- Cervical infection - This can produce a burning sensation and often results in a discharge during intercourse or while urinating.
- Pinworms - This parasite can sometimes cause a vaginal infection.
- Tampon or IUD problems - A tampon that is left in too long or a birth control device like a cervical cap or diaphragm can become askew and irritate the area of insertion, causing burning and discharges.
It is recommended that someone who suspects a yeast infection see a doctor, particularly if it is a first-time experience, the symptoms are not responding to over-the-counter fungal infection medications, other symptoms develop, or another medical issue is suspected.
The gynecologist will ask about the patient’s history, particularly about sexual and prior vaginal infections. The physical will include a pelvic examination that will focus on the external part of the genitals for redness, sores, and other signs of infection. A gynecologist will use a medical instrument called a speculum to examine the vagina and cervix as well.
A vaginal fluid sample will be taken to determine which fungus is causing the infection. If the infection is determined to be an uncomplicated yeast infection, it will be treated with antifungal medications like Gynazole-1, Gyne-Lotrimin, Monistat 3 or Terazol 3, available as pills, ointments, creams, and suppositories. These treatments will last up to a week and will usually clear the problem, but there may be some initial irritation from the products and may require that the patient use an alternative form of birth control for the period of treatment, as oily creams can weaken condoms and diaphragms, causing breakage.
There are also single-dose, one-time antifungal medications, such as Diflucan, and over-the- counter medications that are effective.