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If you experience itching, burning, or a change in your vaginal discharge, you may have a vaginal infection. You may be able to treat your infection without medication or with over-the-counter remedies, but it’s still important that you consult your doctor so they can diagnose you.

Method 1
Method 1 of 4:

Diagnosing Vaginal Infections

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  1. Bacterial vaginosis is typically marked by certain symptoms. These include:[1]
    • Vaginal discharge with an unpleasant odor, often described as “fishy.”
    • Vaginal discharge that is white or grey and may look foamy.
    • Burning during urination.
    • Itchiness and irritation around the vagina.
    • Keep in mind that not all women with BV have symptoms.
  2. Yeast infection symptoms can often resemble the symptoms of BV. These symptoms include:[2]
    • An abnormal vaginal discharge. The discharge can be a watery, white discharge to a thick, white, and chunky discharge. This is often described as looking like cottage cheese.
    • Itching and burning of the vagina and labia.
    • Painful intercourse.
    • Painful urination.
    • Redness and swelling of the area just outside of the vagina.
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  3. Symptoms of trichomoniasis (sometimes called “trich”) in women can be:
    • Vaginal discharge that is usually smelly.
    • Vaginal discharge that is typically frothy or foamy.
    • Vaginal irritation.
    • Yellow or a gray-green discharge.
    • Painful urination.[3]
  4. Vaginal infection symptoms can differ depending on where a woman is in her cycle. This is because the hormonal changes during the menstrual cycle can affect the composition of the bacteria in the vagina and the characteristics of the vaginal environment.[4]
    • Knowing your menstrual cycle will help you keep track of changes that you’re experiencing.
  5. Many women have BV but they do not have any of the tell-tale symptoms.[5] The same is the case for trichomoniasis.[6]
    • If you suspect you might have an infection, see your doctor.
    • Trichomoniasis can be transmitted to sexual partners. If you suspect you have trich, see your doctor for a diagnosis and treatment.
  6. Most women have probably had at least one experience with BV. There is no specific cause. Essentially anything that disrupts the normal bacterial balance in the vagina can result in BV. The risk of BV increases with:[7]
    • Having a new sexual partner.
    • Having multiple sexual partners.
    • Having sex without a condom.
    • Douching.
    • Using an intrauterine device (IUD) as a method of birth control.
  7. Yeast infections, also called candidiasis, are increased by:
    • Wearing tight underwear or non-cotton panties. These styles of panties can increase the temperature and moisture levels around the vagina and can be irritating.
    • A weakened immune system.
    • Using vaginal douches and/or perfumed feminine hygiene sprays.[8]
    • Specific health conditions (e.g., diabetes).[9]
  8. These types of infections can occur because of a number of causes.
    • In BV, there is no specific cause, but it typically results from an imbalance of the normal bacterial populations.[10]
    • Yeast infections can result after antibiotic use; the antibiotics kill off the normal bacterial populations, allowing the yeast to get a “foothold.” They can also come about as a complication of diabetes or during hormonal changes, including a normal menstrual cycle or the use of birth control.[11]
  9. It is important to get the correct diagnosis from a doctor before starting treatment. The treatments for the different forms of vaginal infections can be different, depending on the degree of infection.[12]
    • At the doctor’s office, your physician will likely take a sample of the vaginal discharge, ask for a urine sample, and perform a vaginal exam. This exam may be uncomfortable but it is usually over quickly. The discharge will be tested for the presence of bacteria, yeast or other organisms such as trichomonas.
    • It’s important to get a specific diagnosis from your doctor. The approaches for treating vaginal infections differ depending on the type of infection.
  10. Untreated or incorrectly treated BV can result in complications such as pelvic inflammatory disease (PID), pre-term births, low-birth-weight babies, and a higher risk of sexually transmitted infections such as chlamydia and gonorrhea.[13] Untreated or incorrectly treated Trichomonas infections can also lead to an increased risk of HIV.[14]
  11. You should always get a diagnosis from your physician when you first start experiencing any of the symptoms.[15] This is because some natural treatments work better for BV or candidiasis, and others may not work as well. You can also use these treatments along with the medications prescribed by your physician. They don’t interfere with oral antibiotics.
    • Tell your doctor that you are using these approaches. If you are successful, perhaps your physician can recommend the method to others.
  12. Trichomoniasis is classified as a sexually transmitted infection (STI), so if you are diagnosed with trichomoniasis, you should inform any sexual partner so they can be treated as well. [16]
    • If trichomoniasis is the diagnosis, then home remedies are not appropriate.
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Method 2
Method 2 of 4:

Treating Vaginal Infections

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  1. Boric acid can be irritating, so you shouldn’t make your own suppository. Do not directly apply it to the vagina. Instead, fill size 0 gelatin capsules fully with boric acid powder; then, insert it into your vagina nightly for 2 weeks.[17]
    • You must not be the recipient of oral sex while using boric acid because boric acid is poisonous to your partner.
  2. Most of the gels and creams for vaginal yeast infections that you can get over-the-counter are almost as effective as anti-fungal medications. Examples include Monistat and Gyne-Lotrimin. Use as directed. If you have recurrent infections, use for seven days.[18]
  3. If you keep getting vaginal infections or your infection won't go away, make an appointment to see your doctor. Recurrent (or “complicated”) yeast infections often occur in tandem with serious underlying disorders such as diabetes or HIV.[19]
    • If your symptoms don't clear up after three days, talk with your doctor about taking medication. You should also see your doctor if your symptoms return or worsen.
    • Your doctor may prescribe an anti-fungal medication to manage the recurring infection. You will likely need to take this medication every week or month for six months.[20]
  4. Treatment will depend on the type of infection, how extensive or severe it is, and how long you have had the infection. Antibiotics are prescribed for BV and for trichomoniasis, but they are not effective on yeast infections.[21]
    • BV is generally treated with either metronidazole or clindamycin. These are considered safe if you are pregnant.[22]
      • Male partners usually don’t need treatment, but female partners should be informed and tested.[23]
    • Trichomoniasis is usually treated with a single dose of either metronidazole or tinidazole. These are considered safe if you are pregnant.[24]
      • Trichomoniasis is a sexually transmitted infection, so make sure your sexual partner(s) are treated as well and wait for seven days after treatment to have sex.[25]
  5. Vaginal yeast infections can be treated with anti-fungal creams, ointments and vaginal suppositories.
    • Examples of these treatments are miconazole (Monistat 3) and terconazole (Terazol 3). Your doctor can prescribe them or they are available (in weaker doses) over-the-counter at your pharmacy. [26]
  6. Vaginal yeast infections can also be treated with a single oral dose of fluconazole (Diflucan).[27] Recurrent or more complicated yeast infections may be treated with higher doses of the medications or you may be asked to take them for a longer period of time.
    • Most often, your partner won’t need treatment. However, this may change if you experience recurrent infections.[28]
  7. Pregnant women can experience yeast infections, which should be cleared up before the baby is due. If you still have a yeast infection when the baby is born, it can pass to the baby, causing thrush.[29]
    • Check with your doctor about treating vaginal infections during this time.
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Method 3
Method 3 of 4:

Preventing Vaginal Infections

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  1. You can take probiotics by mouth (either as capsules or in yogurt). These are mainly useful for prevention rather than treatment of BV.[30] Yogurt can also be a good source of probiotics, as some types of yogurt have 90 to 500 billion Colony Forming Units (CFUs).[31] Make sure to choose a yogurt that has this information on the label.
  2. Use a very mild soap and warm water to wash your genital area. Dry yourself with a clean towel or allow yourself to air dry. You can also try drying it with a blow dryer set on cool.[32]
    • Avoid scratching or rubbing your genitals. Keep irritation at a minimum by leaving your genitals alone. Don’t scratch or rub the area.
  3. Cotton allows your genital area to stay cool and dry. Avoid nylon, acetate, and any synthetic fibers.[33]
    • Avoid wearing thong underwear because these tend to be irritating.
  4. Use a mild and enzyme-free soap (such as fragrance-free Woolite) for washing your panties. Do not use fabric softeners or dryer sheets. These also contain chemicals that may irritate you.[34]
    • Double-rinse your underwear to ensure that all detergent is gone. Detergent residue can cause irritation.
  5. Use white, soft toilet tissue. Remember to always wipe from the front to the back to minimize the risk of infection from bowel bacteria.[35]
  6. Instead of using scented napkins or napkins while you have your period, use unscented varieties. Replace tampons every few hours, depending on your flow.[36]
    • Do not leave tampons in overnight. Use sanitary pads instead.
  7. Tight clothing like pantyhose do not allow the genital area to “breathe.” They also trap heat and moisture, which creates the perfect setting for bacteria, yeast, and other organisms.[37] Instead, wear nylons with a cotton panty insert.
  8. Avoid period products, which can irritate the vulva. These include deodorant sanitary pads, all vaginal sprays and deodorants, and any products with added perfumes.[38]
    • Avoid bubble baths, bath oils, talc, or powder, especially powder that contains cornstarch. Cornstarch provides food for microorganisms.
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Method 4
Method 4 of 4:

When Should You Try This?

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  1. While some vaginal infections can be cured without the use of medications, it’s important to consult your OB/GYN or primary physician before beginning any treatment.[39]
    • Since some symptoms are common among multiple types of vaginal infections, self-diagnosis is both difficult and risky. An official diagnosis from your doctor is the only safe way to identify the type and degree of vaginal infection you have.
    • Tell your doctor if you have a strong preference for natural remedies. Some doctors are willing to work with you to accommodate this preference, and they should be able to guide you on which remedies would be best to try for your specific needs.
    • Note that trichomoniasis is technically an STI.[40] Natural remedies will not be sufficient to cure an infection caused by trichomoniasis; you will need medication to treat it.
  2. Abstaining from sexual activity may not be necessary for all treatments, but you should check with your doctor or do some thorough research to determine if the remedy you’ve chosen is safe for you and your partner before engaging in sexual activity during treatment.
    • In particular, exercise extreme caution when taking boric acid suppositories. Boric acid is toxic when ingested, making oral sex especially dangerous.[41]
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Warnings

  • Natural methods don’t work for everyone. It is a reasonable choice to take medications, which have 80% to 90% rate of success. It’s not clear what the success rate of natural methods is.
  • BV can lead to preterm labor, so it’s important to get treatment right away.[42]
  • There’s no substantial research that proves vaginal probiotics can help cure vaginal infections. If you’d really like to try using them, opt for a product that has lactobacillus rhamnosus GR-1 as an ingredient.[43]
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Expert Interview

Thanks for reading our article! If you’d like to learn more about feminine hygiene, check out our in-depth interview with Cindy Basinski, MD.

  1. https://www.cdc.gov/bacterial-vaginosis/about/index.html
  2. https://www.mayoclinic.org/diseases-conditions/yeast-infection/symptoms-causes/syc-20378999
  3. https://www.plannedparenthood.org/learn/health-and-wellness/vaginitis/how-do-i-get-checked-and-treated-vaginitis
  4. https://www.cdc.gov/bacterial-vaginosis/about/index.html
  5. https://www.cdc.gov/trichomoniasis/about/
  6. https://www.plannedparenthood.org/learn/health-and-wellness/vaginitis/how-do-i-get-checked-and-treated-vaginitis
  7. https://medlineplus.gov/lab-tests/trichomoniasis-test/
  8. https://www.uwmedicine.org/sites/stevie/files/2018-11/Boric-Acid-for-Recurrent-Vaginal-Yeast-Infections.pdf
  9. https://www.plannedparenthood.org/learn/health-and-wellness/vaginitis/what-yeast-infection
  10. https://www.mayoclinic.org/diseases-conditions/yeast-infection/symptoms-causes/syc-20378999
  11. https://www.mayoclinic.org/diseases-conditions/yeast-infection/diagnosis-treatment/drc-20379004
  12. https://www.cdc.gov/std/treatment-guidelines/trichomoniasis.htm
  13. https://www.cdc.gov/std/treatment-guidelines/bv.htm
  14. http://womenshealth.gov/publications/our-publications/fact-sheet/bacterial-vaginosis.html
  15. https://www.cdc.gov/std/treatment-guidelines/trichomoniasis.htm
  16. https://www.cdc.gov/std/treatment-guidelines/trichomoniasis.htm
  17. https://my.clevelandclinic.org/health/diseases/5019-vaginal-yeast-infection#management-and-treatment
  18. http://www.mayoclinic.org/diseases-conditions/yeast-infection/basics/treatment/con-20035129
  19. http://www.mayoclinic.org/diseases-conditions/yeast-infection/basics/treatment/con-20035129
  20. https://americanpregnancy.org/healthy-pregnancy/pregnancy-complications/yeast-infections-during-pregnancy/
  21. https://journals.lww.com/jaapa/fulltext/2021/02000/probiotics_for_preventing_recurrent_bacterial.2.aspx
  22. https://www.health.harvard.edu/staying-healthy/how-to-get-more-probiotics
  23. https://www.plannedparenthood.org/learn/health-and-wellness/vaginitis/how-do-i-prevent-vaginitis
  24. https://medlineplus.gov/ency/article/003159.htm
  25. https://health.missouristate.edu/_Files/Guidelinesforvulvarcare.pdf
  26. https://www.plannedparenthood.org/learn/health-and-wellness/vaginitis/how-do-i-prevent-vaginitis
  27. https://www.plannedparenthood.org/learn/health-and-wellness/vaginitis/how-do-i-prevent-vaginitis
  28. https://health.missouristate.edu/_Files/Guidelinesforvulvarcare.pdf
  29. https://www.plannedparenthood.org/learn/health-and-wellness/vaginitis/how-do-i-prevent-vaginitis
  30. https://www.plannedparenthood.org/learn/health-and-wellness/vaginitis/how-do-i-get-checked-and-treated-vaginitis
  31. https://www.nhs.uk/conditions/trichomoniasis/
  32. https://www.uwmedicine.org/sites/stevie/files/2018-11/Boric-Acid-for-Recurrent-Vaginal-Yeast-Infections.pdf
  33. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345902/
  34. https://www.health.harvard.edu/blog/should-you-use-probiotics-for-your-vagina-2019122718592

About This Article

Cindy Basinski, MD
Medically reviewed by:
Board-Certified Urogynecologist
This article was medically reviewed by Cindy Basinski, MD and by wikiHow staff writer, Janice Tieperman. Dr. Cindy Basinski is a Board-Certified Urogynecologist based in Newburgh, Indiana. She has been practicing both general and Urogynecologic surgery for over 24 years and specializes in minimally invasive surgical procedures. She is a Board Certified Subspecialist in Female Pelvic Medicine & Reconstructive Surgery from the American Board of Obstetrics and Gynecology (ABOG). She received her medical degree from the Indiana University School of Medicine. This article has been viewed 2,131,425 times.
5 votes - 80%
Co-authors: 34
Updated: August 9, 2024
Views: 2,131,425

Medical Disclaimer

The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment.

Article SummaryX

If you don't know what type of infection you have, see your doctor to get a diagnosis. If it's bacterial vaginosis (BV), use a douche or apply periodontal gel in and around your vagina. If you have a yeast infection, try inserting a yogurt or probiotic suppository into your vagina. Avoid wearing tight underwear or using irritating hygiene products while you have an infection, and talk to your doctor if your infection persists. To learn how to prevent vaginal infections, keep reading.

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