Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier
WebMD

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started
My Medicine
WebMD

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion
    WebMD

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community
    WebMD

    Community

    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Includes Expert Content
Mirena and yeast infections
avatar
Anon_76385 posted:
Dear Nurse Jane and Webmd staff, I inserted a Mirena this January and have been having reccurent yeast infections since April. What can I do to stop this? I thought it was because my job had me wearing pants that were lined, but I cut out all the liners; what do you recommend? A friend suggested acidophillus, Thanks in advance Besides this issue, mirena has been great
Reply
 
avatar
Jane Harrison Hohner, RN, RNP responded:
Dear Anon: There is a subgroup of women who have chronic and recurrent yeast infections. It is important to document that these infections are truly candida (yeast). Other infections such as lactobacilli vaginitis can masquerade as yeast, but yeast medications will NOT provide any lasting relief. Certain dermatologic conditions of the vulva can have symptoms which mimic yeast (eg lichen sclerosus).

If a woman has proven recurrent yeast, by either vaginal fungal culture or wet mount preparation, then some additional testing can be done to see if a predisposing medical condition (eg diabetes, HIV) is the culprit.

So is the Mirena a culprit in some way? DepoProvera (high dose synthetic progesterone) can decrease beneficial hydrogen peroxide producing bacteria within six months of use. There can also be a slight thinning of the tissues which keep vaginal pH acidic (Miller, 2000). Your Mirena does put some additional progesterone into the body but not to the degree as DepoProvera. The use of a copper IUD has been linked to increased bacterial vaginosis ("BV") in four studies--but not yeast infections. So I cannot find data to suggest that Mirena is commonly linked to increased yeast infections.

Women with chronic yeast may be treated with a variety of options. A change of prescriptive yeast treatment may be tried. Use of other medications which can predispose women to candida (eg steroids, chronic oral antibiotics, or even birth control pills) may need to be re-examined. Some healthcare providers will use treatments like vaginal boric acid capsules for either treatment or prevention in the cases of resistant vaginal yeast.

Additional lifestyle methods, which have been advocated for "yeast infection prevention," include: a diet low in refined sugars and simple carbohydrates, avoidance of tight jeans, use of cotton underwear, eating natural lactobacillus yogurt, and others. There are few, if any, good research studies which demonstrate that these methods are helpful, but some women swear by them.There is even the suggestion that being the recipient of oral sex may predispose a woman to recurrent yeast (Reed, 2000).

Yours,
Jane
 
avatar
Shanji1 replied to Jane Harrison Hohner, RN, RNP's response:
Dear Nurse Jane, I just want to thank you for your most valuable advice. You and your team provide a great resource for us and we are most grateful, Thanks


Helpful Tips

extended period
I have had a period for almost three weeks. The first week was normal with a lot of cramping. The second week was like when you are almost ... More
Was this Helpful?
53 of 103 found this helpful

Expert Blog

Below the Belt: Women's Health - Jane Harrison-Hohner, RN, RNP

From HPV to irregular periods to PMS to fibroids, Jane Harrison-Hohner, RN, is here to share her knowledge and insight...Read More

Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.