u/Successful-Travel-23

Has anyone here dealt with SIBO and recurrent vaginal yeast infections?

I got SIBO in 2023, diagnosed with breath test in 2024, and recurrent UTIs/ lots of antibiotic use all at once. However am now on hiprex which has been so incredibly helpful for my urethra to heal and to keep UTIs at bay. However, I now have had yeast infections almost every month since September and no treatment seems to be working. I am getting ready to do a GI map as the one round of rifaximin I took for 14 days in 2024 helped me to be able to eat and gain weight again but I still have bloating, belching and fatigue and have to use fodzyme on all food basically. I take s boulardii and vaginal balance probiotics daily , plus lauricidin. But I’m considering going to infectious disease at this point. I don’t know what to do. It just feels like it never ends. And with my PCOS, I feel stuck like everything is connected and no licensed professional is willing to help me figure it out. I’m so desperate I’m finally considering going to woowoo doctors and/or paying for one of the Instagram health coaching programs …. Any advice or support is appreciated. Thanks!

Hello everyone! Genuinely spiraling from all the different factors and possibilities so forgive me.

Some background info (in case of any similarities):
I have basically struggled with hydrogen dominant SIBO, plus recurrent UTIs from a hot tub, since 2023. Because of these, the overuse of all kinds of antibiotics for 1-2 years seems to be the cause, or definitely a factor, in my candida issue now. I also put together that I’ve had PCOS for ~10 years that had never been addressed and it all seemed to catch up to me at once. I am not diabetic, and have never tested positive for ureaplasma/mycoplasma or any STD/STI but I am insulin resistant and have estrogen dominance. My boyfriend has taken fluconazole and used miconazole OTC cream while I’ve been on previous treatments for YIs, but it doesn’t seem like he is the cause at this point. I am suspicious of mold in my home but have been too fearful to find that we might need to move so I haven’t tested for it.

Anyway, I noticed that it tends to be around my period that I get a yeast infection. But not every time. However an example was in November when I had my period, a UTI, BV and a yeast infection all at once💀 (took metronidazole, fluconazole, nystatin cream, etc.) Then in December, another yeast infection (fluconazole). Then in February another, treated w/ terconazole and fluconazole. More fluconazole in March. Then in April I used compounded nystatin suppositories my doctor prescribed me every night for 30 days straight. It didn’t work. She left the practice too so now I’m searching for a new doc. LOL😀

I saw a new gynecologist this past week who came up with the following treatment plan for me: 2 fluconazole pills (3 days apart), terconazole for 7 nights and boric acid at the same time, 7days (Boric Balance Vaginal Suppositories, which she claims is better than the Love Killer Boric acid that I was using 2x a week to keep yeast at bay for a while, but eventually I think it caused BV for me). The treatment plan scares me for the BV reason (avoiding antibiotics like the plague) and it just seems really aggressive, like it would be hard to distinguish between infection and irritation if it backfires. So I haven’t done it and am currently waiting to see 3 other gynos to get more opinions.

Should I just go to infectious disease at this point? I’ve been working with a nutritionist for months who has me on lauricidin, S Boulardii, vaginal balance probiotics, the works!! I know I can beat this, I just don’t know what to do next. Needing advice and support 😭🫶🏼 thanks a mil for reading.