instruction: hello doctor I am currently on fluconazole 150 my and I am on my second dose I just took it yesterday for a yeast infection I was given clotrimazole betamethasone topical cream to apply on the affected area twice a day however it seems to make it hurt in an hour after application I first felt myself getting irritated in the vulva area about a week and a half ago and then started monistat with refilled cream applicator and it seemed to improve however a few days later it seemed to reverse then I received the diflucan and it seemed the discharge has been less inside however the external seems red and irritated and itchy still my question is in order to cure a vaginal yeast infection do I need to apply the antifungal cream externally along with the diflucan or will the diflucan alone take care of the external and internal infection
output: hi I have gone through your history and understand your concern it could be due to vaginitis caused by a fungal and bacterial infection you have to take vaginal tablet as well as local application of cream you can do one thing use plain candid cream and take antifungal and antibiotics for the same keep the area dry and clean and drink a lot of warm water and eat lots of vegetables and fruits avoid oily and spicy food take probiotics for the same