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June 13, 2011 • 16 mins

Three out of four women will have a yeast infection in her lifetime, experiencing a range of unpleasant symptoms. But while you may be tempted to head for the nearest drug store, it's more important to visit your doctor. Tune in to learn more.

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Speaker 1 (00:00):
Brought to you by the reinvented two thousand twelve Camray.
It's ready. Are you welcome to stuff Mom never told you?
From house Stuff Works dot Com? Held on and welcome
to the podcast. I'm Kristen and I'm Molly Molly. Today

(00:20):
we've got an it's we need to scratch for quite
a long time, and it's called yeast infections. It's nice.
I'm going to go ahead and just knocked that one out.
I want to put some puns out there. Yet that
pun uh done, so now we can move on. Yet,
it's something that has been on our women's health to

(00:41):
do list for a while, not to get to do
to talk about that is yeast in infections. But we've
probably avoided it up until now, I don't know, maybe
like two fifty episodes because who wants to talk about
yeast infections? And maybe more importantly to our listeners, who
wants to listen to talk about people talk about ust infections.

(01:02):
But the fact of the matter is as many as
three out of four women will have a UST infection
in their lifetime, so we got to talk about it,
and men later piano ust infections they can happen. So
because it's so common. We've we've got to discuss that,
even though it's you know, no one's idea of a picnic,
but it's important. Yeah, and there's some useful information out

(01:26):
there that I think women especially will appreciate. But before
we get to a fascinating findings, let's go over a
little bit of yeast infection one oh one, my favorite
class in college. Yes, uh. Ust infections are a type
of vaginitis or an inflammation of the vagina, which is

(01:49):
characterized by a vaginal irritation, intense itchiness, and vaginal discharge.
And a lot of times this discharge should be odorless, Yes,
and tuck away in your mind because this will come up.
That odorless factor will come up later. Yes, because some
discharge is normal. Your your vagina is teeming with bacteria
and yeast and most of the time these are in

(02:10):
perfect harmony. And as the vagina cleans itself, you will
have discharge throughout the month. It's abnormal discharge that's really
going to start to play into the vaginal infection story, right,
and you get a yeast infection when that balance is
thrown out of whack and you end up with an
overgrowth of candida fungus, typically the Candida alba cans fungus,

(02:34):
which is also found on the skin and that gestive track.
So there's nothing wrong with the fact that you're producing it.
You're just producing too much and there are certain things
that can increase your risk for fungus outbreak, such as
antibiotic use. A lot of times your doctor, if you're
prescribed antibiotics you're a woman, your doctor might recommend you

(02:56):
eating yogurt with live active cultures in it to help
keep your fungal growth down because an anti batic is
going to tell out all the back tearing your system
good or bad, despite the fact that your vagina is
full of that good stuff that is keeping the yeast imbalance.
When you are pregnant, especially in the second trimester, you
are especially at risk for a yeast infection because of
the surge in estrogen that can also disrupt that bacteria

(03:21):
and the vagina yeast loves estrogen. Also, you might also
get east infection around the time you're menstruating. Any big
hormonal surge could bring on east infection. And also if
you have diabetes because of blood sugar levels, which again
what are used loves, so that could cause and used

(03:42):
infection and impaired immune systems, and really anything that could
disrupt the lovely balance microbial balance down there, including douching. Yes,
I don't know why douches are still in the market
because I've never seen a good use for a douche.
So you've got a yeast infection. Are you think you've

(04:02):
got a yust in infection? Yeah, let's go there. We
we talked about general vaginitis symptoms, but specifically for yeast infection,
the symptoms are itching and irritation in the vagina and
at the entrance to the vagina, a burning sensation, especially
during intercourse or while urinating, redness and swelling of the bulba,
vaginal pain and soreness, and probably the tell tale symptom

(04:24):
that a lot of us know, the thick, white, odor
free vaginal discharge with the cottage cheese appearance. Oh my god,
thank you Mayo clinic. I'm still having to recover from
that description. But here's the thing. You got some of
these symptoms. Perhaps you've got some burning, some itching south
of the border, so you assume that you have a
yeast infection. So what are you gonna do? You're gonna

(04:47):
pop over to your drug store and you are going
to select perhaps a one time application or one to
three day anti fungal cream ointment or suppository your mona stats, Yes,
your monaster Like this is a class of drugs called
the azoles. And so you think you've treated it. Yeah,

(05:09):
I mean what can be easier than paying you know,
fifteen bucks? Yeah, putting on a cream for a few
days and waiting it out get rid of it. Well,
here's the thing. Self diagnosis of yeast infections might be
harder than we might assume. We found some studies indicating
that only a third of the women who are buying
these over the counter vaginal antifungal products have accurately self

(05:34):
diagnosed their conditions. So, in other words, we are treating
the wrong problem, which could lead to recurring issues down there.
Yes may I quote Susan Hofstadter, a researcher at St.
Louis University School of Medicine. Yes, you may. She has
probably one of my favorite quotes we've come across in
this podcast research. Quote, everything that itches is in a

(05:56):
yeast infection end quote wise words, wise words. Just because
it feels like east infection, You've googled your symptoms you've
come up with east infection. The fact of the matter
is that the vast majority of people buying that cream
at the drug store probably do not have a yeast infection.
In fact, instead of a yeast infection, you might have

(06:17):
herbies or clamydia or bacterial vaginosis, trickenmaniasis and a stead
of another sort cervical infection or something horrifying called pinworms.
Well that that's going to bring people down, yeah, um,
but yeah, the point the takeaway is that you should

(06:38):
go your doctor and make sure that what you have
a yeast infection. We're not trying to make you scared
of your vagina, but rather, yes, more proactive and going
to the doctor, because no one wants to go to
the doctor and be like, I got some funky discharge
and it burns down there, because hey, we should probably mention. Yes,

(06:58):
east infections can be brawn on by sexual activity, but
that is not like a qualifying factor. Part. You can
have yust infection if you've never had sex. Right, So
you know, people might get scared to go to their
doctor and say, you know, something's burned down there. The
doctor might judge me for something I might have done
to my vagina. They've all seen it before. Go to
them and say, what's what's going on down there? Well,

(07:19):
and certainly if you think that you have a yeast
infection and you are sexually active with someone, you should
take care of it as soon as possible, because you
can pass that yeast infection back and forth and back
and forth like a game of hot potato. Yes, as
as we mentioned earlier, men can get east infections. It's

(07:39):
called valenitis. It's a yust infection of the penis and men.
According to what I've read, it burns. Up to fifteen
percent of male partners. In fact, can develop an itching,
mild rash on the end of the penis. And also
similar risk factors like diabetes and impaired immune systems also
put men at high a risk for developing yeast infections.

(08:03):
But the good news is a lot of times those
over the counter fungal treatments such as monostat can work
on your penile yeast infection. Just rub it on buddies.
And we should mention we don't receive any money from monstat.
It's just you know, we've all seen the commercials. I
thought this was one interesting tidbit though, speaking of men um,

(08:24):
that was mentioned on a site that we found discussing
penile yeast infections, and they said that one chemical called
no noximal nine and some latex condoms could potentially cause
annal yeast infections. If you're a gay man using condoms,
that could happen to something to be aware of. Now,

(08:46):
one reason why you can't just say I'm going to
risk it and buy the cream and if it goes away,
it goes away, and if it doesn't, great is because
of the risk of bacterial vaginosis, which I think we
should just touch on briefly, because these are two conditions
that are really free quently mixed up, and the fact
that are is they have different causes so that they
need different cures. Whereas the yeast infection is an overgrowth

(09:07):
of the yeast due to a lack of bacteria, bacterial
vaginosis is the opposite. It's too much bad bacteria, and
the symptoms of that are vaginal discharge that's thin and
grayish white, foul smelling, fishy, vaginal odor, especially after sexual intercourse,
which remember Kristen said that odor thing is an issue
that that might be a tip off that you're not
dealing with the yeast infection, Vaginal itching or irritation, pain

(09:30):
during intercourse, burning during your nation, light vaginal bleeding. Again,
these delightful symptoms come courtesy of the Mayo Clinic, and
again not something that you get from sex. It's not
a STD, it's not a direct result of sex. Often
it happens after sex, but you don't have to have
sex to experience bacterial vaginosis. But speaking of sex, one
interesting point uh I thought that Mayo Clinic made was

(09:53):
that sometimes a new sexual partner, or if you have
multiple sexual partners, you might have a higher risk for
developing bacterial vaginosis. Again, nothing to be scared of, but
just something to be aware of. And it's also common
for BEV to come back within three to six months.
So it requires an antibiotic as compared to the cream

(10:14):
or suppository that you might get if you have a
yeast infection. So again, different causes, different cares. That's why,
as much as we all hate doing it, sometimes you've
got to go to the doctor, especially if it's what
you think is your first yust infection. Now, there are
some women who once they have a few they've got
the drill down. They might be able to self treat.
But if it's your first yeast infection, call the doctor,

(10:36):
have him check it him or her, check it out
your nurse practitioner. And we were not supposed to say
just doctor anymore, your favorite women's health practitioner and get
it checked out. And also though, if you have had
at least four and we're more used infections in a year,
you need to go to your doctor. Yes, you might
need a more um, more elaborate regimen. Now, Krista mentioned

(10:57):
that pregnant women often get used to deductions. It's actually
the highest risk period of a woman's life. Yes, but
don't just let it just don't just rub um write
it off as a normal pregnancy symptom, because if you
don't get it treated before the baby is born, it
can pass on to the baby. And then when the
baby is breastfeeding, you might notice something called oral thrush,

(11:18):
which is the yeast infection of the mouth. And again
this is one that can go back and forth back
and forth between baby's mouth and breast if it's not
taken care of. And they this is characterized by quote,
creamy white lesions inside the mouth and it's just from
fungus accumulating on the lining of your mouth. Yeah, so
it's for our audience. I think it's particularly interesting to

(11:41):
women who are thinking about becoming mothers are about to
become mothers, although oral thrush can also happen with any
adult who's got an amino compromise system. Another reason to
go the doctor if you're having a lot of uast infections,
what's going on with your immune system? And remember the
euast infections don't just happen on your vagina or your penis.
They can happen in other areas that collect moisture, such
as beneath your breasts or in your armpits. Yeah, yeast

(12:03):
loves moisture and sugar. But you know, it's just it's
loungest is nothing to be scared of. It's all over us. Remember,
three out of four women are gonna have this. It's
nothing to be ashamed of. It's a thing to go
to your doctor for. I'll just take care of it. Yeah. So,
so hopefully you weren't listening during lunch. Um, and congratulations
to everyone out there who made it through our conversation

(12:24):
about east infections. And if you are dude who has
listened to us, I give you five gold stars. All right,
you make cash in nowhere, So if you've got any
thoughts about East infections, you can send them to us.
I don't know if we want East infection anecdotes, not
to say, let's let's keep it um somewhat clean. I mean,

(12:45):
I know it's not a dirty subject. Per se discharges normal,
But unless you're a dude, who's that a East infection?
I'd like to hear from you. Well, uh, no, matter
your thoughts be at yeast infection or other otherwise related
email us. It's Mom's stuff at house parks dot com
and we are going to read some emails now. I've

(13:06):
got an email here from Heather in response to our
podcast on bicycling, and she loves biking. She's a bike
commuter in Seattle, and she says it's definitely the fastest, cleanest,
most fun way to get around, especially in a city
with horrible traffic. I wanted to comment on the issue
brought up a vaginal sore nous in general pain for

(13:26):
women on bikes. A good way to solve these issues
is simply getting a bike that fits and has a
proper seat. A good fitting female seat makes a world
of difference for a vagina, and it may take trying
out a few to fun one that fits, just like
finding the perfect high heels. You can also go to
your local bike shopping get a bike fitting with a
trained expert to make sure your bike is the right side, length,
et cetera for your body, and Heather says, get on

(13:49):
your bike and ride well. I have one here from
Abbey and the subject line was double whammy, which got
my interests and she has lived through two of our
podcast topics, is love at first Sight Possible? And how
can you not know You're pregnant? And I'll share a
little bit of her email. She writes, When I first
saw my now fiance, I was smitten. At the time,
I was working as a barista's Starbucks when one day

(14:11):
a magnificent specimen of man walked in. Though we spent
months of avoiding eye contact to hide our mutual flush
faces and climbing hands, of course, it turns out he
was all about me too. He probably spent two grand
on coffee before he worked up the courage to hand
me his card. Three days later, on my birthday, I
was standing in his apartment about at the town with
a few of his friends and him. After our date,
I'd basically moved in. We enjoyed each other's company immensely,

(14:34):
and even though at several points we tried to deny
our magnetic attraction, we failed. So there's one podcast. Second podcast.
After a year of dating, while I was on birth control,
we got pregnant with our first and only child. I
say that because we are not very child oriented persons,
nor did we ever intend to have a child of
our own. And I had had an illness I discovered
four years ago where and doctors had told me my

(14:54):
chances of successful childbirth were very improbable. But surprise Brandon.
See in November of two, we gave birth to a
completely healthy baby boy. And so she wrote that since
you know their new parents, um, she wanted to have
the email read as a birthday gift for that what
what did she call him? Magnificent specimen a man. So

(15:15):
happy birthday to ADDIE's fiance. Well, if you have any
thoughts you'd like to send our way, our email addresses
mom stuff at how stuff works dot com. We'd love
to see you over on Facebook as well, and you
can follow us on Twitter at mom stuff Podcasts. And lastly,
why don't you head over to our blog during the
week for some leisurely reading. It's stuff Mom never told you.

(15:38):
At how stuff works dot com. Be sure to check
out our new video podcast, Stuff from the Future. Join
how Stuff Work staff as we explore the most promising
and perplexing possibilities of tomorrow. The house Stuff Works iPhone
app has a ride. Download it today on iTunes. Yes,

(16:02):
brought to you by the reinvented two thousand twelve Camry.
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