Fluconazole: MedlinePlus Drug Information
The pharmacokinetic properties of fluconazole are similar following administration by the intravenous or oral routes.
But if after having sex you develop a yeast infection that causes symptoms, it is most likely because other things are also involved. The following information is NOT intended to endorse any particular medication. ® Registered Trademark Pfizer Products Inc. You can also insert some into your vagina. However, men can also get a genital yeast infection.
71 over the first 72 hours following dosing. Remember to keep any regular appointments with your doctor. But there's no scientific proof that this will prevent yeast infections. Dweck to give us the lowdown on each treatment type—and also weigh in on whether or not home remedies are worth trying. Voriconazole is a substrate for both CYP2C9 and CYP3A4 isoenzymes.
One small study showed that among women who believed they had a yeast infection, only 1 out of 3 of them actually had one, and women who had been diagnosed in the past by a healthcare provider weren’t any better at correctly making the diagnosis (7).
However, boric acid can irritate the skin and is toxic if taken orally or applied to open wounds. There are dozens of treatments for vaginal yeast infections. Tell your doctor or pharmacist if you experience skin rash, fever, swollen glands, increase in a type of white blood cell (eosinophilia), and inflammation of internal organs (liver, lungs, heart, kidneys, and large intestine) as they may be signs of a hypersensitivity reaction (Drug Reaction or rash with Eosinophilia and Systemic Symptoms (DRESS)). Got a yeast infection? try these easy home remedies, you must do this 2 to 3 times a day. A single oral 150 mg dose of fluconazole administered to 27 patients penetrated into vaginal tissue, resulting in tissue: They can cause serious problems. Vaginal yeast infections are common; three out of four women have had one at some point during their lives.
Grapefruit juice: Care should be taken: In many cases, yeast infections can be easily and successfully treated at home. Ask a doctor or pharmacist before use if you • are at increased risk for sexually transmitted diseases (e. )If you'd prefer not to use a cream, you can also take an oral antifungal medication called fluconazole (Diflucan). Compare current thrush drugs and medications with ratings & reviews, one thing that can help, provided you have the privacy and cooperative weather, is exposing your nipples to sunlight for a few minutes each day, since yeast hates sun. An open-label, randomized, three-way crossover study in 18 healthy subjects assessed the effect of a single 800 mg oral dose of fluconazole on the pharmacokinetics of a single 1200 mg oral dose of azithromycin as well as the effects of azithromycin on the pharmacokinetics of fluconazole. (2 percent of cases in 1995). An oral dose of 7.
- Boric acid Boric acid is a chemical that has antiseptic and antifungal properties.
- Tampons can absorb the medicine.
- Medicine choices Vaginal antifungal medicines, such as miconazole (Monistat) and tioconazole (Vagistat), are available in 1-day, 3-day, and longer courses, depending on the strength of the medicine.
- It will give you more information about fluconazole and will provide you with a full list of the side-effects which you may experience from taking it.
- First, you only need one dose, and the infection disappears in days.
Vagistat 3
Oral antifungal medicines are available with a prescription and are easy to use. Thrush is the common name given to a vaginal yeast infection. Nearly 75 percent of women will get at least one yeast infection at some point in their life, according to the Centers for Disease Control and Prevention. If you have been prescribed a course of treatment, remember to continue taking the capsules/medicine until the course is finished. Yeast infection symptoms generally present with itching, a white vaginal discharge, and pain or soreness. Yeast+infection images, stock photos & vectors, if you are in a sexual relationship, there is no need to treat your partner too unless they also have symptoms. If you have risk factors for an STI, discuss your symptoms with your doctor before using a nonprescription medicine. In children, the following pharmacokinetic data {Mean (%cv)} have been reported:
How this works. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). If you have any abnormal or irregular vaginal bleeding or a blood stained discharge. Most yeast infections involve Candida albicans ( C. )
Some studies suggest that 40 to 70 percent of women with recurrent vulvovaginal candidiasis have some specific anergy resulting in a subnormal T-lymphocyte response to Candida. These contribute to health and help restore the balance of bacteria and yeast in the body. These usually come packaged with an applicator that helps you measure the right dose. With the other, insert the applicator. Treating a yeast infection is usually simple and straightforward with over-the-counter or prescription antifungal medication. What to think about Antifungal creams and suppositories that you put into your vagina have fewer side effects than antifungal pills you take by mouth. Some women also have a thick, clumpy, white discharge that has no odor and looks a little like cottage cheese. Vaginal medicine only affects the area in which it is applied.
- A recurrence may also represent an inadequately treated infection.
- These factors may include use of antibiotics, hormonal changes (during pregnancy, menstruation, menopause), diabetes, the contraceptive pill, wearing tight clothing, or using perfumed soaps, bath additives and vaginal deodorants.
- Fill a suppository applicator with the acid mixture.
- Your doctor may also prescribe a steroid cream for a few days to ease more severe inflammation, redness, and soreness at the opening of the vagina and of the surrounding tissue, called the vulva.
Why Is This Medication Prescribed?
The main ingredient of DIFLUCAN is fluconazole. Yeast (candida) is a fungus that can live almost anywhere. Avoid using tampons or douching before your appointment. Take me, for instance.
If you have a vaginal yeast infection, your doctor can prescribe treatment to clear up the symptoms in a couple of days and cure the infection within a week. This doesn’t mean they kill yeast better, rather the base is soothing and just having something on the inflamed tissue helps with symptoms. This is so your doctor can check on your progress. This leaflet contains important information about DIFLUCAN (dye-FLEW-kan).
MMWR, 64(RR-03):
People with sensitive skin may experience burning and even skin damage. Mix the tea tree oil with a carrier oil, like coconut. Certain birth control pills may also increase your risk of getting a yeast infection. DIFLUCAN ONE is a 1-pill, 1-dose, 1-day treatment that is clinically proven to cure most yeast infections.
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Miconazole (Monistat), clotrimazole and tioconazole are the most common OTC antifungal medications for yeast infections and are available as a cream which is applied to the affected area. Women with diabetes whose blood sugar isn’t properly controlled are also at a higher risk. For these reasons, before you start taking fluconazole it is important that your doctor or pharmacist knows: Talk to your doctor or pharmacist before taking DIFLUCAN ONE if: 10 However, unless other symptoms are suggestive of diabetes, patients with recurrent vulvovaginal candidiasis are rarely found to be diabetic. If you would like more information, talk with your doctor. It usually starts to work within one day, but it may take 3 days for your symptoms to improve and up to 7 days for your symptoms to disappear. Children and adolescents:
Fluconazole is available on prescription, and it can also be bought at pharmacies, without a prescription, for the treatment of vaginal thrush. Most of the vaginal treatments are available as creams, vaginal tablets, or suppositories. 27 to 73%) and an increase in Cmax of 19% ± 23% (range: DIFLUCAN ONE is a treatment that's clinically proven to relieve the itching, burning and discharge associated with vaginal yeast infections (VYIs). These rates were comparable to control products. DIFLUCAN can pass through breast milk to the baby.
Oral Tablets
But it’s also available without a prescription as DIFLUCAN ONE. Do not use DIFLUCAN for a condition for which it was not prescribed. If microscopic examination of vaginal secretions in a potassium hydroxide preparation is negative but clinical suspicion is high, fungal cultures should be obtained. Peak plasma concentrations (Cmax) in fasted normal volunteers occur between 1 and 2 hours with a terminal plasma elimination half-life of approximately 30 hours (range: )Check with your doctor before starting any new medicines within seven days of taking DIFLUCAN. You are at increased risk for sexually transmitted infections, have multiple sexual partners or change partners often.
They're not considered sexually transmitted infections. If swallowed, get medical help or contact a Poison Control Center right away. In addition, creatinine clearance (74 mL/min), the percent of drug recovered unchanged in urine (0 to 24 hours, 22%), and the fluconazole renal clearance estimates (0. )A blood test to find out if you may have diabetes or another health problem that makes you more likely to get yeast infections. There was a significant increase in zidovudine AUC following the administration of fluconazole. You have regular yeast ( Candida albicans ) but it isn’t susceptible to the OTC product. However, other types of yeasts can also be responsible.
Stress, pregnancy, and illnesses that affect the immune system may allow yeast to multiply. 5 mg of midazolam was ingested after fluconazole/placebo. How to use garlic for candida and yeast infections » the candida diet. Which one is right for you? The dose will be printed on the label of the pack to remind you of what was said. However, you should keep in mind that many of these treatment options aren’t supported by reputable studies. In a 2020 study, women with chronic yeast infections inserted a specially formulated probiotic pill into the vagina. What can I do if my symptoms return after treatment? In a follow-on clinical study involving 8 healthy male subjects, reduced dosing and/or frequency of voriconazole and fluconazole did not eliminate or diminish this effect.
Related Information
The high estrogen levels caused by pregnancy or hormone therapy can also cause it. In the meantime, wearing loose fitting clothing and trying to stay cool may help soothe the itch and discomfort. You are more likely to use a treatment correctly and complete the treatment if you get to choose the type you prefer. Tell your doctor right away if you get a rash while taking DIFLUCAN. Coadministration of fluconazole and quinidine is contraindicated. And here are the wonderful symptoms of a yeast infection.
Many women struggle with how to get rid of a yeast infection and easier access to prescription medications like Diflucan and OTC medications has helped improve timely yeast infection treatment. If you can, continue to eat yogurt daily after the infection clears. Do not take two doses together to make up for a forgotten dose. If you do not get complete relief ask a doctor before using another product. It may harm them. It is normal for a certain amount of yeast to be found in the vagina. Have pain during sex or urination. You may prefer to take pills rather than use medicine that is inserted into the vagina.
(1%) of placebo-treated patients experienced symptoms consistent with hypoglycemia.
Diflucan Drug Imprint
Alcohol or marijuana (cannabis) can make you more dizzy. Fluconazole is available under the following different brand names: If you are pregnant, suspect you might be pregnant, are trying to become pregnant or are breastfeeding. Although the initial infection is sometimes diagnosed over the telephone, clinical evaluation of recurrent episodes is essential. 5 /10 Average Rating 330 Ratings with 364 User Reviews What next? Perspiration associated with tightly fitted clothes or poorly ventilated underwear increases local temperature and moisture. Azole resistant therapy.
What Is the Treatment for Vaginal Yeast Infection?
Both options are wrong. Clay-colored thrush, 1) South American Classification Committee (24/10/2020) (v. Repeat this technique two times a day to relieve symptoms. However, some factors can cause an upset in the natural balance inside the vagina and an overgrowth of yeast can occur. There was a mean ± SD increase in tolbutamide AUC of 26% ± 9% (range: )Researchers believe that eating yogurt or taking probiotic supplements may help maintain the proper balance of good bacteria and keep yeast from overgrowing.
7 * Relative to concurrent concentrations in plasma in subjects with normal renal function. Hepatic impairment: Antifungal cream or suppository OTC medications for yeast infections usually come in the form of a cream, ointment, or suppository. Coadministration of fluconazole (400 mg on Day 1 and 200 mg once daily for 6 days [Days 2-7]) and tofacitinib (30 mg single dose on Day 5) in healthy subjects resulted in increased mean tofacitinib AUC and Cmax values of approximately 79% (90% CI: )
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What other drugs could interact with this medication? According to the Mayo Clinic, symptoms can range from not-so-bad to moderately uncomfortable. But in most cases, there is something you can do. Generally, this is prescribed by doctors if a yeast infection is resistant to other, more easily tolerated methods. Be sure to wash your hands well before and after application. Most women only require a single dose of the medication to clear their yeast infection, but fluconazole is not recommended for pregnant women due to a potential risk of harming the developing baby. Cause A vaginal yeast infection is caused by an overgrowth of yeast organisms that normally live in small numbers in the vagina.
If you are hypersensitive to any of the DIFLUCAN® One ingredients or any other thrush treatment. Click 'I agree' to allow Verizon Media and our partners to use cookies and similar technologies to access your device and use your data (including location) to understand your interests, and provide and measure personalised ads. On the sixth day of dosing, fluconazole increased the midazolam AUC and Cmax by 259% and 74%, respectively.
Yogurt
If you are pregnant, don't use medicine for a yeast infection without talking to your doctor first. This includes prescription and over-the-counter medicines, vitamins, herbs, and supplements. Some research reports that topically applied boric acid, along with the antifungal flucytosine, successfully treats approximately 70 percent of women. Fluconazole did not affect terfenadine plasma concentrations. DIFLUCAN has been linked to rare cases of serious liver damage, including deaths, mostly in patients with serious medical problems. If you are taking a course of fluconazole, you may need to have a blood test to check that it is not affecting your liver if you are taking it for more than one month.
You are more at risk of developing an internal fungal infection if your immune system does not work properly. Yeast infection vs. stds differences, symptoms, causes, treatment, bacterial vaginosis is caused by bacteria; therefore, it is generally treated with antibiotics. In RS Gibbs et al. For vaginal use only. Talk to your doctor if you are using marijuana (cannabis). However, the administration of cimetidine 600 mg to 900 mg intravenously over a four-hour period (from one hour before to 3 hours after a single oral dose of DIFLUCAN 200 mg) did not affect the bioavailability or pharmacokinetics of fluconazole in 24 healthy male volunteers. Pregnant women are also at higher risk for getting yeast infections because of shifting hormones that can weaken the immune system. KEEP OUT OF REACH OF CHILDREN.
They can be purchased over-the-counter (OTC) or with a prescription, and take the form of an antifungal cream, ointment, suppository, or medicated tampon. 218 (31%, N=9) mL/min/kg six days later and 0. Some of the common things that put you at risk for vaginal yeast infection include: (19 to 122%), respectively.
- The other thing that makes yeast infections such a pain in the butt is that, despite all the treatment options available, some women find them surprisingly hard to get rid of.
- Two groups of 10 normal subjects were administered fluconazole 200 mg daily or placebo.
- A healthy vagina contains bacteria and some yeast cells, but a disruption in the balance of yeast and bacteria causes an overgrowth of yeast cells and symptoms of vaginal thrush.
- Although you only need to take one pill, the medication in DIFLUCAN ONE, fluconazole 150 mg, continues working in your body for several days until your yeast infection is cured.
- 9 Diabetes mellitus is often considered a predisposing factor for recurrent vulvovaginal candidiasis.
- If you were right then there is a 85-90% chance that you should be better.
Pregnancy & Lactation
Use of quinidine has been associated with QT prolongation and rare occurrences of torsade de pointes. The good news: Increasingly, Candida species other than C. However, a few studies have found that daily use of probiotics may also help to prevent yeast and other bacterial infections. Girls who have diabetes that isn't controlled are more likely to get yeast infections. Both of these increases were statistically significantly different from placebo. Mean is based on data from 12 subjects as one of 13 subjects experienced a 2-fold increase in his prothrombin time response.
Your doctor may send a sample of vaginal fluid for testing to determine the type of fungus causing the yeast infection.
These results are consistent with the hypothesis that higher values for the pharmacokinetic parameters observed in the elderly subjects compared to normal young male volunteers are due to the decreased kidney function that is expected in the elderly. Yeast is a single-celled microorganism which can live in the vagina. These include phenytoin (for epilepsy), warfarin (to prevent blood clots) and oral hypoglycaemics (for diabetes).
Wear Cotton Underwear
There are other conditions with similar symptoms, such as bacterial vaginosis or a sexually transmitted infection (STI). The AUC and Cmax of glyburide (5 mg single dose) were significantly increased following the administration of fluconazole in 20 normal male volunteers. Some of the medicines used to treat yeast infections are available without a prescription, but you shouldn't just buy one if you think you have a yeast infection. These problems require a different treatment than the anti-fungal medicine given for a yeast infection. 9 percent of cases in 1988 and 17. Some women get them around their period or during pregnancy due to hormonal changes.
Pet Care Essentials
Whether treatment should be continued during your menstrual period. A guy with a yeast infection may not have any symptoms or the tip of the penis may become red and sore or itchy. Instead, I pitched this story and reached out to experts to find out whether it’s actually okay to have sex when you have a yeast infection.
A third study evaluated the potential interaction of once-weekly dosing of fluconazole 300 mg to 21 normal females taking an oral contraceptive containing ethinyl estradiol and norethindrone. Or the type of yeast infection you have may respond better to one method than to the other. As a reminder, here's what a yeast infection is. Tissue (Fluid)/Plasma Concentration* Cerebrospinal fluid† 0.
Pain or discomfort during sexual intercourse. Some things can cause an imbalance between these organisms and can prompt yeast to grow. There was no significant difference in ethinyl estradiol or levonorgestrel AUC after the administration of 50 mg of DIFLUCAN.
IUD myths and misconceptions
Are sure your symptoms are caused by a vaginal yeast infection. You pay for your medication at the pharmacy, just like a typical clinic visit. Taking this medicine may cause mild side effects such as nausea or feeling sick, headache, stomach pain, indigestion or diarrhoea. Products that may interact with this drug include:
Or instead, you may try putting a cool, damp cloth on the area. Taking fluconazole at the same time as drinking grapefruit juice may cause fluconazole to build up in the body and cause side effects. This requires an extended treatment. The therapeutic cure rate, defined as a complete resolution of signs and symptoms of vaginal candidiasis (clinical cure), along with a negative KOH examination and negative culture for Candida (microbiologic eradication), was 55% in both the fluconazole group and the vaginal products group. If you stop taking fluconazole too soon, your infection may come back after a short time. Do not give DIFLUCAN to other people, even if they have the same symptoms you have.
Characteristic budding mycelia are seen in fewer than 30 percent of positive candidal cultures.
What Is It?
Clinical evaluation of recurrent episodes is essential. You'll have to have a prescription for these: Test vaginal secretions. Mycologically, 76% of fluconazole treated patients had the infecting organism eradicated compared to 11% for nystatin treated patients.
ET, Monday — FridayOWH and the OWH helpline do not see patients and are unable to: The most common bacteria, Lactobacillus acidophilus, help keep other organisms—like the yeast—under control. There was a mean ± SD decrease in fluconazole AUC of 13% ± 11% (range: )
Use mild, unscented soap and water. DIFLUCAN 100 mg was administered as a single oral dose alone and two hours after a single dose of cimetidine 400 mg to six healthy male volunteers. One limitation of the study is the possibility that researchers lacked data on all of the women who smoked or drank or took folic acid, the study authors note. Shop for tea tree oil. However, you’ll still need to help restore your vagina’s natural balance of yeast and bacteria. Report your symptoms to your doctor if: Who should NOT take this medication?
- There was a significant increase in phenytoin AUC.
- It’s used as a suppository for yeast infections, usually once a day for seven days.
- You can treat many yeast infections with over-the-counter creams or suppositories that you can buy without a prescription, especially if this isn't the first time you've had a yeast infection and you recognize the symptoms.
Sex Could Mess With Your Treatment—and Vice Versa.
I had a yeast infection. Check with your doctor as soon as possible if any of the following side effects occur: Prescribed medication may also come with additional prescription drugs to help treat your symptoms, such as steroids to relieve inflammation of the opening of the vagina. A potential for development of resistance to fluconazole is well known. Anything that changes the normal balance of bacteria and yeast in your vagina has the potential to cause a yeast infection.
There was a mean ± SD reduction in fluconazole AUC of 23% ± 9% (range: )Yogurt and supplements containing Lactobacillus — "good" bacteria common in the vagina and elsewhere — are thought to help treat and prevent yeast infections. What side effects may I experience after taking Diflucan One?
With one hand, gently pull back the folds of your vagina. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. IV fluconazole increased the midazolam AUC and Cmax by 244% and 79%, respectively. This test can confirm that you have a yeast infection.
Everyday Health Women's Health Yeast Infection
While topical medicines are usually the first thing prescribed for yeast infections, women who don’t improve with this approach may be given fluconazole even though using this drug in pregnancy has been linked to an increased risk of certain birth defects including skeletal and heart malformations. Essential oils should be mixed with carrier oils before use and never applied directly to the skin. At the visit, your doctor might take a urine sample (to rule out a urinary tract infection) and swab some discharge from your vagina to examine under a microscope. Complete the new medication information form (PDF)(What is a PDF document?) Yeast also can grow a lot if a girl's blood sugar is high. The oil in some medicines weakens latex, the material often used to make these devices. First of all, can I live? They will look to see if the vulva or vagina appear red, swollen, or if any discharge is present (6).
Your doctor may tell you to take a double dose of fluconazole on the first day of your treatment.
- Fluconazole 150 mg capsules are an antifungal medication used to treat vaginal yeast infections caused by the yeast known as Candida.
- Other research indicates that a component of tea tree oil (terpinen-4-ol) enhances the activity of the common antifungal drug fluconazole.
- Boric acid Boric acid is a powerful antiseptic.
- Nearly three times out of four, they're treating themselves or calling a doctor for a medicine to treat a problem they don't have, said Hoffstetter, who co-directs the SLUCare Vulvar and Vaginal Disease Clinic, which specializes in treating women who have chronic pain, unhealthy discharges or skin problems in their vaginal area.
- Cotton allows more air to flow through the genital area.
About Fluconazole
Otherwise, you're likely to see a family medicine doctor or gynecologist. If you are a breast-feeding mother and are taking fluconazole, it may affect your baby. 5 mg dose of midazolam was orally ingested on the first day, 0. Vaginal boric acid capsules can work for women with a yeast infection.
If side effects still bother you and you wonder if you should keep taking the medicine, call your doctor. In patients with fungal meningitis, fluconazole concentrations in the cerebrospinal fluid (CSF) are approximately 80% of the corresponding plasma concentrations. Boric acid suppositories are available without an Rx, but you do have to ask a pharmacist to make them for you, says Dardik. Fluconazole comes as a tablet and a suspension (liquid) to take by mouth. For example, a patient may not complete the entire course of antifungal therapy, especially if an inconvenient topical treatment has been prescribed. After using the toilet, wipe from front to back to avoid spreading yeast or bacteria from your anus to the vagina or urinary tract. It is very important that this medication be taken as suggested by your doctor or pharmacist. This is because vaginal medicine isn't absorbed into your body and only affects the genital area.
What Is Candida Albicans?
In fasted normal volunteers, administration of a single oral 400 mg dose of DIFLUCAN (fluconazole) leads to a mean Cmax of 6. HuffPost is part of Verizon Media. Do not take DIFLUCAN if you take certain medicines. What is in Diflucan One?
I faced this conundrum recently when I got back to New York City after three weeks of travel.
I know what you might be thinking: Fluconazole passes into breast milk but is unlikely to harm a nursing infant. Oral thrush treatment, symptoms, contagious period & remedies, it may be unpleasant and uncomfortable. Ask your pharmacist how to dispose of medications that are no longer needed or have expired. 72 mcg/mL (range: )Vaginal yeast infections are caused by Candida, a type of yeast. In this case fluconazole/Diflucan won’t work either. This can help maintain regular bacterial balance.
That allows candida fungus to grow more abundantly than usual. Fluconazole significantly increased the QTc interval in subjects receiving cisapride 20 mg four times daily for 5 days. The prescription medication, fluconazole, is a single pill that is taken by mouth (6). Taking corticosteroid medicines sometimes also weakens the immune system and increases the risk for yeast infections.
They may swab the inside of the vagina and either send it to a lab or look under a microscope to determine if yeast is present (6).
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The proportion of patients with clinical relapse 2 weeks after the end of treatment was 14% for subjects receiving DIFLUCAN and 16% for subjects receiving nystatin. Symptoms of candida and 6 natural remedies, oregano oil 17. When I got back from traveling, I’d already been to the gynecologist, who’d given me an oral medication to treat my yeast infection. Call and set up an appointment the day you start the yeast medication for 6-7 days out. Women who take oral contraceptive pills have a higher rate of vulvovaginal candidiasis. For the current study, researchers examined data on 29,458 pregnancies ending in miscarriage between 6 and 19 weeks gestation and on 245,059 pregnancies that didn’t end in miscarriage. “Almost all of the over-the-counter remedies will work for women who get them once in a blue moon,” says Raquel Dardik, M. If you buy something through a link on this page, we may earn a small commission.
As well, some forms of this medication may not be used for all of the conditions discussed here. Fever and chills. The good news is that they can usually be managed with over-the-counter treatments and home remedies.
Inside Diseases & Conditions:
Do I need to take medicine? Clinical and mycological response rates were higher in the children treated with fluconazole. Yeast infection myths and misconceptions, you may feel more comfortable if you wear breathable cotton underwear and clothes and avoid vaginal sprays and douches. A yeast infection causes itching or soreness in the vagina and sometimes causes pain or burning when you urinate or have sex. With one hand, hold back the folds of your vagina.