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The signs and symptoms are nothing alike. A yeast infection typically causes skin irritation or itching in the genital area, but not pelvic pain or tenderness on exam. Pelvic inflammatory diseases causes pelvic pain, pain on palpation of the ovaries/tubes, and pain with cervical motion.

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Q: How do you differentiate pelvic inflammatory disease from yeast?
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A yeast infection alone will not cause infertility, except in that you will be itchy and uncomfortable, and probably not in the mood for sex. However it is very important, especially if this is your first yeast infection, to see your doctor to confirm that it really is a yeast infection. Other conditions *can* cause infertility, and women who are not familiar with the difference may ignore them. Some of these conditions are pelvic infections, or the very common "bacterial vaginitis", which if untreated can lead to pelvic inflammatory disease, and infertility. In addition, sexually transmitted diseases can be mistaken for a yeast infection; these include gonorrhea and herpes, both of which cause itching like a yeast infection. Symptoms of a yeast infection include itching, burning, redness, and irritation of the vaginal area, swelling of the vulva, painful or frequent urination, and excessive vaginal discharge that is thick and resembles cottage cheese (it also has a distinctive smell). Sex with a yeast infection can be painful due to these symptoms.


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