormonal fluctuations can also make you more susceptible to yeast infections.

  • Typical Treatments: Hormonal imbalances can be managed with lifestyle changes, hormonal therapy, or other medications as prescribed by your healthcare provider.

• Sexually Transmitted Infections (STIs): Although you haven't been tested recently, some STIs can cause symptoms similar to yeast infections, including abnormal discharge and discomfort during intercourse.

  • Typical Treatments: STIs are typically treated with antibiotics or antiviral medications, depending on the specific infection. It's important to get tested to rule out this possibility.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented products or douches, as they can disrupt the natural balance of bacteria and yeast.
2. Wear Breathable Clothing: Opt for cotton underwear and avoid tight-fitting clothes to reduce moisture buildup.
3. Consider Probiotics: Probiotics can help maintain a healthy balance of bacteria in the body. You can find them in yogurt or as supplements.
4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes. This information can be valuable for your healthcare provider.
5. Get Tested for STIs: Since you haven't been tested recently, it might be a good idea to get screened for STIs to rule out any infections that could be contributing to your symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Pain or Discomfort: If your symptoms worsen or you experience severe pain, it's important to see a healthcare provider.
• Fever or Chills: These could indicate a more serious infection that requires prompt medical attention.
• Persistent Symptoms: If your symptoms do not improve with over-the-counter treatments or if they keep recurring, consult a healthcare provider for further evaluation.
• Unusual Symptoms: Any new or unusual symptoms, such as a strong odor or significant changes in discharge, should be evaluated by a healthcare provider.

Remember, while I can provide information and suggestions, it's essential to consult a healthcare professional for a formal diagnosis and appropriate treatment.