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Wednesday, May 29, 2013

Why Yeast Infections Are Reisting Treatment

Vaginal yeast infections are not viewed as a dangerous infection for the generally healthy woman, but they can be detrimental to well being and sexual health and require treatment. Now there are increasingly women who chronically are infected and their gynos seem to have no where to turn. They became so common  by the 1980s that physicians and patients alike clamored for an over the counter treatment, which we have had for a couple of decades. It is unclear if overuse of the easily available OTC treatments have contributed to risk. Eventually when women tired of messy goos we turned to the use of a pill to cure yeast infections. The pill that is administered in one dose, fluconazole, was approved in 1993. During the first 5 years of fluconazole use for vaginal yeast only one resistant infection was reported. And in the past few years patients with recurrent infections began to be administered fluconazole in greater dosages and for longer periods of time. Some gynos actually give dosing weekly for 6 months for these resistant infections, and the more medicine that is given out the more cases of resistance we have. In Obstetrics and Gynecology Dec 2012 there was a report of women sometimes receiving years worth of this medication. 90% of all yeast infections are due to the C. albicans fungus. And now, two decades after it was released as an effective treatment, resistance to the fluconazole treatment by yeast infections is reported. Most resistant cases have been generated in the past 5 years, but the first notable increase was about a
decade ago. Women need to make sure they are doing every thing they can to not develop resistance, including not to treat if not necessary, to make sure you are not insulin resistant, and to treat co-infections such as bacterial infections.

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