Adults in Virginia, including Fairfax, Arlington and Alexandria in Northern Virginia, can request a $45 online yeast infection visit with Bidwell Health. A Virginia-licensed clinician reviews your symptoms seven days a week and, if appropriate, sends a prescription to your chosen local or mail-order pharmacy. Medication costs extra. No subscription or scheduled video visit is required.
For adults 18 and older physically in Virginia. First-time symptoms can be evaluated through a Bidwell online visit. A licensed clinician reviews your answers and determines whether online treatment is appropriate.
Service and campus information updated .
For Fairfax, Arlington and Alexandria patients, Bidwell Health offers a message-based assessment you can complete from a private place in Virginia. The $45 visit includes clinician review, a prescription when appropriate, and 21 days of messaging about your visit. You do not need a referral or a college affiliation.
Your physical location at the time of the visit determines which state service you can use, even if your home or school address is in Virginia. Start the Virginia visit while you are in Virginia. If you are elsewhere, check our current state availability before starting. Choose a pharmacy you can reach from home, class or work, or a compatible mail-order pharmacy if delivery suits your needs.
George Mason Student Health Services is an existing care option for enrolled students. Mason lists no charge to see a provider, with fees for some services, tests and medications. Its appointment information includes gynecological concerns and both in-person and video visits. Bidwell is a separate $45 option for eligible adults who prefer a message-based visit; it is not a Mason service.
If you attend NOVA and are 18 or older, you can request a Bidwell assessment while physically in Virginia, whether you are at home or between classes. Student status does not change the $45 fee or clinical eligibility. For broader support, NOVA's wellness resources link to community assistance, including 211 Virginia. For an examination or vaginal testing, contact a medical clinic; that resource directory is not a yeast-treatment appointment.
Campus resources checked September 28, 2026. Follow the official links for current eligibility, services and charges. Bidwell Health is independent of George Mason and Northern Virginia Community College.
Bidwell Health's Virginia yeast infection visit is designed for adults ages 18 and older who are physically located in Virginia at the time of the visit, who are not pregnant, not immunosuppressed, and whose symptoms fit an uncomplicated episode of vulvovaginal candidiasis: vulvar itching, thick white discharge, and external burning, typically with no fever and no pelvic or abdominal pain. If that fits your situation, the intake takes a few minutes and a clinician licensed in Virginia reviews it 7 days a week, including weekends.
Classic uncomplicated vulvovaginal candidiasis presents with some combination of vulvar itching, thick white curd-like discharge, vulvar burning, external redness and swelling, and pain with intercourse. These symptoms can also occur with other conditions; a clinician evaluates the pattern and decides whether treatment or testing is appropriate. Typical symptoms include:
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. Symptoms are not specific to yeast; the CDC STI Treatment Guidelines discuss diagnostic testing and treatment.
Not every vaginal-irritation pattern is yeast, and not every yeast infection is uncomplicated. Contact dermatitis from new products, bacterial vaginosis, and trichomoniasis all mimic yeast symptoms. Pregnancy and immunosuppression change the care needed. Don't use this online yeast infection visit if any of the following applies:
If any of those apply, your primary provider, an OB/GYN, or urgent care in Virginia is the right path.
Vulvovaginal itching has several possible causes beyond yeast, and each responds to different treatment. Yeast, bacterial vaginosis, trichomoniasis, contact dermatitis from products, and postmenopausal atrophic vaginitis can all present with overlapping symptoms. The distinguishing features are discharge character, odor, and recent product or partner 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 during urination, urgency, frequency — no discharge | Short antibiotic course |
| Contact/allergic vulvovaginitis | Itching after new soap, detergent, lubricant, or product — no discharge | Remove trigger, consider topical steroid briefly |
| Lichen sclerosus or atrophic vaginitis | Chronic itching, thinning or white patches on vulva, postmenopausal | Topical steroid or local estrogen — in-person evaluation |
Our intake asks about symptoms, pregnancy, fever, pelvic pain, severe symptoms and STI concerns. Your clinician reviews the answers and determines whether online care is appropriate. If your clinician determines online care is not appropriate, we explain the next step and refund the visit fee. For BV specifically, we have a dedicated BV visit in Virginia.
CDC and ACOG support two first-line treatment patterns for uncomplicated yeast infection — oral fluconazole 150 mg as a single dose, or topical clotrimazole or miconazole for 1, 3, or 7 days. Your provider picks based on your preference for oral vs topical, pregnancy status, and any drug interactions (warfarin, certain statins):
| Medication | Typical dose | Duration | Common side effects | Cash price |
|---|---|---|---|---|
| Fluconazole (Diflucan) | 150 mg oral, single dose | 1 dose | Nausea, headache, abdominal discomfort | Paid separately at pharmacy |
| Clotrimazole (topical) | 1%, 2%, or 10% cream / suppository | 1, 3, or 7 days | Mild burning, local irritation | Varies by product and pharmacy |
| Miconazole (topical) | 2% or 4% cream / suppository | 1, 3, or 7 days | Mild burning | $8–18 OTC |
| Terconazole (topical, Rx) | 0.4% or 0.8% cream / suppository | 3 or 7 days | Local irritation | $30–60 |
Over-the-counter topicals are effective for uncomplicated candidiasis; many patients prefer the convenience of a single oral dose of fluconazole.
A message-based assessment can be convenient when your symptoms fit online care and you do not want to schedule a video call. Campus services, your primary care clinician and a local gynecology clinic are also valid options. If examination or testing is needed, that capability matters more than the appointment format.
| What you need | How to choose |
|---|---|
| A clinician's assessment without a scheduled call | Bidwell offers a $45 message-based visit for eligible adults physically in Virginia. Medication is separate. |
| A pelvic exam, vaginal swab or STI testing | Choose an in-person medical service that offers the required examination or test. A Bidwell visit does not perform these tests. |
| Care through an existing campus or insurance benefit | Check the service you already have access to and ask which charges, if any, apply to the visit, testing and medication. |
| Help after a Bidwell visit | Use the portal for 21 days of messaging about that visit. New fever, pelvic pain or severe symptoms need prompt in-person care. |
For uncomplicated vulvovaginal candidiasis in non-pregnant women, our clinicians typically offer oral fluconazole 150 mg single-dose as first-line when the patient prefers oral therapy and has no contraindications (liver disease, significant drug interactions like warfarin or certain statins). The rationale: one dose, high resolution rate, convenient adherence. For patients who prefer topical therapy, clotrimazole or miconazole are equally effective and available over-the-counter. First-time symptoms can be evaluated through a Bidwell online visit. A licensed clinician reviews your answers and determines whether online treatment is appropriate.
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.
Once your Virginia prescription is routed to your chosen pharmacy, pharmacy pickup timing varies. Fluconazole begins working within 24 hours — you should notice itching and burning starting to decrease within a day or two, with full symptom resolution typically in 3 to 7 days. Topical regimens are completed as directed (1, 3, or 7 days). If symptoms have not improved meaningfully within 7 days, contact your clinician for follow-up. New fever, pelvic or lower abdominal pain, severe vaginal symptoms or STI concerns need prompt in-person evaluation; do not wait for a portal reply.
If your intake shows that online care is not appropriate because of pregnancy, an unclear diagnosis or findings suggesting a different condition, we'll tell you, refund your visit fee, and direct you to the appropriate in-person option in Virginia (OB/GYN, primary care, or urgent care as needed).
Our online service is available statewide to eligible adults physically in Virginia. Treatment depends on clinician review, and any prescribed medication is filled through the pharmacy you choose.
Virginia Beach and Chesapeake patients use the same Virginia-licensed online service as patients in Northern Virginia. Before choosing a pharmacy, check the branch's current hours and whether it can fill the prescription. Bidwell sends the prescription when appropriate; the pharmacy determines processing and pickup timing. Start a Virginia Beach yeast assessment.
If vaginal itching or discharge makes you unsure whether this is yeast or BV, begin with a clinician's assessment instead of selecting a drug from symptoms alone. Our yeast versus BV guide explains why symptoms overlap. Norfolk patients with fever, pelvic pain, severe symptoms or STI concerns should seek in-person care.
Adults physically in Richmond, Henrico or Chesterfield can request an online assessment without changing primary care providers. Tell your clinician if symptoms have returned or did not improve with treatment; recurrence is considered individually and may call for testing. Start a Richmond yeast assessment.
You submit information for a clinician to evaluate, not an automatic prescription request. Clinical visits and messages are in English.
Bidwell Health uses licensed clinicians credentialed for care in Virginia. Credentials can be verified through the Virginia Department of Health Professions verification. See our clinician credentials and privacy practices for details about the care team and how health information is handled.
You choose where an approved prescription goes: a local pharmacy near home or campus, or a compatible mail-order pharmacy, including Amazon Pharmacy or Cost Plus Drugs. Compounding pharmacies are also an option when the prescription is appropriate for their service. Bidwell does not sell or ship medication. Ask the pharmacy about stock, price, pickup or shipping before relying on a particular timeline. See how pharmacy choice works.
Between primary care providers? We also offer bridge refills for chronic medications in Virginia for eligible stable, non-controlled medications. Same $45 visit model, one medication reviewed per visit, no required subscription, no controlled substances.
The online visit is $45. That covers licensed clinician review, your electronic prescription if clinically appropriate, and 21 days of messaging about this visit. Medication cost is paid separately at your pharmacy. No required subscription, no insurance billing, no co-pays, no surprise bills. If online treatment is not clinically appropriate, the visit fee is refunded.
Yes. Bidwell Health offers $45 online assessments for eligible adults physically in Virginia, including Fairfax, Arlington and Alexandria. A Virginia-licensed clinician reviews your information and sends a prescription to your chosen pharmacy when appropriate. Medication costs extra.
Yes, if they are 18 or older, physically in Virginia and clinically eligible. Bidwell is an independent service, not a college benefit or campus clinic. Campus care remains another option; student status does not change the $45 Bidwell visit fee.
No. For the Virginia visit, you must be physically in Virginia at the time of care. A Virginia home, school or billing address does not replace the location requirement. Check the current states served if you are elsewhere.
Yes. If medication is prescribed, choose a local pharmacy you can reach or a compatible mail-order pharmacy. Medication, processing and delivery are handled by the pharmacy and are separate from the $45 visit.
First-time symptoms can be evaluated through a Bidwell online visit. A licensed clinician reviews your answers and determines whether online treatment is appropriate.
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.
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.
Pregnancy, immunosuppression or poorly controlled diabetes, fever or pelvic pain, severe symptoms, STI concerns, and discharge suggesting a different infection need in-person evaluation or testing rather than this yeast visit. A first episode is eligible for clinician assessment, and recurrent infections are reviewed individually.
The fee covers clinician assessment, a prescription when clinically appropriate, and 21 days of messaging about your visit. Medication and any pharmacy shipping charges are separate. There is no required subscription. If your clinician decides online care is not appropriate, the visit fee is refunded.
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.
Symptoms often begin improving within a few days, but timing varies. Follow the treatment instructions and contact your clinician if symptoms persist or worsen. New fever, pelvic pain or severe symptoms warrant prompt in-person care.
These short guides explain how no-video visits, pharmacy pickup, and state availability work for Bidwell Health patients.