Patient's Query
Hello doctor,
Whenever I have sex, the next day I start to feel itching and irritation in my vagina, and if I itch, swelling occurs, and in the next few days, a yeast infection develops. I have switched to non-latex condoms, but the problem still persists.
My partner is safe, and there are no signs of STDs in either of us. I have gotten yeast infections twice now. One went away on its own, and the second was a bit severe, and I had to take medications.
I took medications after consulting a gynecologist, such as Fluconazole, Metrogyl, and Zifi, as well as used creams to avoid itching and irritation. How to resolve this?
Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and understood your concern.
It is normal for you to be concerned about any itching following sex, and this can significantly impact your sexual life. While itching is more common with latex condoms, non-latex condoms have less incidence; the condom is most likely not the cause of your itching.
The vagina is like a tube, and a yeast infection starts growing from the top of the vagina, from where it spreads down to the vulva and surrounding areas, causing itching. If the yeast infection is restricted to only the top of your vagina, you would not get itching unless it overgrows and spreads downwards. This is because of the different nerve supply.
So, when you have vaginal intercourse with your partner, the thrusting of the penis during this process results in the displacement of the yeast infection from the upper part of the vagina to the lower part and surrounding areas.
This results in itching of the lower part of the vagina, the vulva, and the surrounding areas. This is what is causing the itching for you after sex. It is also the reason why some women have itching after their menstrual period. So, get antifungal vaginal pessaries (inserts) and the cream to use. It will clear the yeast infection at the top of your vagina, and the itching after sex will stop.
I hope that this answers your query.
Kindly follow up if you have more doubts.
Thank you.
Patient's Query
Hello doctor,
Thank you for the prompt response.
I understood what you said. But when the yeast infection has cleared out completely, and it has been days since I felt any irritation.
How does the infection spread after intercourse if there is no infection to begin with?
What is the primary source of the infection, and why does it happen after every intercourse?
Kindly help.
Thank you.
Hello,
Welcome back to icliniq.com.
I read your query and understood your concern.
The main fact that you have itching after sex, and you also have a history of recent treatment for a yeast infection, suggests the infection has not been completely cleared. There is most likely still an infection in the upper part of your vagina.
Such an infection does not give you any sign, as the nerve supply of the upper part of the vagina makes it so. Therefore, you will not feel anything. The thrusting of the penis during sex brings this to the lower part of the vagina, where the nerve supply is different, and that is why you get itching a day or two after sex.
In recurrent yeast infection, you insert pessaries for seven to fourteen days, depending on how severe it is. Then you insert pessaries once a week (choose a day in a week that is convenient for you and stick to that day) for 12 weeks. So, the most likely cause of your itching still remains yeast infection and not the condom.
I hope this helps.
Kindly follow up if you have more doubts.
Thank you.
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