title: The Comparison of vaginal cream of mixing yogurt, honey and clotrimazole on symptoms of vaginal candidiasis.
abstract: BACKGROUND
  Vulvovaginal candidiasis is known as one of the most common fungal infection among women of reproductive age and considered as an important public health problem. In recent years, due to resistance to common antifungal medication, the use of traditional medicine of anti-fungal and herbal treatment increased. Therefore the objective of this study was to determine the effects of vaginal cream, mixture of yogurt and honey and comparing it with clotrimazole vaginal cream on symptoms of Vulvovaginal candidiasis in patients.
  
  
  METHODS
  In this randomized, triple blind clinical trial of 70 non-pregnant women infected with Candidal vulvovaginitis were placed in two groups of Vaginal cream mixed of yogurt and honey recipients (N=35) and clotrimazole vaginal cream (N=35). Both groups were treated for 7 days. At the beginning of study, Clinical and laboratory signs and symptoms were registered 7 and 14 days after treatment by questionnaire, observation form and secretions culture results. Data by chi-square test, t test, McNemar tests were analyzed by SPSS version 21. Significance level of 0.05 was considered.
  
  
  RESULTS
  The result of present study reveals the significant differences in symptom improvement of ' yogurt and honey, than clotrimazole group (P<0.05) and also Positive results of the first cultures (one week after treatment) in "yogurt and honey" and clotrimazole (20% versus 8.6%) and second time cultivation (14 days after treatment) (17/1% versus 8.6%) were similar and there was no significant differences between the two groups. (P>0.05) CONCLUSION: This study indicated that he therapeutic effects of vaginal cream, yogurt and honey is not only similar with clotrimazole vaginal cream but more effective in relieving some symptoms of vaginal candidiasis. Therefore, the use of this product can be suggested as an herbal remedy for candida infection treatment.
authors.forename: Maryam
authors.initials: M
authors.lastname: Darvishi
authors.affiliation: Department of Midwifery, Faculty of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. Jahdi@yahoo.com.
authors.forename: Fereshteh
authors.initials: F
authors.lastname: Jahdi
authors.forename: Zeinab
authors.initials: Z
authors.lastname: Hamzegardeshi
authors.forename: Saied
authors.initials: S
authors.lastname: Goodarzi
authors.forename: Mohsen
authors.initials: M
authors.lastname: Vahedi
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use*; D002181:Candidiasis, Vulvovaginal / Q000188:drug therapy*; D003022:Clotrimazole / Q000627:therapeutic use*; D005260:Female; D006722:Honey; D006801:Humans; D016896:Treatment Outcome; D014622:Vaginal Creams, Foams, and Jellies / Q000627:therapeutic use*; D015014:Yogurt
chemical_list: D000935:Antifungal Agents; D014622:Vaginal Creams, Foams, and Jellies; D003022:Clotrimazole