Q:

1/17/2014
I have seen that there have been inquires regarding female patients with recurring vaginal yeast without evidence of any other systemic candida infections. I have consulted on a number of these cases and they always prove to be immunocompetent. It very well may be secondary to abnormalities in the local vaginal environment. My question is any advice on what to recommend for therapy for these women as it seems the gyn's have been unsuccessful at controlling symptoms. Any recommendations would be appreciated as these women are desperate for help.

A:

Answer:
Thank you for your inquiry.

Unfortunately, I do not have any further recommendations for you. I would add, just for interest sake, that the history underlying the allergist/immunologist participating in the care of women with intractable vaginitis is not so much linked to immunodeficiency, but to reports of "desensitization procedures" used in the treatment of this disorder. These are in the "older literature" and references to this type of therapy are found on lay websites as well. Of course, this treatment has not been investigated systematically, and therefore its use is controversial.

For your interest, I have copied below two links to lay websites and also an older reference in the medical literature from the journal of Alternative and Complementary Therapies.

Candida Yeast Infection Treatment: Desensitization (EPD ) For Candida

Candida

Reference: Jeffrey A. Morrison and John Sullivan. Alternative and Complementary Therapies. August 1999, 5(4): 225-229. doi:10.1089/act.1999.5.225

Thank you again for your inquiry and we hope this response is helpful to you.

Sincerely,
Phil Lieberman, M.D.

AAAAI - American Academy of Allergy Asthma & Immunology