Trouble down there? How virtual care can help

If you’re dealing with a yeast infection, bacterial vaginosis (BV) or discomfort “down there,” you’re not alone. These types of issues might feel embarrassing, but they are very common. The shame surrounding intimate health might keep some from getting the care they need.  

But it’s important to know that finding care is nothing to feel embarrassed about. In fact, seeking care is one of the best ways you can look out for yourself. And the good news is that discreet and easy care is within reach. Let’s explore what may go wrong “down there,” what you can do at home, and how virtual care can help you get relief fast. 

What could go wrong “down there”? 

Almost everything you do, and even some things you can’t control, can impact what goes on in your vagina throughout the day. How? Your vagina has to maintain a healthy pH, or acidity level. All of the good bacteria and natural chemicals—your microbiome—help keep your pH between 3.8 and 4.5, which is mildly acidic. The medicines you take, the clothing you wear, your blood sugar and even your hormones can influence your vaginal pH.  

If something is off, it can change your vaginal pH and open the door to unwanted overgrowth from bacteria and yeast. Vaginitis is when your vaginal area is inflamed and uncomfortable. You may experience vaginitis when you have a bacterial or yeast infection.  

Bacterial vaginosis, or BV, happens when the normal balance of bacteria in the vagina gets mixed up. Unwanted bacteria may grow more than the healthy bacteria.  

Common symptoms of BV include: 

• Itchiness 

• Burning 

• Unpleasant, fishy-smelling discharge 

• Painful urination 

Not everyone with BV will get all of the symptoms above. Some people may not notice any symptoms.  

Yeast infections are when too much yeast grows in the vagina. This yeast is called candida. It’s normal, and even healthy, to have a little bit of candida in or near the vagina. But changes in your pH may encourage it to overgrow.   

Common symptoms of yeast infections include: 

• Itchiness 

• Burning 

• Thick white discharge 

• Irritation or rash 

• Painful urination 

Common ways to throw off your vaginal pH 

Now that we know how your vaginal pH plays a role in intimate health, let’s look at some common reasons why your pH might be “off.” It’s important to remember that developing a yeast infection or BV doesn’t mean that you have bad hygiene. In fact, the most common causes aren’t about hygiene at all. 

Here are some everyday reasons your vaginal pH might change: 

• Taking antibiotics 

• Wearing tight, unbreathable clothing 

• Hormonal shifts from medications, your menstrual cycle or pregnancy 

• Staying in wet clothing for too long 

• Having unmanaged diabetes 

• Using scented tampons and pads 

• Douching 

• Having a new sex partner or multiple sex partners 

What can you do? 

Now for the good news! Because vaginal infections are so common, there are many ways to treat them and their symptoms. Sometimes mild infections resolve on their own in a few days. But more intense and uncomfortable infections may need prompt care. 

Yeast infections 

There are many over-the-counter options to help you manage your yeast infection at home. These options vary widely in effectiveness. Often, people find that over-the-counter options aren’t enough to fully resolve their infection. If your over-the-counter solution does not work, you may need to see a care provider for a prescription and care plan. 

Over-the-counter options for yeast infections include: 

• Antifungal creams and suppositories—these treatments are inserted into the vagina at night for between one and seven days depending on the strength of the medication. Always follow the directions on the label when using an over-the-counter treatment. 

• Boric acid suppositories—these small capsules can help treat yeast infections that are resistant to antifungal medications. They are inserted vaginally and should never be taken by mouth. Don’t use boric acid if you are pregnant, trying to conceive, or have broken skin in or around the vagina. 

Bacterial vaginosis 

While there are many ways to help manage BV symptoms over the counter, BV can only be cured with prescription medications. 

Options that help treat symptoms of BV include: 

• Vaginal gels—these gels are designed to help people manage the smell and discomfort from a BV infection 

• Vaginal itch creams—vaginal itch creams help manage the itching, burning and discomfort from a BV infection 

• Boric acid suppository—boric acid is not a cure for BV. But it can help manage symptoms until you can get the right treatment. 

Getting virtual care 

Vaginal infections can be extremely uncomfortable. A virtual care provider can help you get relief quickly. Attend your visit from your computer or phone in the privacy of your own home. Be prepared to talk about your symptoms in detail so that your care provider can know what the best course of action is.  

If you’re eligible for Teladoc Health 24/7 Care, you can see a care provider at any time of day. Our care providers can give you a care plan that may include prescriptions and suggestions for managing your symptoms. See if you are eligible through insurance, or explore non-insurance options here. 

Here are some ways to prepare for your virtual visit: 

• Take a deep breath—discussing your intimate health with someone new can feel intimidating. Care providers have your best interest in mind and will help you without judgment. Your information is private and safe. 

• Be detailed—if you have more than one or two symptoms, it might be helpful to write them down so that you don’t leave anything out. You may be asked to describe your health and lifestyle habits. This information helps the care provider understand the best way to help you.  

• Know your pharmacy—if your care provider prescribes treatment, be prepared to tell them the name and address of your pharmacy. 

When it comes to vaginal health, time is of the essence! By taking steps to address “trouble down there,” you’re taking care of yourself. Celebrate taking care of yourself today and request a visit.