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By Mayo Clinic staffYou'll need prescription medication to treat trichomoniasis, bacterial vaginosis and atrophic vaginitis. If you know you have a yeast infection, you may go ahead with treatment on your own, taking these steps:
- Use an over-the-counter medication specifically for yeast infections. Options include one-day, three-day or seven-day courses of cream or vaginal suppositories. The active ingredient varies depending on the product: clotrimazole (Gyne-Lotrimin), miconazole (Monistat) or tioconazole (Vagistat). Some products also come with an external cream to apply to the labia and opening of the vagina. Follow package directions and complete the entire course of treatment, even if you're feeling better right away.
- Apply a cold compress, such as a washcloth, to the labial area to ease discomfort until the antifungal medication takes full effect.
- Eschenbach DA. Pelvic and sexually transmitted infections. In: Gibb RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2008:608.
- Vaginal discharge: Sexually transmitted diseases treatment guidelines 2006. Centers for Disease Control and Prevention. http://www.cdc.gov/std/treatment/2006/vaginal-discharge.htm. Accessed Dec. 31, 2008.
- Eckert LO, et al. Infections of the lower genital tract: Vulva, vagina, cervix, toxic shock syndrome, HIV infections. In: Katz VL, et al. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/115153683-6/787438538/1524/148.html#4-u1.0-B978-0-323-02951-3..50025-X--cesec14_766. Accessed Dec. 31, 2008.
- Mashburn J. Etiology, diagnosis, and management of vaginitis. Journal of Midwifery & Women's Health. 2006;51:423.
- Castelo-Branco C, et al. Management of post-menopausal vaginal atrophy and atrophic vaginitis. Maturitas. 2005;52(suppl):S46.
- American College of Obstetricians and Gynecologists. Vaginitis. Obstetrics & Gynecology. 2006;107:1195.