GLORIA BACHMANN, MD:
Lisa, it's really important for women to come in before they
douche or before they start treatment for the first infection, so that we
can see exactly what the vaginal health looks like and make the
LISA CLARK: Dr. Bachmann, what treatment
options for a diabetic woman with a yeast infection?
BACHMANN, MD: A diabetic woman, Lisa, can use all the same treatment
options that a woman who does not have diabetes can use. That if she
prefers oral, she can use oral. If she prefers a vaginal treatment, she
can use a vaginal treatment.
LISA CLARK: Do yeast infections in
women take longer to treat in some cases?
JOSEPH APUZZIO, MD:
There is many therapies that one could use. One-day therapies, three-day
therapies, seven-days or fourteen-days. And usually, patients who are
diabetic need the longer therapy, not the shorter.
I think one
of the mistakes that I see is a patient who has diabetes given a one-day
or a three-day therapy. It's probably not going to be as effective
as having a seven- or fourteen-day therapy. I think that's very
LISA CLARK: Is there a benefit to topical verses
JOSEPH APUZZIO, MD: Well, patients can be allergic to
either. Also there's the potential for drug interactions if one is
taking a medication on a long-term basis. So for example, for chronic
recurrent disease many individuals would prefer a topical therapy rather
than the oral because the oral could interfere with some of the
medications that the patient is taking.
LISA CLARK: Dr.
Bachmann, I know that there are a lot of products will bill themselves as
sort of an over-the-counter treatment, diagnose and treat yourself. Is
that advisable, especially for women with diabetes who develop a yeast
GLORIA BACHMANN, MD: It's advisable, Lisa,
once the woman knows what she's dealing with. That she's
seen her physician, that she knows the symptoms, the physician has looked
at the vaginal secretions and confirmed -- under the microscope -- that
indeed she has a yeast infection and that she certainly can treat
recurrent ones when she understands what a yeast infection is, what it
LISA CLARK: Any additional thoughts that
you'd like to add?
GLORIA BACHMANN, MD: I think the
other important issue is to complete your therapy. Many women will come in
and say to me, "You know what? I finished sooner than I should of
according to the package, because I felt better." And I think it's
important to complete the complete therapy and not stop midway.
The other is if a woman still feels that she has symptoms, they
haven't gone away completely, then that's time to go back
to the doctor and again go through the full evaluation of having a pelvic
examination, having the physician look at the secretions under the
microscope to be sure that the infection has been resolved with the
LISA CLARK: So bottom line, start with a doctor and
make sure that your doctor knows -- when you've completed
treatment -- that the infection is gone.
GLORIA BACHMANN, MD:
LISA CLARK: All right. Thanks all of you for joining
us; we really appreciate your time. And thanks to all of you in our web
audience. I'm Lisa Clark.