Help for recurrent yeast infections

Q:

I get a few yeast infections every year, and when I mentioned it to a friend, she said there’s a purple liquid that can help. What is it?

A:

Your friend is likely referring to gentian violet (GV), an antiseptic that’s been long-used as an antibacterial and antifungal. But I don’t recommend it to my patients, as it’s difficult to manage and very messy.

Instead, try vaginal suppositories with boric acid, a natural and inexpensive option that’s been used to treat yeast infections for more than 100 years. A review of studies shows that it’s a safe and effective overthe-counter option for women with recurrent and chronic yeast infections. I suggest using the suppositories (like pH-D Boric Acid Vaginal Suppositories, available at Walgreens) once a day for three weeks.

And to prevent recurrent yeast infections, after completing the regimen above, continue to place one boric acid capsule in the vagina two nights per week for 6 to 12 months, or as advised by your provider.

You’re not alone: More than half of postmenopausal women have high blood pressure because the loss of estrogen makes blood vessels less elastic. And while treating the condition is vital, studies show that more than 50% of sexually active women taking blood-pressure medication report reduced sexual pleasure. We’re not sure why this happens, but some data suggests the medications may reduce blood flow to the genitals and decrease vaginal lubrication.

I suggest asking your doctor whether an ACE inhibitor might work for you—it’s the least likely of blood-pressure medications to impact sexual function. Also, using a vaginal moisturizer, staying hydrated and using a lubricant during sex are strategies that help most of my patients who experience discomfort.

Since I started taking bloodpressure medication, sex has become less satisfying—even uncomfortable. I’m 54. Help!