Conditions
Yeast infection treatment online in Puerto Rico
A yeast infection is a very common vaginal infection that causes itching, burning and a thick white discharge, and it can usually be handled by video. The doctor evaluates you and, if needed, gives you a lab order for a discharge test at a lab near you. If appropriate, the doctor prescribes and we send your prescription to your pharmacy in Puerto Rico.
Is it an emergency? Call 911.
Is this an emergency?
This is not an emergency service. Call 911 or go to the nearest emergency room if you have:
- Severe lower belly pain with fever
- Sudden severe pain, vaginal bleeding or fainting if you could be pregnant
- High fever with chills, or vomiting that won’t stop
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At a glance
Vaginal yeast infection
Common symptoms
- Itching in the vagina or vulva
- Burning or soreness in the genital area
- Thick white discharge, or more watery discharge than usual
- Pain during sex
- Burning when you urinate
- Redness or swelling of the vulva
- Other names
- Vulvovaginal candidiasis · Vaginal candidiasis
- Usual test
- Vaginal discharge test, when needed
- Treatment
- Vaginal or oral antifungal, only when the medical evaluation calls for it
On this page(9)
What is a yeast infection?
A vaginal yeast infection (vulvovaginal candidiasis) is an overgrowth of a fungus called Candida, which normally lives in the body. The same fungus causes oral thrush. According to the CDC, about 75% of women will have at least one episode, and 40% to 45% will have two or more.
It is more likely if you are taking antibiotics, are pregnant, have diabetes, or have a weakened immune system from an illness or a medicine. The CDC notes that it is not usually passed on through sex, so your partner does not need treatment. But if your partner has itching or redness on the head of the penis, see balanitis.
How we treat a yeast infection by video
You see Dr. Diana Nieves Castro, MD, a Puerto Rico–licensed general practice physician with several years of emergency-department experience, in English or Spanish. The doctor asks about your symptoms, whether this is the first time, how often it has happened this year, whether you could be pregnant, what medicines you take and whether you may have been exposed to an STI.
If the diagnosis is not clear, we give you a lab order for a vaginal discharge test at a lab near you, or refer you for an in-person exam if one is needed. If appropriate, the doctor prescribes and we send your prescription to your pharmacy.
Your privacy matters: join from a private place; visits are not recorded. Never send intimate photos by email or text message; if the doctor needs to see something, it happens only inside your secure video link. You can also ask the doctor about birth control online in the same visit.
Your doctor
Dr. Diana Nieves Castro, MD
General practice physician
Several years of emergency-department experience.
Founding Executive Director of The Health Initiative.
Your visit in 3 steps
Request a visit online 24/7 — we confirm your time by email or text.
Request your visit.
Book a visit and choose "Doctor visit". You pay by card when you request it.
See the doctor by video.
We send you a secure video link. It works on your phone, tablet or computer.
Get your plan.
If appropriate, the doctor prescribes and we send your prescription to your pharmacy. If needed, you get a lab order.
What the visit costs
A yeast infection is handled in a US$79 doctor visit, with no membership. You pay by card when you request the visit, and you get a full refund if the visit can’t take place. We do not bill insurance; the lab and the pharmacy charge separately. See all prices.
Yeast infection symptoms
The most common signs are:
- Itching in the vagina or vulva
- Burning or soreness in the genital area
- Thick white discharge, or more watery discharge than usual
- Pain during sex
- Burning when you urinate
- Redness or swelling of the vulva
Treatment, and when a test is ordered
A yeast infection is treated with an antifungal: a vaginal cream or suppository, or a pill by mouth. Some creams are sold over the counter, but the CDC advises a medical evaluation and a test if symptoms persist after an over-the-counter product, or come back within 2 months. If appropriate, the doctor prescribes the treatment that fits you.
The doctor gives you a lab order, or refers you for an in-person exam, if this is your first time, if you are pregnant, if you get 3 or more in a year (recurrent yeast infection), if symptoms are not improving or if it could be something else. Other infections look similar (see the causes of vaginal discharge): bacterial vaginosis causes discharge with a bad smell, and some STIs cause discharge or burning. If you may have been exposed, see STI testing and treatment.
In pregnancy, the CDC recommends only vaginal treatments applied for 7 days; the oral pill is avoided. Tell the doctor and your OB-GYN.
If you are under 21, a parent or legal guardian must sign the consent, stay on camera for the whole visit and show photo ID.
How to prevent yeast infections
MedlinePlus recommends these steps, which help in Puerto Rico’s heat:
- Keep the genital area clean and dry.
- Avoid douching.
- Wear cotton underwear and avoid very tight clothing.
- Change out of wet swimsuits or sweaty clothes soon.
When to go to the ER
These signs are not a simple yeast infection. For your safety, go to the emergency room or call 911.
- Severe lower belly pain with fever
- Sudden severe pain, vaginal bleeding or fainting if you could be pregnant
- High fever with chills, or vomiting that won’t stop
How we care for you
We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you.
We see adults and children of all ages. Patients under 21: a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.
Real-time video visit. We send you a secure video link. It works on your phone, tablet or computer.
If appropriate, the doctor prescribes and we send your prescription to your pharmacy. We do not prescribe controlled substances.
You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).
In an emergency, call 911.
Frequently asked questions
Can I get yeast infection treatment online?
Is a yeast infection an STI?
What if I keep getting yeast infections?
Can I treat a yeast infection while pregnant?
About this page
Author: The Health Initiative
Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)
Disclosure: Founding Executive Director of The Health Initiative
Published: 2026-09-30 · Updated: 2026-10-02
Sources (6)
- CDC: Vulvovaginal Candidiasis, STI Treatment Guidelines 2021 (opens in a new tab) (accessed 2026-10-02)
- Vaginal yeast infection (MedlinePlus, NIH) (opens in a new tab) (accessed 2026-10-02)
- CDC: About Candidiasis (opens in a new tab) (accessed 2026-10-02)
- CDC: Bacterial Vaginosis (opens in a new tab) (accessed 2026-10-02)
- Ectopic pregnancy (MedlinePlus, NIH) (opens in a new tab) (accessed 2026-10-02)
- Balanitis (MedlinePlus, NIH) (opens in a new tab) (accessed 2026-10-02)