Help us understand the severity of your yeast infection
To continue, please fill in or correct the fields marked with red text.
If you need help, call support at 1 (855) 632-6940
Which of the following symptoms are you currently experiencing?
* Field Cannot Be Left Blank
Have you tried a vaginal product for yeast infections in the last 3 months? If yes, what was your treatment and was it successful?
* Field Cannot Be Left Blank
Have you taken steroids orally, by injection, or inhalation?
* Field Cannot Be Left Blank
Do you experience vaginal itching or burning?
* Field Cannot Be Left Blank
Have you experienced any vaginal discharge recently? If so, what color would best describe it?
* Field Cannot Be Left Blank
Do you have frequent urinary tract infections, bacterial infections, or yeast infections?
* Field Cannot Be Left Blank
Tell us a little more about you
Have you been diagnosed with diabetes?
* Field Cannot Be Left Blank
Have you taken antibiotics in the last month?
* Field Cannot Be Left Blank
Have you taken birth control pills in the last month?
* Field Cannot Be Left Blank
Let's find the right treatment for you
Is there anything else related to treatment that you'd like to ask or discuss with your medical provider?
* Field Cannot Be Left Blank
Is there a type of treatment you prefer?
* Field Cannot Be Left Blank
Would you like to share anything else with your provider through an upload?