Can You Have Both a UTI and Yeast Infection? Be Informed

Written By Jaclyn P. Leyson-Azuela, RMT, MD, MPH
Published On
Can You Have Both a UTI and Yeast Infection? Be Informed

Taking care of your health can be overwhelming, especially if your body is already sending confusing signs. If you’ve ever found yourself doubting and asking “can you have both a UTI and yeast infection,” you are not alone in this thought. It can be quite confusing because both are common conditions and their symptoms can sometimes blur the lines. So it can be difficult to know for sure what’s going on.

This article can help you know the difference and be more informed. With clear explanations about the causes, symptoms, and treatment options, you can have the confidence you need in understanding what the body is telling and seek the care you need without doing any guesswork.

Key Insights:

  • It is possible to have both a UTI (urinary tract infection) and a yeast infection simultaneously

  • UTIs are bacterial in nature and affects the urinary tract

  • Yeast infections are fungal in nature and typically affecting the vaginal part

  • Overlapping symptoms include burning sensation during urination require medical diagnosis and assessment

  • Treatment is different, which requires antibiotics for UTIs and antifungals for yeast infections

  • Prevention is typically the same, including hydration, hygiene, and managing the risk factors like judicious use of antibiotics

Is it Possible to Have Both a UTI and a Yeast Infection?

Yes, it is possible to get both a UTI and a yeast infection at the same time. They are two entirely distinct conditions, which affect different parts of the body and are caused by different organisms. But their co-occurrence is not uncommon. UTIs are primarily bacterial in nature and affect the urinary system of the body. On the other hand, yeast infections are fungal overgrowths, most commonly occurring in the vagina where these organisms are normally located. UTIs affect nearly 40% of women in their lifetime. Understanding the subtle differences of each condition is important to get the accurate diagnosis and effective treatment, especially when their symptoms overlap or one condition may put you at risk for developing the other.

Understanding UTIs: Causes, Symptoms, and Risk Factors

A UTI is an infection affecting any part of your urinary system, which includes the urethra, bladder, ureters, and even the kidneys. It is primarily a bacterial infection, caused by the most predominant bacteria entering the urethra. The urinary tract is designed to keep these microscopic organisms out, but sometimes your body’s defenses are overwhelmed. Thus, leading to an infection. While bacteria are the most common causes, there are rare instances when fungi or viruses can also be responsible for it.

What Causes UTIs, Who is at Risk, and What are the Symptoms?

As mentioned previously, UTIs are predominantly bacterial in nature, with Escherichia coli (E. coli) being the most common offender in 90% of cases. The bacterium is predominantly found in the digestive system. But it can enter the urethra and travel up to the bladder, which leads to an infection. The less common culprits of UTI include:

  • Klebsiella pneumoniae

  • Proteus mirabilis

  • Staphylococcus saprophyticus

These bacteria can also be responsible for developing UTI but they are less common. In very rare instances, fungi like the Candida species can also cause this condition especially in individuals with weakened immune systems or those who have undergone long courses of antibiotics. Viruses also rarely cause UTIs. 

It is important to recognize the symptoms of UTIs early to initiate quicker treatment and prevent more severe complications. Common symptoms include:

  • Persistent, strong urge to urinate

  • Burning sensation when urinating

  • Passing frequent but small amounts of urine

  • Cloudy strong-smelling urine

Pelvic pain may also be felt, which is located at the center of the pelvis and around the area of your pubic bone. There are also severe cases, especially if the infection has spread to the kidneys (pyelonephritis), which causes distinct symptoms in addition to the usual UTI symptoms, such as the following:

  • High fever

  • Chills

  • Nausea and vomiting

  • Intense or persistent pain in the back or flank area

  • Anorexia

When these symptoms are present, they warrant immediate medical attention because kidney infections may lead to permanent kidney damage or sepsis if not addressed immediately.

There are certain factors that increase your risk for UTIs, including:

  • Female gender (due to anatomy, which is shorter urethra making it easier for bacteria to reach the bladder)

  • Pregnancy

  • Previous history of UTI

  • Age

  • Sexual activity may also introduce the bacteria into the urinary tract

  • Immunocompromised individuals due to weakened immune systems

  • People with indwelling catheters

  • People with abnormalities in the urinary tract (e.g., urethral strictures, obstructing stones)

  • Poor hygiene

Statistics show that women will also have high recurrence rates at approximately 20% in 6 months.

Furthermore, older men with enlarged prostate (such as those with benign prostatic hyperplasia or BPH) may experience UTIs more because of incomplete bladder emptying. People with kidney stones or other obstructions in the urinary tract will also have increased risks. Certain medical conditions, like diabetes, can increase the risk by impairing the immune system and leading to higher sugar concentration in the urine.

Understanding Yeast Infections: Causes, Symptoms, and Risk Factors

A yeast infection, often called by medical professionals as vaginal candidiasis when it occurs in the vagina, is a common fungal infection. It is caused by the overgrowth of Candida species, particularly Candida albicans. This fungus is naturally present in the body and is found in the mouth, digestive tract, and vagina without causing any problem. But, when the delicate balance of microorganisms is disrupted, Candida multiply rapidly, which leads to an infection characterized by having discharges and itchiness.

What Causes Yeast Infections, Who is at Risk, and What are the Symptoms?

Yeast infections primarily occur if there is an imbalance in the normal flora of the body, which allows Candida to overgrow. A common trigger is the use of antibiotics, which, while targeting harmful bacteria, can also kill beneficial bacteria that keep yeast in check.

Hormonal changes, such as those occurring during pregnancy, menstruation, or due to birth control pills, can also create an environment that is conducive for yeast growth.

Furthermore, uncontrolled diabetes mellitus, weakened immune system, and certain lifestyle factors can also contribute to the development of yeast infections.

Symptoms of yeast infection can range from mild to severe, and most commonly present as:

  • Intense itching and irritation in the vagina and vulva

  • Burning sensation upon urinating

  • Redness and swelling of the vulva

  • Presence of thick, white, odor-free vaginal discharge (similar to cottage cheese)

  • Pain during sexual intercourse or urination

Mild cases may resolve on their own without treatment but it is often recommended to seek treatment to minimize the discomfort and prevent complications.

Certain populations are more susceptible to develop yeast infections.

  • Women

  • Pregnant

  • People with diabetes

  • People treated with broad-spectrum antibiotics

  • Women using hormonal birth control (due to its impact on vaginal pH)

  • Immunocompromised individuals (e.g., those with HIV/AIDS or undergoing chemotherapy)

Candidiasis occurs in about 35% of cases of yeast infections, which is fairly common.

Can You Have Both a UTI and a Yeast Infection?

Yes, you can have both a UTI and a yeast infection at the same time. Although these conditions are caused by different types of organisms and could affect different anatomical areas, their simultaneous occurrence is still possible. The urinary tract and the vaginal area are close to each other. So factors that disrupt the natural balance in one area can also affect the other.

These infections can occur together in distinct instances, including:

The Antibiotic-Yeast Infection Connection

Antibiotics are highly effective in treating bacterial infections like UTIs. But their broad-spectrum activity means they don’t just kill harmful bacteria but also beneficial bacteria as well. This includes the good bacteria Lactobacillus species found in the vagina. These good bacteria play an important role in keeping the vaginal environment acidic, which can naturally suppress the growth of Candida. If these protective bacteria decreases, Candida can multiply unchecked and leads to yeast infection.

So it is not surprising that women may develop yeast infection shortly after completing a course of antibiotics.

What is the Difference? A Symptom-Based Comparison

Knowing the difference between a UTI and yeast infection can be challenging because there are overlapping symptoms. But there are key distinctions that can help you identify which condition is affecting you.

While both conditions can cause discomfort in the genital area, the specific nature of symptoms often points to one or the other. It is important that self-diagnosis can be misleading at this point. So professional medical assessment is always advised for accuracy and getting appropriate treatment.

To help differentiate the two, consider the following comparison table:


Symptom

Urinary Tract Infection (UTI)

Yeast Infection (Vaginal Candidiasis)

Urination

  • Frequent

  • Urgent need to urinate

  • Burning sensation during urination

  • Passing small amounts of urine

  • Pain or burning during urination is less common but is usually due to irritated skin

Discharge

  • No significant vaginal discharge

  • Urine may appear cloudy or have a strong smell

  • Thick, white, odorless discharge resembling cottage cheese

Itching/Irritation

  • Minimal to no external itching;

  • Discomfort primarily internal (bladder/urethra)

  • Intense itching, irritation, and soreness around the vulva and vagina

Pain

  • Pelvic pain or pressure, particularly in the lower abdomen

  • Pain during sexual intercourse

  • General discomfort in the vaginal area

Odor

Urine may have strong, unusual odor

Typically odorless, or mild yeasty smell

Appearance

No external visible signs on genitals, though redness may occur from irritation

Redness, swelling, and sometimes small cracks in the skin of the vulva


What Are The Treatment Options for UTIs and Yeast Infections?

Treating UTIs and yeast infections effectively requires knowledge of their distinct causes and targeting the specific causative agent. UTIs, being bacterial in nature, will be treated with antibiotics. Yeast infections, on the other hand, are caused by fungal overgrowth, hence antifungal medications are given. The approach to treatment also differs for each of these conditions. Although at times, co-infections can happen. So coordinated therapeutic strategy is important.

For UTIs, What is The Role of Antibiotics and Supportive Care?

The primary treatment for UTIs is a course of antibiotics, which should be prescribed by your primary care physician. The specific antibiotic chosen will depend on the type of bacteria identified through laboratory testing, particularly culture and sensitivity tests. Common antibiotics for the treatment of UTI include:

  • Trimethoprim/sulfamethoxazole

  • Nitrofurantoin

  • Fosfomycin

It is important to complete the course of antibiotics as prescribed even when your symptoms have improved or you’re feeling well already. Stopping the treatment prematurely can lead to recurrence and contributes significantly to antibiotic resistance.

Treating Yeast Infections: Antifungals and When to See a Doctor?

Yeast infections are primarily treated with antifungal medications, which can either be orally or topically. Oral antifungals, like fluconazole, are often prescribed as a single dose regimen for convenience.

On the other hand, topical treatments may include:

  • Creams

  • Ointments

  • Suppositories

These topical agents contain active ingredients like:

  • Clotrimazole

  • Miconazole

  • Tioconazole

These are available as over-the-counter (OTC) agents for mild cases. OTC options may provide relief but it is still important to seek medical consult if:

  • You are unsure of the diagnosis

  • Symptoms are severe

  • Infections are recurrent

When Both Infections Strike: A Coordinated Treatment Plan

If you think you have both yeast and UTI infections, it is essential to seek medical attention for accurate diagnosis. Healthcare providers can do necessary tests to confirm the diagnosis. Such tests include:

  • Urinalysis, which involves microscopic evaluation and strip tests

  • Vaginal swab to identify yeast infection

If both infections are confirmed, treatment often involves a dual approach: antibiotics and antifungals in combination.

Proactive Prevention: Your Guide to a Healthier You

Preventing UTIs and yeast infections involves combining good hygiene practices, lifestyle adjustments, and understanding your body’s needs. Complete prevention may not always be possible, especially for those with risk factors. But adopting proactive measures can help reduce the risk of these common infections. Focusing on maintaining a healthy balance within your body and exercise due diligence of self-care, you can reduce the chances of experiencing the discomfort and complications related to UTIs and yeast infections.

UTI Prevention: Simple Steps for a Healthy Urinary Tract

Preventing UTIs is often anchored on maintaining good urinary tract health and preventing bacteria from entering the urethra. It is focused on:

  • Practice good hygiene

  • Stay well-hydrated

  • Urinate when needed

  • Wipe from front to back

  • Avoid irritating feminine products (e.g., douches, scented powders, and sprays)

Some people find cranberry products to be helpful, scientific evidence has shown some efficiency in preventing UTIs but there is no current consensus for its use yet.

Yeast Infection Prevention: Maintaining a Healthy Balance

Preventing yeast infections involves keeping the balance between good microorganisms in the body and avoiding factors that promote the overgrowth of Candida.

  • Wear breathable underwear (e.g., cotton) can help the genital area dry and prevent the warm, moist environment that the yeast thrives in

  • Avoid tight-fitting clothing and synthetic fabrics

  • Control of blood sugar for individuals with diabetes

  • Limit unnecessary use of antibiotics to help preserve the population of beneficial bacteria

Some people find probiotics helpful when they incorporate it into their diet or supplement. In fact, treatment with probiotics was found to be more effective than placebo in preventing recurrence.

When to Seek Medical Advice: Recognizing the Red Flags

Knowing when to seek professional medical help is important for both UTIs and yeast infections, especially when their potential for overlapping and co-occurrence are possible.

Seek medical help if you have:

  • Fever

  • Chills

  • Back pain

  • Nausea

Pregnant women who have any symptoms of either UTI or yeast infection should seek immediate medical help. These infections pose risks during pregnancy.

Accurate diagnosis is always essential to ensure you receive the correct treatment and prevent further complications.

Quick Summary Box

  • UTIs and yeast infections can occur simultaneously, despite being distinct conditions

  • UTIs are bacterial infections of the urinary tract, often caused by E. coli

  • Yeast infections are fungal overgrowths, typically caused by Candida albicans

  • Antibiotics for UTIs can sometimes trigger yeast infections by disrupting natural bacterial balance

  • Symptoms can overlap, making accurate diagnosis by a healthcare professional crucial

  • Treatment involves antibiotics for UTIs and antifungals for yeast infections

  • Prevention strategies include good hygiene, hydration, and managing risk factors

  • Seek medical attention for severe, persistent, or recurrent symptoms, or if you are pregnant

Suggested Readings:

UTI Symptoms Men: What It Is, Causes, Diagnosis, Treatment, and Prevention

UTI Tests: The Essential Guide to Understanding and Managing Your Health

References
References

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Bono, M. J., Reygaert, W. C., & Leslie, S. W. (2025). Uncomplicated Urinary tract infections. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470195/ 

CDC. (2024, May 16). Risk Factors for Candidiasis. Candidiasis. https://www.cdc.gov/candidiasis/risk-factors/index.html 

Centers for Disease Control and Prevention. (2024). Urinary tract infection basics. Urinary Tract Infection. https://www.cdc.gov/uti/about/index.html 

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Zhou, Y., Zhou, Z., Zheng, L., Gong, Z., Li, Y., Jin, Y., Huang, Y., & Chi, M. (2023). Urinary Tract Infections Caused by Uropathogenic Escherichia coli: Mechanisms of Infection and Treatment Options. International Journal of Molecular Sciences, 24(13), 10537–10537. https://doi.org/10.3390/ijms241310537 

 

Jaclyn P. Leyson-Azuela, RMT, MD, MPH
Written by Jaclyn P. Leyson-Azuela, RMT, MD, MPH

Jaclyn P. Leyson-Azuela, RMT, MD, MPH, is a licensed General Practitioner and Public Health Expert. She currently serves as a physician in private practice, combining clinical care with her passion for preventive health and community wellness.

Frequently Asked Questions

Q: Can men get yeast infections?
A: Yes, though rare, men can get yeast infections on the penis (balanitis), often from unprotected sex with an infected partner. Treatment involves antifungals.
Q: Are UTIs and yeast infections sexually transmitted?
A: No, they are not typically STIs. UTIs are caused by bacteria entering the urinary tract, and yeast infections result from Candida overgrowth.
Q: Can I treat a UTI or yeast infection at home without seeing a doctor?
A: Mild yeast infections may be treated with OTC antifungals, but UTIs require prescription antibiotics. Consult a doctor if unsure.
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