Nonpharmacologic Treatments

In combination with pharmacologic treatment, the practitioner should recommend basic nonpharmacologic approaches to treatment and prevention of VVC:

• Keep the genital area clean and dry.

• Avoid prolonged use of hot tubs.

• Avoid constrictive clothing.

• Wear underwear made of breathable materials, such as cotton.

• To reduce vulvar irritation, avoid soaps and perfumes in the genital area.

• Although study results are conflicting, the daily consumption of active L. acido-philus may reduce recurrence. One study found that the daily ingestion of 8 ounces of yogurt produced a threefold reduction in the incidence of infection,8 while other studies found no difference in infection rates in women who ingested yogurt.9,10

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