Doctor Steven R. Goldstein MD is a top New YorK City Gynecologist. Dr Goldstein often sees patients present with yeast infections or even worse, recurring yeast infections with itching, burning, and so on.
First, note that a yeast "infection" is not an infection at all. The vagina is a place where a significant number of bacteria are present as well as yeast forms. They live in harmony. When this normal balance of bacteria and yeast is upset (by some external factor), the patient winds up with itching and burning due to the imbalance.
What is the reason for the imbalance between yeast and bacteria in the vagina? The most common reason is the use of an antibiotic for a sinus infection, urinary tract infection or some other reason. The antibiotic kills some of the normal bacteria in the vagina, thus the yeast forms flourish!
The patient then winds up with itching or burning, sometimes with a cottage cheese like discharge. Therefore, this yeast "infection" is not an infection at all. It is simply an imbalance between the normal bacteria and yeast in the vagina. A more appropriate term is a "yeast imbalance". The use of the word "infection" may lead one to believe that this condition is contagious. It is not. It is not an infection, just an imbalance.
Dr Steven R. Goldstein MD, a top New York City Gynecologist, prescribes medications such as intravaginal and oral medications to restore the normal balance of bacteria and yeast forms. A low grade hydrocortisone cream is given for the areas where the itching and burning are perceived, even though they originate inside the vagina.
Dr Goldstein is a Professor of Obstetrics and Gynecology at New York University School of Medicine, former Director of Gynecologic Ultrasound at New York University Langone Medical Center and is considered one of the nation’s top doctors in gynecology.
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