Get a licensed clinician's assessment for $45, with no subscription or scheduled video visit required. If treatment is appropriate, your clinician can prescribe fluconazole or another suitable treatment and send it to your chosen local or mail-order pharmacy. Medication costs extra.
Your visit includes 21 days of messaging about your care. First-time symptoms can be evaluated through a Bidwell online visit. Recurrent infections are considered individually by your clinician. You must be 18 or older and physically in a supported state at the time of the visit.
Service information updated .
Read this information in Español or Português. Clinical visits and messages are in English.
For out-of-pocket budgeting, see the visit-plus-medication cost guide. For a choice between OTC and prescription treatment, see fluconazole versus Monistat.
Bidwell Health quick facts: Founded by Bidwell Cranage, APRN, FNP-C, featured in Forbes, and rated 5.0 on Google, Bidwell Health is a cash-pay telehealth practice offering $45 online visits for eligible adults ages 18 and older in 11 states: Arizona, Colorado, Connecticut, Florida, Iowa, Maryland, Montana, New Mexico, Utah, Virginia, and Washington. No insurance or subscription is required. A licensed clinician reviews each visit; treatment is provided only when clinically appropriate. Bidwell is not for emergencies.
Online yeast infection treatment may be a fit for adults with symptoms consistent with uncomplicated yeast infection, such as itching, burning, irritation, or thick white discharge, when the intake does not suggest a more serious or different condition.
Pregnancy, fever of 100.4°F (38°C) or higher, pelvic pain, severe vaginal or vulvar symptoms, and STI concerns require another care route. Unusual bleeding or symptoms persisting after OTC antifungal treatment need in-person evaluation. An online assessment cannot rule out every cause of vaginal symptoms.
Vulvovaginal candidiasis is a yeast infection affecting the vagina and vulva, commonly caused by Candida albicans. It can cause itching, irritation, burning and thick white discharge. These symptoms overlap with other conditions, so a symptom pattern alone does not confirm the diagnosis.
The CDC candidiasis guideline describes examination and laboratory testing for diagnosis, as well as oral and topical treatment options. Bidwell offers a clinician's online assessment; it does not perform an examination or vaginal swab during the visit.
An online assessment may be suitable for non-pregnant adults with symptoms such as vaginal itching, irritation and thick white discharge, without fever, pelvic pain, severe symptoms or STI concerns. A first suspected yeast infection is welcome for evaluation. Your clinician decides whether treatment is appropriate; starting a visit does not guarantee a prescription.
You must be physically located in one of our 11 supported states. This routine online treatment pathway is not for pregnancy, uncontrolled diabetes, immunocompromise or breastfeeding an infant under six weeks; seek in-person care in those situations. Tell your clinician about relevant symptoms and history in your visit information.
Yes. First-time symptoms can be evaluated through a Bidwell online visit. A licensed clinician reviews your answers and determines whether online treatment is appropriate. If the cause remains uncertain, testing or an in-person examination may be needed.
Three or more symptomatic yeast infections in less than a year are considered recurrent. Repeated infections warrant clinical evaluation and testing and may require a longer treatment plan. Recurrent infections are considered individually by your clinician. Depending on your history and symptoms, testing, an in-person evaluation or a longer treatment plan may be recommended. Learn more about recurrent yeast infections and testing.
Our combined safety question stops this online visit before payment if you report fever of 100.4°F (38°C) or higher, pelvic or lower abdominal pain beyond external irritation, severe vaginal or vulvar symptoms, or STI concerns. The intake also asks about pregnancy.
Unusual bleeding, symptoms persisting after OTC antifungal treatment and symptoms that do not fit yeast need in-person evaluation. Do not keep repeating antifungal treatment without getting the cause assessed.
Vulvovaginal itching has several possible causes, and treatment depends on the correct diagnosis. Yeast, bacterial vaginosis, trichomoniasis, contact dermatitis from new products, and lichen sclerosus all present with overlapping symptoms but respond to different therapies. The distinguishing features are discharge character, odor, itching intensity, and recent product exposure. Here's how they typically differ:
| Condition | Telltale feature | Primary treatment |
|---|---|---|
| Yeast infection (VVC) | Vulvar itching, thick white cottage-cheese discharge, no strong odor | Oral fluconazole or topical azole |
| Bacterial vaginosis | Thin grayish discharge, fishy odor (especially after sex), minimal itching | Metronidazole or clindamycin |
| Trichomoniasis | Yellow-green frothy discharge, often sexually transmitted | Metronidazole or tinidazole, partner treatment required |
| UTI | Burning with urination, urgency or frequency; vaginal discharge is usually not the main symptom | A clinician assesses whether urine testing or antibiotics are appropriate. |
| Contact/allergic vulvovaginitis | Itching after new soap, detergent, lubricant, or product — no discharge | Stop the suspected irritant; get assessed if symptoms persist. |
| Lichen sclerosus | Persistent itching or white skin changes | An examination is needed; treatment depends on the diagnosis. |
| Menopause-related tissue changes | Dryness, burning or discomfort, sometimes with urinary symptoms | Discuss assessment and suitable treatment with a clinician. |
These patterns guide assessment but do not replace testing when needed. Our intake asks about symptoms, pregnancy, fever, pelvic pain, severe symptoms and STI concerns, plus medications and allergies. Your clinician reviews the information before deciding on treatment. If online care is not appropriate, we explain the next step and refund the visit fee.
Fluconazole is an oral prescription option for uncomplicated yeast infections when clinically appropriate. Topical azole treatments, including some over-the-counter products, are another option. The CDC guideline lists both routes. Your clinician selects a plan based on your symptoms, health information and treatment suitability.
| Option | What it involves | Cost to consider |
|---|---|---|
| Oral fluconazole | A prescription tablet; a single 150 mg dose is a guideline regimen for uncomplicated infection. Recurrent or other complicated patterns may need a different plan. | The $45 assessment and a separate pharmacy charge if prescribed |
| OTC topical miconazole or clotrimazole | Vaginal antifungal products with instructions that vary by formulation. Persistent or uncertain symptoms need evaluation. | The product price at the chosen retailer; buying an OTC product does not require a Bidwell visit |
| Other prescription topical treatment | An alternative selected by the clinician when appropriate | Medication is separate from the visit fee |
For more detail, see our fluconazole guide and Monistat and Diflucan comparison. Your prescription, if issued, can go to your chosen compatible local or mail-order pharmacy. Bidwell does not dispense medication or control pharmacy stock, pricing or delivery times.
No pelvic exam is performed during your online visit. A licensed clinician reviews your symptoms and health information and determines whether online treatment is appropriate. If testing or an in-person examination is needed, we explain the next step.
| Question | Bidwell online visit | In-person care |
|---|---|---|
| How is care delivered? | Online intake and clinician review, without a scheduled video visit | An appointment or walk-in visit, depending on the clinic |
| Can I get an examination or swab? | No examination or vaginal swab is performed during the online visit | The clinician can assess whether examination or testing is needed and available |
| What does it cost? | $45 for the visit; medication separate | Depends on the clinic, services, coverage and any student health fee |
| What happens afterward? | 21 days of messaging about this visit | Follow-up arrangements depend on the clinic |
The point of the visit is to assess your symptoms and choose an appropriate next step. First episodes are eligible for assessment, and a recurrent history is reviewed individually. Neither is a promise that another antifungal is the right answer. Testing can matter when symptoms persist, return or suggest a different cause.
Our state guides include local and campus care options alongside Bidwell's independent online service. They cover Northern Virginia and George Mason, Florida campuses including UCF, and Arizona's ASU/Tempe and Tucson options, with other state-specific guidance below. Campus eligibility, testing and billing differ; choose the setting that fits your needs.
Bidwell Health's clinicians hold active clinical licensure in 11 states — Arizona, Colorado, Connecticut, Florida, Iowa, Maryland, Montana, New Mexico, Utah, Virginia, and Washington. Clinician credentials are independently verifiable through state license lookup systems. Select your state:
Fever, pelvic pain, severe symptoms or STI concerns need in-person evaluation. Pregnancy and immunocompromise remain outside this routine online treatment pathway. Unusual bleeding or symptoms persisting after OTC treatment also need in-person evaluation, even when symptoms initially seemed typical.
Recurrent infections receive individual clinician review. A prescription for an acute episode, when appropriate, does not replace the recommended evaluation and testing for repeated infections.
A licensed clinician reviews visits seven days a week, including weekends. If treatment is appropriate, the prescription is sent electronically. Review, pharmacy processing and any shipping take separate time; pickup or delivery is not guaranteed at a particular hour.
A licensed clinician credentialed in the state where you are physically located reviews your information. You can verify our clinicians' credentials on the Providers page.
We explain the next step and refund the visit fee when online care is not appropriate. This is not a guarantee of a particular medication or treatment outcome.
Fluconazole may be prescribed online for eligible adults when symptoms fit uncomplicated yeast infection and clinician review finds it appropriate.
Timing varies. If fluconazole is appropriate after clinician review, the prescription is sent to the chosen pharmacy, and pharmacy pickup timing depends on the pharmacy.
Bidwell Health offers cash-pay online yeast infection visits with no insurance billing for eligible adults.
A licensed clinician can assess suspected yeast infection symptoms online and prescribe when appropriate. First episodes are eligible for assessment, and recurrent infections receive individual review. Some symptoms require testing or an in-person examination.
No pelvic exam is performed during your online visit. A licensed clinician reviews your symptoms and health information and determines whether online treatment is appropriate. If testing or an in-person examination is needed, we explain the next step.
Your clinician decides whether a prescription is appropriate. Oral fluconazole or a topical antifungal may be considered; a particular drug or prescription is not guaranteed.
Improvement varies by the cause of symptoms and the treatment used. Follow your treatment instructions and contact your clinician if symptoms persist or worsen. Complete the directed course of topical treatment even if symptoms improve.
Read our fluconazole timing guide for typical improvement windows and when to seek follow-up.
OTC miconazole is a topical antifungal. A Bidwell visit adds clinician assessment, a prescription decision when appropriate and 21 days of messaging about the visit. It is an option for people seeking clinical advice or prescription treatment, not a requirement for buying an OTC product.
Itching with thick white discharge can suggest yeast; thin discharge with a fishy odor can suggest BV; urinary urgency and frequency can suggest a UTI. Symptoms overlap and do not confirm a diagnosis. A clinician can help determine whether testing is needed.
Three or more symptomatic yeast infections in less than a year are considered recurrent. Repeated infections warrant clinical evaluation and testing and may require a longer treatment plan. Recurrent infections are considered individually by your clinician. Depending on your history and symptoms, testing, an in-person evaluation or a longer treatment plan may be recommended.
Not through this Bidwell yeast visit. Oral fluconazole is not recommended in pregnancy. Contact your pregnancy-care clinician for an appropriate evaluation and treatment plan.
Medication costs extra and varies by drug, quantity, pharmacy, insurance and discount program. Ask your chosen pharmacy for the current price. Bidwell does not dispense medication.
Message your clinician if symptoms persist or worsen. Testing or an in-person evaluation may be needed to check for another cause or a yeast species needing a different plan. Do not keep repeating treatment without clinical advice.
We do not bill insurance for your Bidwell visit. Medication is purchased separately. If you use insurance at your pharmacy, the pharmacy may submit a medication claim to your insurer.
Vaginal symptoms are uncomfortable, but choosing treatment depends on their cause. An antifungal does not treat BV or a UTI. First-time symptoms deserve assessment, and repeated symptoms deserve a plan that considers testing rather than an assumption that every episode needs the same prescription.
For college students and other adults seeking local options, see our Florida care options and Virginia and Northern Virginia care options. Campus clinics and community clinicians can also be appropriate places to seek care.