Yes. The cream works its way back out and has to go somewhere. If you don't want to wear a panty liner, you'll be changing your underpants a lot.
If you're having discarge, then yes. would you rather just sit in that stuff?
Well, that wouldn't prevent you from "getting it again". There are many determining factors for getting a YI, but you can wear a liner during the day to protect your undies from the medicine. You probably won't need a liner at night since you are laying down anyway, in fact it might be a good idea to not wear underwear at night. Also, only cotton underwear.
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