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What is it for?"}],"markDefs":[],"style":"h3"},{"_key":"08d5eb994d3d","_type":"block","children":[{"_key":"e7c9624d3a970","_type":"span","marks":[],"text":"A vaginal infection appointment is usually a consultation visit and sometimes a physical exam to discuss vaginal symptoms, recommend prevention and offer treatment if indicated. This visit may also include a recommendation for STI testing depending on your symptoms."}],"markDefs":[],"style":"normal"},{"_key":"0f6721c0a065","_type":"block","children":[{"_key":"563f562b3446","_type":"span","marks":[],"text":"Symptoms associated with a vaginal infection"}],"markDefs":[],"style":"h3"},{"_key":"57185d3d8708","_type":"block","children":[{"_key":"1fed8cecc57c","_type":"span","marks":[],"text":"Vaginal infection symptoms can vary but some common indications that an infection might be present include:"}],"markDefs":[],"style":"normal"},{"_key":"c38ae799c427","_type":"block","children":[{"_key":"8a26b20bac88","_type":"span","marks":[],"text":"The color, amount, odor, or texture of your discharge has changed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3f7f99fabd44","_type":"block","children":[{"_key":"6ecb033efc2f","_type":"span","marks":[],"text":"You are experiencing itching or irritation in your vagina or vulva."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"84daef218ebc","_type":"block","children":[{"_key":"e44135c4b70d","_type":"span","marks":[],"text":"There is a burning sensation, especially during sex or when urinating. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"56fd01064c68","_type":"block","children":[{"_key":"4d0f39f0f8c2","_type":"span","marks":[],"text":"Your vulva is swelling or has increased redness."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f9a450b43b88","_type":"block","children":[{"_key":"c7f0d0800759","_type":"span","marks":[],"text":"You are experiencing vaginal pain and soreness. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aff7801c37c5","_type":"block","children":[{"_key":"283e092f04f9","_type":"span","marks":[],"text":"When should you schedule a vaginal infection appointment?"}],"markDefs":[],"style":"h3"},{"_key":"2e484d0570d1","_type":"block","children":[{"_key":"5c8ad83e77b2","_type":"span","marks":[],"text":"Many women might have been "},{"_key":"9a78273941ff","_type":"span","marks":["985536da5800"],"text":"previously diagnosed"},{"_key":"5cb501e45fbc","_type":"span","marks":[],"text":" with a vaginal infection at least once, meaning you probably know the signs and symptoms to look out for and often can self diagnose your infection. Sometimes, a over the counter medication can ease the symptoms, but will not always cure the infection. You should schedule a vaginal infection visit if:"}],"markDefs":[{"_key":"985536da5800","_type":"annotation","text":[{"_key":"70ff994899b6","_type":"block","children":[{"_key":"18f7813cfae9","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"47cc4bd5a9b6","_type":"block","children":[{"_key":"7c17e380d6bd0","_type":"span","marks":[],"text":"Bacterial Vaginitis (BV) is the most common vaginal condition in women 15-44, affects 29% of women in this age group."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"a7df41d906f9","_type":"block","children":[{"_key":"883085d3e835","_type":"span","marks":[],"text":"You have taken a full course of over the counter medication and your symptoms are still present."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2108e0fb8434","_type":"block","children":[{"_key":"2b011d108d92","_type":"span","marks":[],"text":"You have a history of chronic vaginal infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c8b6d6deb658","_type":"block","children":[{"_key":"9f2b34891897","_type":"span","marks":[],"text":"This is the first time you are experiencing any of the symptoms listed above -- Or if a new symptom has appeared."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4035c10a345c","_type":"block","children":[{"_key":"bee163f63370","_type":"span","marks":[],"text":"You've had multiple sexual partners or you recently introduced a new partner."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2f5c7c848b21","_type":"block","children":[{"_key":"02b22753a7d2","_type":"span","marks":[],"text":"You have fever, chills, or pelvic pain. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b3623e37d1a3","_type":"block","children":[{"_key":"1d0b35eb191e","_type":"span","marks":[],"text":"Even if you have been "},{"_key":"fa448bcd1105","_type":"span","marks":["2198325f0301"],"text":"diagnosed with a vaginal infection before"},{"_key":"3b79d22b2e0d","_type":"span","marks":[],"text":" and it might feel pretty routine to cure it yourself, it is always advised to see medical attention. Your Tia provider will help you make an informed decision with your treatment plan."}],"markDefs":[{"_key":"2198325f0301","_type":"annotation","text":[{"_key":"57dee74e30fc","_type":"block","children":[{"_key":"20fee81a862f","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"1c6f4b065b7f","_type":"block","children":[{"_key":"8788f963f3c0","_type":"span","marks":[],"text":"Vaginal candidiasis (yeast infection) is the second most common type of vaginal infection after bacterial vaginal infections. An estimated 1.4 million outpatient visits for vaginal candidiasis occur annually."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"7529d592f754","_type":"block","children":[{"_key":"171d6a63d61c","_type":"span","marks":[],"text":"What to expect during a vaginal infection appointment"}],"markDefs":[],"style":"h3"},{"_key":"3310013f6e17","_type":"block","children":[{"_key":"67d0ca23f293","_type":"span","marks":[],"text":"If your symptoms are typical to what you've experienced in the past, a virtual visit might suffice to accurately asses the situation and perscribe any medications needed. During a virtual visit, your provider will ask about your symptoms, medical history, and any current medications you are taking. Your provider might recommend over-the-counter or self-care techniques to help manage your symptoms. Additionally, antifungal or antibiotic medications might be perscribed to treat the infection. In some cases, your provider will recommend additional testing to confirm your symptoms. But this is not always necessary."}],"markDefs":[],"style":"normal"},{"_key":"798b2b571fd8","_type":"block","children":[{"_key":"c281748bf86a","_type":"span","marks":[],"text":"Tia members can also schedule an in-person vaginal infection appointment. Your provider will review your symptoms prior to performing a pelvic exam with a swab collection. This sample will then be sent to the lab for confirmation of diagnosis, which can take up to 24 days. In some cases, your provider can treat you simply based on a visual examination -- in efforts to relieve your symptoms -- while awaiting lab confirmation."}],"markDefs":[],"style":"normal"},{"_key":"2b03d3e013dd","_type":"block","children":[{"_key":"7593786b40cc","_type":"span","marks":[],"text":"Potential treatment plans for vaginal infections"}],"markDefs":[],"style":"h3"},{"_key":"c36cbc13689b","_type":"block","children":[{"_key":"73240100d48a","_type":"span","marks":[],"text":"There are a variety of ways to treat a vaginal infection depending on the diagnosis and severity. Your provider might recommend/perscribe:"}],"markDefs":[],"style":"normal"},{"_key":"146447ffdbf6","_type":"block","children":[{"_key":"7cd833c2acf9","_type":"span","marks":[],"text":"Lifestyle/Diet Changes"}],"markDefs":[],"style":"h5"},{"_key":"b61b99f09363","_type":"block","children":[{"_key":"99b1f3987dbf","_type":"span","marks":["strong"],"text":"Lowering saturated fat intake:"},{"_key":"4ea56c65c054","_type":"span","marks":[],"text":" Consuming lots of saturated fat can increase the pH (aka acidity) of your vagina which increases the risk of Bacterial vaginosis. Try adding more olive oil, nuts, and avocados into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0ec697a69eb1","_type":"block","children":[{"_key":"863633e65533","_type":"span","marks":["strong"],"text":"Increaseing fiber intake:"},{"_key":"61671f2cfb94","_type":"span","marks":[],"text":" Fiber is an amazing prebiotic. This means it stimulates the growth of and maintenance of desired gut bacteria. Incorporate more onions, bananas, garlic, apples and oats into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7cef5e345e5","_type":"block","children":[{"_key":"e7f26c079e84","_type":"span","marks":["strong"],"text":"Vitamin D:"},{"_key":"98257b74b150","_type":"span","marks":[],"text":" Low levels of Vitamin D have been associated with a higher risk of Bacterial vaginosis. We recommend starting with 2000 IU daily."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"01a71fa01102","_type":"block","children":[{"_key":"41c5e2dfd92e","_type":"span","marks":["strong"],"text":"Probiotics:"},{"_key":"333a6b7ef7e9","_type":"span","marks":[],"text":" Probiotics, either supplements or whole foods, may improve your symptoms and prevent a potential infection. We like adding more yogurt, sauerkraut, miso, pickles and kimchi into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d6c5802a8520","_type":"block","children":[{"_key":"f65b7674329a","_type":"span","marks":[],"text":"Medications"}],"markDefs":[],"style":"h5"},{"_key":"fa93cf604992","_type":"block","children":[{"_key":"a0d9ec133c9a","_type":"span","marks":["strong"],"text":"Monistat:"},{"_key":"cbdf1ccf0c9c","_type":"span","marks":[],"text":" This is an over-the-counter antifungal ointment that can treat yeast infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ee54e15ae3bb","_type":"block","children":[{"_key":"849c64454ce3","_type":"span","marks":["strong"],"text":"Boric acid:"},{"_key":"4d99bf21c8ba","_type":"span","marks":[],"text":" "},{"_key":"1859f5191c82","_type":"span","marks":["71422af6d4c1"],"text":"This weak acid"},{"_key":"d935e600d6a3","_type":"span","marks":[],"text":" may stop bacteria or yeast from continuing to grow. It may also help in restoring your vaginal acidity and re-establish the ideal environment for beneficial vaginal flora to return. It is important to only use it as a vaginal suppository as it can be fatal if taken orally."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"71422af6d4c1","_type":"internalLink","linkType":"text","reference":{"_ref":"131cbcb8-4730-40d1-a602-bcab3cc457b9","_type":"reference"}}],"style":"normal"},{"_key":"bd3bc5f496a1","_type":"block","children":[{"_key":"1268b7eb8238","_type":"span","marks":["strong"],"text":"Topical or oral perscription medications:"},{"_key":"6acbbe0fc017","_type":"span","marks":[],"text":" There are a variety of different medications that might be perscribed depending on the diagnosis."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"75f7dc853182","_type":"block","children":[{"_key":"d4d1f7fb981c","_type":"span","marks":[],"text":"Vaginal Health Recommendations"}],"markDefs":[],"style":"h5"},{"_key":"de68fc1e28fd","_type":"block","children":[{"_key":"9d652bf6720b","_type":"span","marks":["strong"],"text":"Considering a menstrual cup:"},{"_key":"fdc69e272d06","_type":"span","marks":[],"text":" There may be a reduced association of using a menstrual cup and Bacterial vaginosis and Candidiasis infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"531cb1095bb3","_type":"block","children":[{"_key":"99731f03fcbb","_type":"span","marks":["strong"],"text":"Yin care:"},{"_key":"e8801716d176","_type":"span","marks":[],"text":" Yin Care is a combination of anti-pathogenic Chinese herbs that can be used to help deal with signs and symptoms of vaginal “yeast” (bacterial or fungal infections). 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It has to be removed by your provider.  <br><br><b>Effectiveness:</b> >99%","<b>Pros:</b> Good for five years.  You may not have a period at all. <br><br><b>Cons:</b>It is possible to bleed for longer than desired amounts of time and the bleeding can be unpredictable. "]},{"_key":"bf56f9e7-e0c8-46f6-b620-6845b8dfd1fd","_type":"tableRow","cells":["<b>IUD</b> (Paragard, Mirena, Kyleena, Skyla)","Must be placed in the uterus by your provider. Your provider also needs to remove it. <br><br><b>Effectiveness:</b> >99%","<b>Pros:</b> Effective for up to 12 years depending on which IUD you choose. Hormonal IUDs can decrease or stop bleeding. The copper IUD does not have any hormones. <br><br><b>Cons:</b> You need an appt to get the IUD inserted and removed. Paragard, the 12-year IUD, can increase bleeding."]},{"_key":"38f292c1-be54-4930-9fe5-cb93057844be","_type":"tableRow","cells":["<b>The Patch</b> (Xulane, Twirla)","Apply a new patch once a week for three weeks. No patch needed for week four. <br><br><b>Effectiveness:</b> >93%","<b>Pros:</b> No need to take a pill every single day. <br><br><b>Cons:</b> Depending where it’s placed on the body, it can be visible. Not ideal for swimmers or those who have increased sweating."]},{"_key":"5d5abfe9-a2ad-4ff0-81fb-263036f9a253","_type":"tableRow","cells":["<b>The Ring</b> (NuvaRing, Annovera)","Insert a small ring into the vagina each month or annually depending on the ring of choice. <br><br><b>Effectiveness:</b> >93%","<b>Pros:</b> Easy to start and stop when desired. <br><br><b>Cons:</b> You need to remove and replace the ring. 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In some cases, this may require referral to a gynecological surgical specialist."}],"markDefs":[{"_key":"16a8ced02d22","_type":"annotation","text":[{"_key":"303426109dc7","_type":"block","children":[{"_key":"f1aab6115d1c","_type":"span","marks":["strong"],"text":"Did you know?"},{"_key":"47d42b116a14","_type":"span","marks":[],"text":" "}],"markDefs":[],"style":"normal"},{"_key":"93e77850a2b5","_type":"block","children":[{"_key":"60827431ede80","_type":"span","marks":[],"text":"Abnormal Pap tests are very common. In fact, of the 3 million women with abnormal Pap tests each year, less than 1% (13,240 cases) will be diagnosed with cervical cancer.\n"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"00d7c7ea9f6e","_type":"cta","backgroundColor":"bccream","text":[{"_key":"7d32f2afa6b7","_type":"block","children":[{"_key":"ed3b89a62d46","_type":"span","marks":[],"text":"Questions about your pap test? 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We take a deep dive into your period history and pregnancy goals to build a complete picture of your health. This visit may also result in orders for bloodwork or an ultrasound to confirm a diagnosis."}],"style":"normal"}]},{"_key":"708d760e44fa","_type":"featureCard","text":[{"_key":"40ea36c91b76","_type":"block","children":[{"_key":"758261363c52","_type":"span","marks":["strong"],"text":"Building your personalized PCOS treatment plan"}],"style":"h4"},{"_key":"9887f25f184b","_type":"divider","dividerType":"squiggle-black"},{"_key":"2ede326c2ca4","_type":"block","children":[{"_key":"4d2096567cc5","_type":"span","text":"Together, we'll create a personalized care plan to manage your specific symptoms. You and your provider will determine the best path for you based on your symptoms, overall health, and personal goals. 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and Pricing"}],"style":"h2"},{"_key":"b1ff5fc22e0c","_type":"block","children":[{"_key":"d28f5c96161c","_type":"span","text":"Is this covered by insurance?"}],"style":"h4"},{"_key":"08e5957860ac","_type":"block","children":[{"_key":"07d17cc4313a","_type":"span","text":"Yes! Tia will bill your insurance. Just like at any doctor’s office, you may be responsible for a co-pay or coinsurance, depending on your health plan."}],"style":"normal"},{"_key":"54dc29f64657","_type":"buttonBlock","items":[{"_key":"dfb6d20d72d0","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Book appointment","linkType":"join-scroll-shape","redirectURL":"/book-appointment/profile/eb1f3bf8-163b-4f1d-9a87-4df7ff9f41fb/time-selection?backTo=%2Fappointments","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"onlyStackButtons":false}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"9627602684d8","_type":"spacer","backgroundColor":"bcoat","spacing":"pym"},{"_key":"25148d12bd9e","_type":"shape","backgroundColor":"secondary-1","shapeColor":"secondary-2","shapeType":"shape-3"},{"_key":"3f2ab1489e7c","_type":"spacer","backgroundColor":"bccream","spacing":"pym"},{"_key":"98cf7c6aee8c","_type":"standardText","backgroundColor":"bccream","text":[{"_key":"fc42957bf574","_type":"block","children":[{"_key":"ceb738701cbb","_type":"span","text":"Potential treatment plans for PCOS"}],"style":"h2"},{"_key":"b717f53ed34f","_type":"block","children":[{"_key":"0f71c7919968","_type":"span","text":"There is no cure for PCOS but there are many options to manage your symptoms. Your provider will determine the best treatment for you based on your symptoms, medical history, and overall health, as well as your desire to conceive. Treatment options may include medication, lifestyle changes, or a combination of both."}],"style":"normal"}]},{"_key":"6a70534d03b3","_type":"tableModule","backgroundColor":"bccream","spacing":"pys","table":{"_type":"table","rows":[{"_key":"c26d13f36fd0","_type":"tableRow","cells":["Spironolactone","This medication suppresses androgens which can improve the symptoms of unwanted hair growth and acne."]},{"_key":"eb7939d80f90","_type":"tableRow","cells":["Metformin","This diabetes drug is believed to work by improving insulin sensitivity, which is commonly associated with PCOS. By lowering your insulin level, metformin allows many women to cycle more normally."]},{"_key":"5147154373eb","_type":"tableRow","cells":["Hormonal birth control","For those who do not want to become pregnant, treating PCOS often involves taking hormonal birth control to manage the symptoms of PCOS, like painful periods, acne, and excess body hair. 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Every virtual service we offer has been intentionally selected because we know we can deliver it with the same level of clinical quality, personalization, and compassion as in person. 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