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1. I think I might have a yeast infection, but I'm not sure. Should I go ahead and try one of the over-the-counter preparations to see if my symptoms go away?

   If you've had a yeast infection before and now have the same symptoms: vaginal discharge that has a yeast-like smell, with burning, itching discomfort, self-treatment with an over-the-counter antifungal treatment is generally acceptable. However, many vaginal infections, including some that can cause serious reproductive health conditions, have similar symptoms. If you're not sure, have never had a yeast infection before, are pregnant or have a health condition, consult a health care professional for an evaluation of your symptoms before treating yourself with OTC medications.

2. I'm on the third day of a seven-day treatment and my symptoms are all gone. Can I stop using the medication?

   No, you need to use all of the medication as directed. Your symptoms can disappear before your infection is completely treated. If you stop using the medication now, the yeast infection could recur.

3. I have vaginal itching and a discharge with a fishy odor. Is this a yeast infection?

   No, a discharge with a fishy odor is not a symptom of a yeast infection. It's a symptom of bacterial vaginosis (BV), another common, but more serious vaginal infection. BV requires a different treatment that that used for yeast infections. Contact a health care professional for additional guidance.

4. What is the risk of self-treating yeast infection for women who are pregnant or nursing, or those who have diabetes or HIV?

   First, women who are pregnant or have diabetes or HIV have a higher risk of developing a yeast infection. Second, and most important, these woman, as well as nursing mothers, should always see their health care professional if they suspect a yeast infection rather than self-treat because yeast medications may interfere with medications needed for their other health problems (HIV, diabetes) or pose risks for the baby.

5. If I'm pregnant, can a yeast infection hurt my developing baby?

   No, but you do need to see your health care professional for treatment. Also, some treatments currently on the market, such as fluconazole (Diflucan), are not recommended during pregnancy. Be sure your health care professional and pharmacist are both aware that you are or may be pregnant.

6. I keep getting recurrent yeast infections. Should my sexual partner be treated?

   It's not clear whether vaginal yeast infections can be transferred during sexual intercourse. However, if your sexual partner has the symptoms of candida--redness, irritation and/or itching at the tip of the penis in a male--he may need to be treated. In come cases, treatment of partners of women with recurrent yeast infection, is recommended. Additionally, recurrent yeast infections may actually be representative of a different problem. Thus, it is important to see your health care provider for an evaluation.

7. I thought douching helped keep a woman clean. What is the risk in douching?

   The healthy vaginal ecosystem requires just the right balance of bacteria flora. Nearly 95 percent of vaginal mucosa, which protects against pathogens, is made up of healthy bacteria called lactobacillus. These bacteria make hydrogen peroxide, which keeps unhealthy bacteria from getting out of hand. This, in turn, keeps the amount of yeast at a normal level. Too much douching can disrupt the bacterial balance and lead to infection.

8. My health care professional has prescribed antibiotics to treat an unrelated illness. What precautions should I take to avoid getting a yeast infection?

   Wear loose clothing and loose cotton underwear. Keep yourself clean and dry. Avoid scented or irritating soaps, powders, and toilet tissue. Avoid douching. Use a preventive dose of yeast medication.