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Suggest Treatment For Recurrent Yeast Infection

Posted on Wed, 29 Jun 2016

Question: I suffer from male yeat infection for past 10 days. This is 4-5 th time i have suffered in past 7-8 years. I have been given Fluconazole 150 , and Ketaconazole ointment. During my earlier treatment i was prescribed HHzole and Ketaconazole and that used to treat me in 7-10 days. However , this time around i felt improvement on 4th day and stopped taking fluconazole. Infection re emerged on 7th day and now i have been on treatment for 6 days with very marginal improvement.. A day i feel better and next day i feel worst n so on. Please advise.

Answered by Dr. Asmeet Kaur Sawhney (24 minutes later)

Brief Answer:
Management of yeast infection

Detailed Answer:
Hi
Thanks for being at healthcaremagic
According to your complaints you seem to be having recurrent candidiasis.
It is commonly seen in diabetes, patients on long term antibiotics or immunosuppressed patients.
Rule out diabetes by going for fasting blood sugar levels and routine urine examination.
Is your sexual partner having history of vaginal discharge or itching as yeast infection can be transmitted sexually.
If yes ask her to take treatment as well so as to avoid recurrence.
If I was your treating doctor I would recommend you to take capsule itraconazole 100 mg twice daily for 2 weeks and apply ketoconazole cream on the affected areas twice daily for 2 weeks.
This will help in resolving the infection.
Besides this maintain personal hygiene and avoid intercourse till the time your infection is cured.
I hope to have answered your query and would be happy to clarify any further doubts.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Asmeet Kaur Sawhney (5 hours later)

My fasting sugar level without anticdiabetic drugs is 110-130. Partner never had any discharge, did have itching few times which was resolved by applying Ketaconazol fir couple of times. This time it started with unprotected intercourse with partner. Howabout applying Sertaconazole nitrite ? Inhabe been applying Ketaconazole without any respite for 2 weeks now from 1 to 2 times a day. Are there any side effects of using azole ountments for long term ? Can the intercourse be had with protection?

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
Can go for protected intercourse, can use azole creams for long duration

Detailed Answer:
Your fasting blood sugar is slightly on the higher side. Keep it under check.
Repeat it after 1 month and if it's still on the higher side consult a doctor.
Your partner might be having mild infection. Ask her to take one single tablet of fluconazole 150 mg.
Yes you can change to sertaconazole cream but apply it twice daily regularly for 2 weeks.
There are no side effects of using these azole creams for long duration.
Till the time you are fine go for protected intercourse.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Asmeet Kaur Sawhney (3 hours later)

For last two days feeling slight itching and lot of burning sensation on the tip and organ head. Is this normal for genital fungal infection? Though i continue to use Ketaconazole once a day for past 5 days. Prior to that was applying ointment twice a day. Please help.

Answered by Dr. Asmeet Kaur Sawhney (9 minutes later)

Brief Answer:
Take antihistaminic for itching & burning

Detailed Answer:
It is absolutely normal to have itching and burning sensation with yeast infection.
You can take antihistaminic like tablet levocetrizine 5 mg once daily at bedtime for few days.
This will relieve your itching and burning.
Meanwhile you can continue with topical antifungal medication.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Sonia Raina