Dear An: A couple of POSSIBLE explanations might include:
1. Premenstrual flare of yeast infection---Many of us carry small amounts of vaginal yeast which can temporarily overgrow. This commonly occurs before menses.
2. Genital herpes--Frequently genital herpes will flare during the premenstrual time. Yet you reported only prodromal-type symptoms (eg itching, burning) never any tiny painful sore at the site.
Your best bet is to see your GYN at the time the symptoms are present (ie schedule an appointment right before your period is due). This will increase your chances of getting the most accurate diagnosis.
Dear azifah: The most important thing is to get a definitive diagnosis. If it is confirmed to be recurrent yeast then then some additional testing can be done to see if a predisposing medical condition (eg diabetes, HIV) is the culprit.
Women with chronic yeast may be treated with a variety of options. A change of prescriptive yeast treatment may be tried. Preventative treatments may be used around the time of menses every month, including over the counter products which contain miconazole or clotrimazole. A three day regimen would be very appropriate, or even a one time dose regimen. 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.
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.
If your GYN does document yeast then you can ask them for their recommendations.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
The opinions expressed in WebMD Communities are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. Communities are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
Do not consider Communities as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.