Dr. Marjorie Crandall: Yeast Infections, Candida Allergy, and Vulvodynia
Since yeasts are in the tissues and not on the surface, vulvar and vaginal swabs will give negative results when tested by microscopy or culture. Furthermore, there are too few yeasts to show up in biopsies. Hence, the diagnosis of the red form of yeast infection is based strictly on clinical signs and symptoms, history of vaginal yeast infections, and risk factors that cause candidiasis.
The following treatments for vulvodynia are recommended in my Candida Information Packet (http://www.yeastconsulting.com/packet.html):
• long term, daily treatment with a systemic antifungal
• hydrocortisone cream for vulvar burning
• testing and treatment for Candida allergy
• avoiding all risk factors for yeast infections such as antibiotics, estrogen, etc.
• lifestyle changes to avoid contact dermatitis caused by spermicides, deodorants, etc.
Your recovery from vulvodynia after following all my recommendations will confirm your diagnosis of an inactive yeast infection.
Dr. Crandall is a microbiologist and founder of www.yeastconsulting.com. She is a Candida researcher and former vulvodynia patient.
1. Crandall, M. (1991) Allergic Predisposition in Recurrent Vulvovaginal Candidiasis.
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