Skip to main content
QV

QuickVisitMD™

Start a visit

Recurrent yeast guide

Recurrent yeast infection prevention online

For adults 18 or older who have had yeast symptoms 4 or more times in the last 12 months, with a lab test in that time that named Candida albicans.

Start online

Start a $59 online review for Yeast infections that keep coming back.

A vaginal yeast infection can cause itching, soreness, and thick white discharge. For some people it keeps coming back. A prevention plan can help. First you take one fluconazole tablet on day 1, day 4, and day 7. This helps clear the yeast. Then you take one tablet once a week for about 6 months. The CDC and a national group of infection doctors recommend this plan. The FDA label lists one tablet for one infection. The label does not list this plan: one tablet on days 1, 4, and 7, and then one every week. When you stop the tablets, yeast may come back.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visitSee response times

Already in ongoing care with us for this? Check-ins are $39 (your first one is free).

Log in to ask for one

Quick facts

  • You must be physically located in Virginia or West Virginia at the time of request.
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response times apply 24/7, every day

Common symptoms

  • Yeast symptoms 4 or more times in the last 12 months
  • Itching, soreness, and thick white discharge that keep coming back
  • A lab test in the last 12 months, a culture or a PCR test, that named Candida albicans
  • Symptoms that went away after treatment each time

May fit online care

  • Adults 18 and older
  • You are 18 or older
  • You are not pregnant, not trying to get pregnant, and not breastfeeding
  • You use reliable birth control, or you cannot get pregnant
  • You agree to a free check-in at about 2 weeks and a check-in at about 14 weeks to get the rest of the tablets

Look for another care setting

  • Bad pain, or pain on one side, in your pelvis or lower belly; or pelvic or lower belly pain with feeling dizzy or faint or a chance of pregnancy (go to the ER now).
  • Bleeding that soaks a pad every hour, or no way to pass urine (go to the ER now).
  • A possible HIV exposure in the last 3 days (get care in person now).
  • Sexual assault (go to the ER).
  • Other pelvic or lower belly pain, a fever or chills, or bad swelling of the vulva (see a doctor in person today).
  • Sores, bleeding between periods or after sex, bad-smelling discharge, or lumps or skin changes on the vulva (see a doctor in person within 1 week).
  • Symptoms not like your usual yeast, or symptoms that did not go away after treatment (see a doctor in person within 1 week).
  • A new sex partner in the last 60 days, or a possible STI (get tested first, or see a doctor in person within 1 week if you have symptoms).
  • Fewer than 4 yeast infections in the last 12 months (our yeast infection visit).
  • Pregnancy, a possible pregnancy, or a late period (see your pregnancy doctor).
  • Trying to get pregnant, breastfeeding, no reliable birth control, under 18, or past menopause (see your own doctor).
  • No lab test in the last 12 months that named Candida albicans (see your own doctor).
  • Symptoms now that came back less than 2 months after treatment, with no lab test naming it (see your own doctor).
  • Any test that showed a yeast that is not Candida albicans (see your own doctor).
  • Diabetes, a weak immune system, liver or kidney disease, a heart rhythm problem, low potassium, heart failure, or a fluconazole allergy (see your own doctor).
  • Some medicines do not mix safely with fluconazole, such as warfarin, a statin, amiodarone, an antipsychotic, methadone, a short-acting sleep or anxiety pill, or an SGLT2 medicine (see your own doctor).

What to have ready

  • When each yeast infection happened in the last 12 months
  • Your lab report that named Candida albicans, or what your clinician told you it showed, and its date
  • Whether you have a new sex partner or think you may have an STI
  • Every medicine, vitamin, and supplement you take

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

How do I take the tablets?

First you take one fluconazole tablet, 150 mg, on day 1, day 4, and day 7. About 2 weeks after you start, you have a free check-in. If your symptoms are gone, you get tablets to take once a week. Take your first weekly tablet the day you get it. Then take one on that same day each week, with or without food. A check-in at about 14 weeks, with a fee, gets you the rest. The weekly tablets last about 6 months.

What about birth control and pregnancy?

Use reliable birth control while you take the tablets, and for 1 week after the last one. If you can no longer use it, stop the tablets and see your own doctor. If you get pregnant, think you might be, or your period is late, stop the tablets and see your pregnancy doctor.

What if my lab report does not name the yeast?

This plan needs a lab test from the last 12 months that named Candida albicans. If the report does not name the yeast, or you do not know, see your own doctor. Ask for an exam and a yeast culture that names the yeast. Then come back with the report. If any test ever showed a yeast that is not Candida albicans, this plan is not right for you. Your doctor will choose your treatment.

Does my partner need treatment?

Partners are not treated in this plan. If a partner has itching or redness on the penis, that partner can see their own doctor.

When should I get care right away?

Go to the ER now for bad pain, or pain on one side, in your pelvis or lower belly, bleeding that soaks a pad every hour, or no way to pass urine. Stop the tablets and call 911 for a seizure, trouble breathing, or swelling of the face, mouth, or neck. Stop the tablets and go to the ER now for blisters or peeling skin, fainting or feeling faint, or a racing, pounding, or uneven heartbeat. Stop the tablets and go to urgent care or the ER today if you have a new rash or hives, yellow skin or eyes, dark urine, or pale stools, severe itching of your skin all over, vomiting, or loss of appetite, or tiredness or muscle weakness that does not go away. If your symptoms get worse after you start, with more pain, swelling, redness, or discharge, see a doctor in person today.

What if my symptoms do not get better or come back?

If your symptoms are not starting to get better within 3 days of your first tablet, see a doctor in person within 1 week. Do not wait for the free check-in. At the free check-in, the doctor makes sure your symptoms are gone. If your symptoms are not gone, do not start the weekly tablets. See a doctor in person within 1 week. Ask for a yeast culture that names the yeast. If yeast symptoms come back while you take the tablets, see a doctor in person within 1 week. Ask for a yeast culture that names the yeast.

What happens when the plan ends?

After about 6 months, stop the tablets. Yeast comes back for 4 to 5 of every 10 people after they stop. If it comes back, start a new visit.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Birth controlBacterial vaginosisCombined birth controlDelay your periodMorning-after pillEndometriosis pain
Technical help

Having trouble with the website?

Questions about your treatment, prescription, or pharmacy?

Message Dr. Fadia

Not for emergencies. For emergencies, call 911.

This form is for login, payment or website problems only — not for medical questions. Please leave out medical details and payment card numbers.

You can also email this address directly:

admin@quickvisitmd.com

Replies are not immediate.

For questions about your care, use the patient portal.