Understanding Recurrent Vaginitis
Relief for today’s symptoms and a plan to reduce future flares—personalized, evidence-based care.
Itching, discharge, odor, and discomfort that keep coming back can be discouraging. Recurrent vaginitis may be due to yeast, bacterial vaginosis (BV), mixed infections, or less common causes—and each responds best to targeted care. At Westside Women's Health, we confirm the diagnosis, treat the current episode, and design a prevention plan that fits your life.
Fast Facts About Recurrent Vaginitis
Common culprits are yeast and bacterial vaginosis (BV)
Self-diagnosis is often inaccurate—testing improves outcomes
Triggers can include antibiotics, hormonal shifts, new partners, products, or tight/occlusive clothing
Maintenance strategies can reduce flares after successful treatment
Common Symptoms
- Vaginal itching, irritation, or burning
- Changes in discharge (thick/white with yeast; thin/gray with BV)
- Unpleasant odor (classically "fishy" with BV)
- External discomfort or pain with intercourse
- Stinging with urination (external irritation)
Why It Matters
Recurrent symptoms affect comfort, intimacy, and confidence. Because yeast and BV require different treatments—and can coexist—accurate diagnosis prevents repeated, ineffective therapies and reduces the risk of antibiotic overuse or steroid irritation.
Diagnosis & Evaluation
We start with your symptom timeline, triggers, and prior treatments. In-office or lab testing may include pH, microscopy, cultures or molecular tests to distinguish yeast, BV, trichomonas, and mixed infections. For frequent recurrences we consider contributing factors such as recent antibiotics, glycemic control, hormonal status, hygiene products, and sexual health history.
Yeast vs. Bacterial Vaginosis (BV)
Yeast (Candidiasis)
- Intense itching and irritation; vulvar redness
- Thick, white, "cottage-cheese" discharge
- Normal vaginal pH (≤4.5)
- Antifungal treatment (topical or oral) is effective
Bacterial Vaginosis (BV)
- Thin, gray/white discharge with "fishy" odor
- Minimal itching; more odor/discharge
- Elevated pH (>4.5)
- Antibiotic/antiseptic regimens target BV bacteria
Treatment Options
We tailor care to the confirmed diagnosis. For yeast, options include short-course antifungals and, for recurrent cases, extended or maintenance regimens. For BV, treatments may include metronidazole or related agents; recurrence plans can incorporate suppressive or cyclic strategies. We also discuss trigger management (breathable fabrics, gentle unscented products), condom use if helpful, and vaginal estrogen for postmenopausal dryness when appropriate. Adjuncts such as specific probiotic or boric acid protocols may be considered for select patterns after evaluation.
What to Bring to Your Appointment
- ✓Symptom diary (onset, pattern, triggers, recent antibiotics)
- ✓List of medications/supplements and prior treatments
- ✓Any recent test results or cultures
- ✓Products used (soaps, washes, lubricants, detergents)
Frequently Asked Questions
1Why do my symptoms keep coming back?
Recurrence can stem from incorrect initial diagnosis, mixed infections, resistant organisms, or ongoing triggers such as antibiotics, hormonal shifts, or product irritation. Testing and a prevention plan help break the cycle.
2Can I just use over-the-counter treatments?
OTC options can help for occasional yeast, but recurrent symptoms warrant testing. Treating BV with antifungals—or yeast with antibiotics—won't resolve symptoms and may worsen irritation.
3Do probiotics or boric acid help?
Some patients benefit from evidence-informed adjuncts such as specific probiotic strains or short courses of boric acid in select scenarios. We'll discuss safety, fit, and how to use these within a comprehensive plan.
4Could this be an STI?
Some sexually transmitted infections can mimic vaginitis. If your history or symptoms suggest it, we can perform appropriate STI testing to ensure the right treatment.
5How can I prevent future episodes?
Use gentle, unscented products; wear breathable underwear; change out of wet clothes promptly; consider condoms; and address triggers like antibiotics or vaginal dryness. For frequent recurrences, maintenance regimens can reduce flares.
Relief Now, Fewer Flares Later
We'll confirm the cause of your symptoms, treat effectively, and create a tailored plan to prevent recurrences and protect comfort.
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