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  • With Mayo Clinic obstetrician and medical editor-in-chief

    Roger W. Harms, M.D.

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Question

Yeast infection during pregnancy: Are over-the-counter treatments OK?

What's the best way to treat a yeast infection during pregnancy?

Answer

from Roger W. Harms, M.D.

You can safely treat a yeast infection during pregnancy with various over-the-counter antifungal creams or suppositories, including:

  • Miconazole (Monistat)
  • Clotrimazole (Gyne-Lotrimin)

These products can be used at any point during pregnancy and don't pose a risk of birth defects or other pregnancy complications. For best results, choose a seven-day formula. Home remedies or natural treatments generally aren't recommended.

Yeast infections, a type of vaginitis, occur when certain internal or external factors change the normal environment of the vagina and trigger an overgrowth of a microscopic fungus — often Candida albicans. Yeast infections are especially common during pregnancy due to hormonal changes. Signs and symptoms of a yeast infection typically include vaginal itching and a white, thick discharge that resembles cottage cheese.

If you haven't been previously diagnosed with a yeast infection and develop symptoms for the first time during pregnancy, consult your health care provider before using an over-the-counter yeast infection treatment. What appears to be a yeast infection could actually be another type of vaginitis or other condition that needs different treatment.

Next question
Sex during vaginal infection: Is it harmful?
References
  1. Soong D, et al. Vaginal yeast infections during pregnancy. Canadian Family Physician. 2009;55:255.
  2. Sobel JD. Candida vulvovaginitis. http://www.uptodate.com/index. Accessed Oct. 16, 2012.
  3. Frequently asked questions. Gynecologic problems FAQ028. Vaginitis. American College of Obstetricians and Gynecologists. http://www.acog.org/~/media/For%20Patients/faq028.pdf?dmc=1&ts=20121016T1200181031. Accessed Oct. 16, 2012.
  4. Diseases characterized by vaginal discharge. Sexually transmitted diseases treatment guidelines, 2010. Centers for Disease Control and Prevention. http://www.cdc.gov/std/treatment/2010/vaginal-discharge.htm. Accessed Oct. 16, 2012.
  5. Lentz GM, et al. Comprehensive Gynecology. 6th ed. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/linkTo?type=bookPage&isbn=978-0-323-06986-1&eid=4-u1.0-B978-0-323-06986-1..C2009-0-48752-X--TOP. Accessed Oct. 16, 2012.
  6. Gallenberg MM (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 24, 2012.
AN02076 Nov. 16, 2012

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