Comprehensive Post-COVID Care Now Available! Click here to learn more.
UTI vs Yeast Infection

UTI vs Yeast Infection: How to Tell the Difference

It can be tough to figure out what’s causing your discomfort, especially when UTI and yeast infection symptoms seem so similar. UTIs, usually triggered by bacteria, often cause painful urination and frequent bathroom trips. Meanwhile, yeast infections, caused by an overgrowth of Candida fungi, lead to itching and unusual discharge. Understanding the difference between these two is key to getting the right treatment. Our guide will help you easily tell them apart, so you can find the relief you need and get back to feeling your best.

Difference Between Yeast Infection and UTI

Yeast infections and UTIs cause discomfort but differ in their origins and symptoms. UTIs are bacterial, causing painful urination, while yeast infections are fungal infections, leading to itching and discharge.

 Urinary Tract Infection (UTI)

A UTI is an infection that affects any part of the urinary system, including the urethra, ureters, kidney, or bladder stones. The condition is predominantly caused by bacterial infection, most commonly Escherichia coli (E. coli), which enter the urinary tract and cause infection.

UTIs are responsible for over 8 million doctor visits annually in the United States. [American Urology Association] 

Yeast Infection

A yeast infection, vaginal thrush or vaginal candidiasis, results from an overgrowth of Candida fungi, typically Candida albicans. This type of infection predominantly affects the vaginal area but can also occur in other areas like the mouth or skin. However, it’s common to have yeast cells in various places on the body.

About 75% of women will experience a yeast infection at least once in their lifetime. [Harvard Health Publication] 

Common Symptoms of Yeast Infection & UTI

 Both yeast infections and UTIs can cause uncomfortable symptoms, but they manifest in different ways: 

Yeast Infection Symptoms

Itching and Irritation: Intense itching around the vagina and vulva.

– Discharge: Thick, white, cottage cheese-like discharge with no strong odor.

Redness and Swelling: Red, swollen skin around the vaginal area.

Burning Sensation: A burning feeling, especially during sex or urination.

 Research published in the National Library of Medicine found that around 50-60% of women with UTIs report symptoms such as dysuria (painful urination).

 UTI Symptoms

– Painful Urination: A sharp, burning sensation when urinating.

Frequent Urge to Urinate: A persistent feeling of needing to urinate, even if little comes out.

Cloudy or Strong-Smelling Urine: Urine may appear cloudy or have a strong odor.

– Pelvic Pain: Discomfort or pressure in the lower abdomen.

 – A study found that approximately 90% of women with yeast infections experience itching and 70% report abnormal discharge. 

What Causes Them?

Causes of Yeast Infections

vaginal yeast infections are primarily caused by an overgrowth of Candida fungi, commonly Candida albicans. Factors that contribute to this overgrowth include:

 – Antibiotic Use: Disrupts the balance of bacteria and fungi in the vagina, leading to yeast overgrowth.

– Hormonal Changes: Fluctuations in estrogen levels during pregnancy, menstruation, or hormone therapy can increase the risk.

– Diabetes: High blood sugar levels can promote yeast growth.

– Weakened Immune System: Conditions like HIV or medications such as corticosteroids can increase susceptibility.

Note: A vaginal yeast infection is not a sexually transmitted infection, but on rare occasions, you can pass it to your partner during sex.

 Causes of UTIs

UTIs are usually caused by bacteria, most commonly Escherichia coli (E. coli), entering the urinary tract. Key contributing factors include:

 – Sexual Activity: Increases the likelihood of bacteria entering the urethra.

– Female Anatomy: Women are more prone to UTIs due to their shorter urethra, making it easier for bacteria to reach the bladder.

– Holding Urine: Delaying urination can allow bacteria to multiply in the bladder.

– Menopause: Decreased estrogen levels can alter the urinary tract, increasing infection risk.

 A U.S. study published in the Journal of Clinical Microbiology found that women are 30 times more likely to develop a UTI than men.

 These findings underscore the importance of understanding the distinct causes behind yeast infections and UTIs for effective prevention and treatment.

How To Diagnose?

How to Diagnose a Yeast Infection?

 Diagnosing a yeast infection typically involves a physical examination and laboratory tests:

 – Physical Exam: A healthcare provider examines the vaginal area for signs of redness, swelling, and discharge.

– Lab Tests: A sample of vaginal discharge may be taken to examine under a microscope or cultured to confirm the presence of candida fungus.

 A U.S. study found that laboratory testing confirmed vaginal yeast infections in about 85% of women who presented with symptoms of itching and abnormal discharge.

 How to Diagnose a UTI? 

Diagnosing a UTI generally involves analyzing a urine sample:

 – Urine Analysis: A dipstick test checks for signs of infection, such as the presence of white blood cells, red blood cells, or bacteria in the urine.

Urine Culture: A urine culture is performed to identify the specific bacteria causing the infection, which helps determine the appropriate antibiotic treatment.

 According to research, urine cultures confirmed UTIs in approximately 70% of symptomatic women, highlighting the importance of accurate testing for proper diagnosis.

 These diagnostic methods ensure that UTI or yeast infection is correctly identified, leading to effective and targeted treatment.

Ways to Treatment UTI or Yeast Infection

Treating Yeast Infections

-Over-the-counter antifungal Medications

Creams, ointments, tablets, and suppositories containing miconazole or clotrimazole can effectively treat most yeast infections. A study found that 80-90% of women experience relief from symptoms within a few days of starting treatment.

-Prescription Medications

For more severe or recurrent infections, a healthcare provider may prescribe oral antifungal medications like fluconazole. Research showed that a single dose of fluconazole effectively cleared up 85% of yeast infections.

-Probiotics

Incorporating probiotics into the diet, particularly those containing Lactobacillus, may help restore the natural balance of bacterial vaginosis and yeast in the body. A study found that probiotics reduced the recurrence rate of yeast infections by 50% in women with a history of recurrent infections.

Treating UTIs

-Antibiotics

The most common and effective treatment for UTIs, antibiotics such as trimethoprim-sulfamethoxazole, nitrofurantoin, and fosfomycin, are typically prescribed based on the specific bacteria identified in the urine culture. A study in the Journal reported that 95% of women experienced symptom relief within 1-2 days of starting antibiotic therapy.

-Hydration

 Drinking plenty of water helps flush out bacteria from the lower urinary tract, aiding in the recovery process. A study found that increased fluid intake reduced the incidence of UTIs by 48% in women prone to recurrent infections.

-Pain Relief

Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate the discomfort associated with UTIs. Phenazopyridine, a urinary analgesic, can also be used to relieve symptoms such as burning and urgency.

Both a yeast infection and UTIs require prompt treatment to prevent complications. Understanding the appropriate treatment options for each condition ensures quick relief and reduces the risk factors of recurrence.

When To Seek Help from a Doctor?

Knowing when to seek medical help for a yeast infection or UTI is crucial to avoid complications and ensure proper treatment.

When to Seek Help for a Yeast Infection:

  • Recurrent Infections: If you’ve had more than four yeast infections within a year will weakens your immune system, it’s time to see a doctor. This could indicate an underlying health issue.
  • Severe Symptoms: Intense itching, swelling, or discomfort that over-the-counter treatments don’t relieve requires medical attention.
  • Uncertainty: If you’re unsure whether your symptoms are due to a yeast infection or another condition, a doctor’s visit can provide clarity.
  • During Pregnancy: If you suspect a yeast infection while pregnant, consult your healthcare provider for safe treatment options.

When to Seek Help for a UTI:

  • Frequent UTIs: If you experience UTIs often, a doctor can help determine the cause and recommend preventive measures.
  • Symptoms Persist After Treatment: If your symptoms don’t improve within a few days of starting antibiotics, further evaluation is needed.
  • Fever, Chills, or Flank Pain: These symptoms could indicate that the infection has spread to the kidneys, requiring immediate medical attention.
  • Blood in Urine: Visible blood in your urine (hematuria) is a sign that you should see a doctor right away.

According to the study, delaying treatment for UTIs or a recurrent yeast infection can lead to complications, such as kidney infections or chronic symptoms, underscoring the importance of timely medical intervention.

Frequently Asked Questions 

How do I know if I have a UTI or yeast infection?

UTIs cause pain, burning, and frequent urination. Yeast infections because of itching, discharge, and irritation.

What does a yeast infection feel like when you pee?

Feels itchy, vaginal rash, and burning; you might experience discomfort when urinating.

Can you have a UTI without burning during urination?

Yes, a urinary tract infection can occur without a burning sensation.

Can your body fight off a UTI without antibiotics?

Mild UTIs might clear on their own, but antibiotics are usually needed for effective treatment.

What kills yeast in the body fast?

Antifungal medications like fluconazole or topical treatments work quickly.

Does urinary tract infection cause discharge?

UTIs typically don't cause discharge but may result in cloudy urine or bloody urine.

Can a yeast infection cause a frequent urge to urinate?

UTIs usually don’t cause itching; itching is more common with a yeast infection.

Do UTIs itch?

Yes, yeast infections can cause a frequent urge to urinate due to irritation.

What is the fastest way to get rid of yeast infections?

Over-the-counter antifungal treatments like Monistat provide rapid relief. However, mild yeast infections may even go away on their own.

What will happen if you leave UTI untreated?

Leaving a UTI untreated can lead to serious complications, such as a kidney infection (pyelonephritis), which can cause permanent kidney damage, sepsis, or other life-threatening conditions.
Source:
American Urology Association: (Urinary Tract Infections in Adults)
Harvard Health Publication: (Vaginal yeast infection)
National Library of Medicine: (Vaginitis)

– Disclaimer –

This blog is for informational & educational purposes only and does not intend to substitute any professional medical advice or consultation. For any health-related concerns, please consult with your physician, or call 911.

Medically Reviewed

Last reviewed by Dr. Syra Hanif, M.D. on 08/26/2024

Learn more about our editorial process.

  • About The Author

    Dr. Syra Hanif M.D.

    Board Certified Primary Care Physician

Dr. Syra Hanif is a board-certified Primary Care Physician (PCP) dedicated to providing compassionate, patient-centered healthcare.

Read More