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Immediate medical attention is warranted if patients develop: Severe symptoms : Extensive swelling, severe pain, or ulceration that interferes with daily activities Systemic signs : Fever, chills, or feeling generally unwell, which may indicate a more serious infection Treatment failure : Symptoms persisting or worsening after completing a full course of antifungal therapy Unusual discharge : Foul-smelling, green, gray, or bloody discharge suggesting alternative diagnoses Pelvic or abdominal pain : May indicate pelvic inflammatory disease or other serious conditions Pregnancy : Yeast infections during pregnancy require provider-directed treatment with pregnancy-safe medications Immunocompromised patients and pregnant women should avoid self-treatment and seek clinician guidance

Fertil Steril (2012) 98:12630

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To clarify the association between levocarnitine treatment and the hospitalization rate and number of hospital days, a large cohort study was conducted in patients on hemodialysis [115]