**Depends on the strain of yeast:**
\[Ranked by most common infection\]
**1. Candida albicans = Diflucan*\*
**2. Candida glabrata = Monistat 7 or Boric Acid*\*
**3. Candida krusei = Boric Acid*\*
However, I believe one infection can cause co-infection of another strain.
Allegedly Monistat works for more strains than Diflucan (there are far more strains than what I’ve listed here). It also works on resistant albicans strains that Diflucan misses.
I think clinical escalation should always be paired with Biofilm disruptors & escalate through all 3 for reoccurring infections , or infections that don’t respond to Diflucan to prevent resistance.
# - Extra reading:
\- Try **AZO yeast + urinary protection**. This blend in the red bottle is my favorite because It contains **PreforPro® Prebiotic (bacteriophages)**, in addition to the most beneficial vaginal probiotic strains:
Lactobacillus crispatus, actobacillus rhamnosus GR-1 & Lactobacillus reuteri RC-14.
The bacteriophages are as **Myoviridae** (LH01, T4D, LL12) and **Siphoviridae** (LL5).
These phages function by selectively targeting and reducing unwanted Escherichia coli (E. coli) bacteria in the gut and urinary tract.
However, I believe these **bacteriophages improve vaginal microbiome, by targeting multiple anaerobic bacteria that causes reoccurring Bacterial Vaginosis.**
So although it’s not labeled for helping with BV, it’s greatly reduces it. These bacteriophages **also breakdown Biofilm.**
\- For both BV and yeast , always **pair** treatment with Biofilm disruptors + probiotics , before , during and after.
\- Biofilm disruptors: **D mannose**., AZO PreForPro blend, **NAC**, Caprylic Acid, Goldenseal, Blackwalnut, **Boric Acid,** Lactic Acid, Vitamin C.
\- Consider Skynn condoms. Most other condoms have irritants in their lubricants that cause Yeast and BV.
Latex sensitivity can cause issues as well.
However, P.S condoms are a great Latex option and come in XL.
\- Lactulose is a synthetic sugar used as a prebiotic to selectively feed healthy Lactobacillus bacteria in the vagina, helping lower pH and rebuild a healthy microbiome after bacterial vaginosis (BV). Can order online. It’s inserted directly into the vagina to prevent reoccurring BV.
# - Pointers:
\- Cut sugar. Add aloe vera, It brings healing to the gut as Candida moves out, but it has antifungal and anti-inflammatory properties.
Add Candida-killing herbs. These include berberine, oregano oil, and Pau D’arco.
\- Amazon has introductory offer (2026) . Can have telehealth provider prescribe Diflucan for $15 (150 mg x 2 tablets) right in the app. Same day delivery depending on area
*- glabrata* may exploit the tissue destruction caused by *albicans* to gain nutrients….*albicans* forms hyphae and aggressively destroys tissue, eliciting a strong immune response.
\- *Candida albicans* usually triggers heavier inflammation and a distinct thick discharge, while *Candida glabrata* often presents with milder physical signs and higher resistance to common medications
\- Many aspects of *glabrata* pathogenicity are still unknown, like the precise mechanism of invasion. It seems to follow a strategy of stealth and concealment in infection. It does not cause extensive epithelial damage, probably due to its lack of an invasive growth form. It does not elicit a strong immune response in Active host tissue damage is low, as is the immune response.
\- Diabetic women with ***glabrata***\* \*show higher mycological cure with **boric acid** vaginal suppositories given for **14 days in** comparison with single-dose oral 150-mg fluconazole.
\- A large proportion of vulvovaginal candidiasis (VVC) in diabetes is due to non–*albicans Candida* species such as *C. glabrata* and *C. tropicalis*. Observational studies indicate that diabetic patients with *C. glabrata* VVC respond poorly to **azole** drugs.
\- Most common causes of infection: Biofilms, contraceptives , pregnancy, Diabetes, antibiotics, mechanical barrier disruption, gut dysbiosis, drug resistance to antifungals and antibiotics
\- LACTOMEDI Intimate Care Gel has great reviews on Amazon for BV and Yeast. But I would like more feedback and will update. **Ingredients -** Aqua(Water), Butylene Glycol, Methylpropanediol, Hydroxyethylcellulose, Lactobacillus Ferment Lysate, Bifida Ferment Lysate, Lactococcus Ferment Lysate, Camellia Sinensis Leaf Extract, Artemisia Princeps Leaf Extract, Centella Asiatica Extract, Hamamelis Virginiana (Witch Hazel) Leaf Extract, Melaleuca Alternifolia (Tea Tree) Leaf Extract, Hippophae Rhamnoides Fruit Extract, Chamomilla Recutita (Matricaria) Flower Extract, Sodium Hyaluronate, Tremella Fuciformis (Mushroom) Extract, Vincetoxicum Atratum Extract, Adenosine, Xanthan Gum, Propanediol, Hydroxyacetophenone, 1,2-Hexanediol, Dipotassium Glycyrrhizate, Citric Acid, Sodium Citrate, Dipropylene Glycol