Recurrence of thrush causes treatment. Why thrush often occurs in women: causes, effective treatment

Thrush causes discomfort and inconvenience in women, and once she gets rid of it, the patient may think that the worst is over. Unfortunately, recurrent thrush is not that uncommon - monthly recurrences of the disease occur in 2.5%, and can “torture” a woman’s body up to 4 times a year. The disease must be treated immediately, as the infection can spread and cause problems in the pelvic organs.

Forms of thrush

Thrush or vaginal candidiasis is a fungal disease caused by a fungus of the genus Candida. Recurrent candidiasis is not uncommon, and all because candida is already “by default” part of the opportunistic vaginal flora. In the presence of a number of factors, the immune system cannot restrain their development and thrush occurs. The disease often occurs in women of reproductive age and is divided into 3 forms:

1. Asymptomatic form or candidiasis. This form does not manifest itself with visible symptoms, but upon examination it is discovered that the amount of fungus in the body is higher than normal, but the immune system restrains it. The asymptomatic form requires treatment and is fraught with transmission of infection to a partner.
2. Acute form. It manifests itself as a common clinical picture for thrush and is more quickly treatable.
3. . This is a form of the disease that is difficult to cure and progresses over more than 2 months. It is observed with low immunity.

Causes of thrush recurrences

Frequent monthly thrush should alert you, as it signals a disruption in the functioning of the body. By eliminating the root cause of candidiasis, you can get rid of the disease forever.

Often, if thrush has started again, the gynecologist will send the woman for additional tests. Let's look at the reasons that lead to relapses:

• unhealthy diet and intestinal dysbiosis;
• lack of personal hygiene;
• using panty liners or tampons during menstruation;
• violation of female microflora;
• any factors that reduce immunity;
• long-term use of antibacterial agents or hormonal contraceptives;
• chronic diseases of the pelvic organs;
• hormonal disorders - diabetes, excess weight, enlarged thyroid gland;
• pregnancy;
• after treatment that was carried out without following medical recommendations or with the selection of ineffective medications.

Are relapses dangerous during pregnancy?

Decreased immunity and hormonal imbalance increase the risk of relapse.

Pregnancy is a special period in a woman’s life, but it is at this time that the body loses the ability to fully protect itself from infections and fungi. does not pose a risk to the baby’s development, but it is necessary to get rid of the disease. It is important to visit a gynecologist at the first symptoms and correctly understand the root cause so that the fungus does not return again. The reasons for the development and recurrence of thrush may be the following:

• decreased immunity;
• poor nutrition;
• excessive consumption of sweets;
• increased hormone levels;
• the fungus was not completely cured before pregnancy;
• diseases of internal organs;
• taking antibiotics;
• transmitted from a partner (the likelihood of developing thrush in men is less, but cases are observed).

Symptoms of the disease

Symptoms for recurrent thrush are identical to the first manifestation of the disease. The only difference is that the symptoms become less pronounced and worsen every month. What symptoms indicate that thrush has returned:

• discomfort in the lower abdomen for more than 2 months;
• the vaginal mucosa thickens;
• cracks and folds are observed on the body;
• constantly plagued by itching in the lower abdomen;
• a specific odor from the vagina (somewhat reminiscent of sour milk);
• specific discharge (white, thick, not abundant in the chronic form, but leaves whitish spots on the underwear);
• pain during sexual intercourse;
• At the same time, problems with the bladder and intestines may occur (there may be discomfort when urinating).

What to do during diagnosis?

Comprehensive laboratory diagnostics will determine the causative agent of the infection.

If thrush comes back every month, it is important to determine the root cause, because there is no smoke without fire. When the disease is tormented, it is better to make an appointment with a doctor and not try to treat the fungus yourself. A visit to a gynecologist will be the key to effective and quick elimination of the disease. The doctor will prescribe diagnostic procedures and determine a list of medications. During the first episode of the disease, they usually manage by taking a smear from the vagina, but relapses of thrush are diagnosed differently:

• gynecological examination and taking a smear for flora;
• a blood, urine and stool test is taken;
• do bacteriological culture to determine the degree of sensitivity to a particular drug;
• if necessary, the doctor can refer you for a consultation to a gastroenterologist, urologist, endocrinologist and immunologist.

Treatment and medications

Recurrent thrush requires long-term and complex treatment, as well as constant monitoring by a gynecologist. When the patient feels better or external symptoms disappear, it is important to complete the therapy, since thrush often returns due to insufficient treatment. The goals of therapy are:

• stop the activity and development of candida fungus;
• eliminate the root cause;
• strengthen the immune system;
• restore vaginal microflora;
• If necessary, treat the partner.

The appearance of the coveted stripes on the test affects expectant mothers in different ways: some do not change their habits, while others panic and give up all pleasures. Including sex! In fact, there is no need to deprive yourself and your partner of your sex life for nine months - you just need to take a couple of nuances into account. Let's talk about them.

First, let's establish the main rule: pregnancy is not a disease. The times when this stereotype existed passed about 30 years ago. Today, progressive medicine tells us that the months of waiting for a child are a period when a woman can (and should) lead a normal life. Of course, there are certain restrictions, but they are very individual and are discussed with your doctor in each specific case.

A pregnant woman's body undergoes many changes that affect her sex life. But for every problem there is always a solution - if there is a desire. Sexual desire.

Breast tenderness

Who among us has not recalled with nostalgia how huge and beautiful our breasts were during pregnancy and breastfeeding? For some women, it increases by 2-4 sizes! There’s just a catch: with volume comes hypersensitivity and pain. Some pregnant women can’t even sleep without special underwear, let alone caresses and passionate hugs!

Agree that now, like in a strip club, the rule applies: “You can look, but you cannot touch.” This game inflames the sexual appetites of both partners.

High humidity

Don't laugh, sometimes this can really become a big problem! Increased secretion of vaginal lubrication is associated with hormonal changes, and there is no way to correct the situation.

Choose positions with a tighter, tighter girth.

Thrush

Hormonal changes in the body often cause thrush. Is it worth explaining that, together with other “features” of pregnancy, thrush can make sex unbearable. It is, of course, not dangerous for a partner, but itching, discharge and burning prevent a woman from getting at least some pleasure. And sex is an act of love, not a sacrifice.

The situation is further complicated by the fact that during pregnancy most drugs for thrush simply cannot be used. But if the first symptoms of thrush occur, you should immediately consult a doctor. At any stage of pregnancy you can use Pimafucin ® - vaginal suppositories, cream, tablets. In 1-2 days it reduces the severity of symptoms, and at the same time does not pose a danger to both the expectant mother and the child. All forms of the drug are allowed at any stage of pregnancy and even at the very beginning. This is especially important since almost all medications are prohibited for expectant mothers in the first 12 weeks. And treatment usually lasts only 3-6 days.

Good news

There is no need to exclude sex during treatment. If you are used to making love at night, then you can insert vaginal suppositories immediately after the end of the act of love. And if you prefer sex early in the morning, then, as usual, use Pimafucin ® suppositories before bed.

Father's fears

Sometimes this item interferes with sex worse than any thrush. The larger the belly of the expectant mother becomes, the more often the happy father tries to avoid sex. Women usually blame everything on their excess weight, but the reasons for this behavior can be very different.

Dad is worried that the child
looks at him

Dad is afraid of hurting the child

It's funny, but he really thinks so!

Put pressure on his paternal feelings - it is a scientifically proven fact that in order to successfully bear a child, a woman needs positive emotions during pregnancy. And sex is the main source of endorphins!

It is important

There are situations when the doctor leading the pregnancy strongly recommends that you abstain from sex during pregnancy. Check with your attending physician about the presence of such contraindications.

Or human nutrition.

Today, there are many opportunities to effectively and quickly treat candidiasis with medications. The drugs are based on difluzol, a powerful antifungal drug. However, there are several recipes that allow you to treat candidiasis without medication.

Recipe No. 1.

Take equal parts of lavender, nettle and oak root. The ingredients need to be crushed; for this you can use a coffee grinder. Pour boiling water over the prepared mixture and let it brew for several hours. Afterwards, strain the resulting infusion through cheesecloth and add boiling water. Douche with this solution twice a day.

Recipe No. 2.

Use freshly squeezed carrot juice. You can drink the juice, or you can strain it thoroughly through cheesecloth, dilute with warm water and douche. This solution nourishes the mucous membrane and strengthens it.

Recipe No. 3.

Take rosemary, sage, chamomile and oak bark. Grind the mixture in a coffee grinder and pour boiling water over it. Leave for about an hour, then strain through cheesecloth. Use the solution for douching.

Recipe No. 4.

Additionally, candidiasis can be treated by using red berries. Blackberries, raspberries, strawberries and wild strawberries, rowan and viburnum. You need to squeeze the juice out of the berries and drink 2 glasses a day. In larger quantities, they can cause digestive tract upset or allergies.

In case of acute infection, it is better to resort to effective treatment with drugs. If the infection is sluggish, then it is advisable to treat it with drugs. In addition, all recipes can be used as prevention. In addition, it is worth using special hygiene products; they can protect you, at least at the household level. Also, as a preventive measure, you should visit the steam room and use all available means.

Take care of your health and everything will be fine. Be healthy!

Video on the topic

Thrush is caused by a yeast-like fungus. Another name for it is candidiasis. Itching, burning, cheesy discharge, pain when urinating - all these are symptoms of such an infectious disease. Preventing it is much easier than treating it. Therefore, it is better if you follow simple rules of prevention.

Instructions

Do not use antibiotics uncontrollably, as they disrupt the natural microflora of the vagina and reduce your immunity. If there is no other option, read the instructions carefully before taking it. After the course of treatment it is necessary to restore. This can be done with medications prescribed by the doctor. To boost immunity you also need vitamins.

Your underwear should only be made from natural, not synthetic fabrics. You should not wear tight underwear. Immediately after swimming, change your swimsuit to a dry one, as Candida fungus multiplies in a damp environment.

Maintain intimate hygiene. Use soaps or gels without fragrances so as not to disturb the vaginal microflora. Do not use specialized gels containing lactic acid. You can use products with neutral PH. After a shower or bath, dry the labia area with a soft, dry towel.

Avoid douching if possible, as it disrupts the natural flora of the vagina and creates favorable conditions for vaginal infections.

Video on the topic

Sources:

• prevent thrush

Candidiasis, or thrush, is caused by a yeast-like fungus, which for the time being lives in the body without showing itself in any way, but as soon as the immune system is weakened, the fungus is activated and affects the mucous membranes and skin around it. The disease does not apply to PPP, so if one partner is diagnosed with candidiasis, then the other needs to be treated only if it manifests itself.

The cause of the appearance may be reduced immunity, taking a large number of antibiotics, stress, overwork, hypothermia, in general, everything that undermines the body's defenses. Very unpleasant symptoms appear; cheesy discharge of yellow, brown, greenish or white color, itching, burning, stinging, discomfort during sexual intercourse can be disturbing. If it continues for a long time, the mucous membranes are susceptible to the development of additional infection. Against the background of the presence of the fungus, looseness and swelling appear, which favors the appearance of cracks and the entry of bacteria. Left untreated, it can lead to cystitis and damage to the urinary tract, which entails an ascending infection of the kidneys and a change in functional ability. If you are planning or preparing for it, then candidiasis can provoke ruptures and infection of the fetus with thrush. It appears in the mouth, this makes breastfeeding difficult, the baby becomes capricious and susceptible to additional infections. To treat candidiasis, complex drugs are used to destroy the fungus, restore the immune system and general restoration of the body. The candida fungus is destroyed with the help of Clotrimazole, Iconazole, Miconazole, Natamycin, Levorin, Nystatin. In severe cases, Fluconazole is prescribed. In addition, the doctor will prescribe multivitamins and immunomodulators. Self-treatment is unacceptable. Without the participation of an experienced specialist, recurrent manifestations of thrush may appear again and again. Therefore, at the first signs of the disease, it is necessary to contact a gynecologist, undergo a comprehensive examination and receive a recommendation for effective treatment of the disease.

Such an unpleasant disease as thrush often becomes chronic. The reason for this is systemic disorders of the body, when the immune system cannot cope with the infection. In these cases, it is very difficult, but still possible, to completely cure this disease.

You will need

• Referrals for laboratory tests.

Instructions

Often relapses of thrush occur during menstruation, after sexual intercourse. Unpleasant symptoms: itching, burning make sexual activity impossible. With deep infection by Candida fungi on the walls of the vagina, in the area of ​​the labia majora and minora, and on the perineum, areas with a white spongy coating appear, which are often accompanied by a secondary infection, erosions and foci of inflammation are formed, which cause women a lot of suffering.

Recurrent thrush in women occurs often because fungi of the genus Candida, which inhabit the vagina, are opportunistic flora and are activated under favorable conditions.

The key to successful treatment

Meanwhile, treatment of recurrent thrush does not present any difficulties if you adhere to the following rules:

• do not neglect examination by a gynecologist and do not refuse to take a smear test;
• do not prescribe medications yourself;
• do not interrupt the course of treatment when the main symptoms disappear;
• do not use folk remedies that do not have a therapeutic effect in the treatment of this disease.

And do not save on medications by choosing cheap analogues yourself. If you explain your situation to the doctor, he will write out a diagram of how to successfully treat recurrent thrush using cheaper means.

Information about the disease

The causes of recurrent thrush may include the following factors:

• infectious diseases that reduce the body's immunity;
• chronic infections, especially those affecting the reproductive organs and genitourinary system;
• infection with sexually transmitted infections;
• chronic diseases of all body systems;
• hormonal or endocrine changes and disorders - diabetes mellitus, thyrotoxicosis, obesity, pregnancy;
• intestinal dysbiosis;
• long-term use of hormonal contraceptives or hormonal drugs;
• taking antibiotics.

Recurrent thrush can worsen with improper treatment and unsystematic use of medications.

Thrush occurs not only in women, but also in men, but the disease persists for a long time only in special conditions - with a significant decrease in immunity, for example, in patients with AIDS.

The male genital organs are designed in such a way that during urination, candida is washed out. However, it is necessary to treat men and women who are sexual partners together, since, albeit in small quantities, the opportunistic culture is present in men.

The main symptoms of the disease are the following:

• curdled discharge;
• hyperemia of the mucous membrane;
• the occurrence of itching and burning;
• pain and stinging when urinating.

As the disease worsens, the mucous membrane of the vulva becomes covered with a continuous coating, which is difficult to remove - pinpoint bleeding appears on the mucous membrane.

Diagnosis and treatment of thrush

Diagnosing the disease in its acute form is quite simple. It is enough to take a routine smear test during a gynecological examination.

For chronic thrush, a treatment regimen is developed only when the degree of infection is determined - using special blood tests. The body has already developed antibodies to candida; it rarely manifests itself; concomitant diseases activate it. Therefore, it is quite difficult to independently solve the problem of how to cure recurrent thrush.

After the reasons why the thrush has worsened are determined, complex therapy begins. It includes drugs to stabilize the general condition and drugs that directly stop the activity of candida.

To cure the disease, hospital treatment is not required. You can deal with it at home.

The treatment regimen for recurrent thrush necessarily includes drugs of local and general action.

First, a bacteriological culture must be done, during which the degree of damage to the body is revealed.

Antifungal drugs have to be used for several months. Modern drugs cause minimal side effects.

The main component of most modern drugs is fluconazole. Such drugs include “Diflucan”, “Flucostat”, “Fluconazole”.

People try not to prescribe medications with nystatin - with chronic candidiasis, the body has time to adapt to them.

If the question arises of how to treat recurrent thrush while breastfeeding, then use “Pimafucin”. This product is absolutely safe and is not absorbed into breast milk. It can also be used during pregnancy.

Local agents are used along with oral medications. These include dosage forms: suppositories, vaginal tablets, suppositories.

The most popular among them are the following drugs:

• "Terzhinan" - vaginal tablets that are soaked before use. Effectively stops the activity of candida, treat the mucous membrane with care. Contains the hormone prednisolone;
• “Clotrimazole” - available in the form of ointments and suppositories, quickly eliminates unpleasant symptoms;
• During breastfeeding and pregnancy, Livarol is prescribed from the second trimester. Produced in tablets, the main active ingredient is ketoconazole;
• The appointment of Hexicon is considered advisable. This very strong antiseptic not only destroys candida, but also effectively resists other pathogenic flora that cause various sexually transmitted infections. The product contains chlorhexidine bigluconate and polyethylene coside.

The second stage of treatment involves the use of drugs that increase general and local immunity. These include probiotics. They are also consumed topically and orally.

Without eliminating dysbiosis, thrush cannot be cured. The most commonly used are “Bifiform”, “Linex”, “Lactofil”, “Probiform”. The vaginal microflora is restored by dosage forms produced in the form of suppositories: “Lactovag”, “Bifolact”, “Lactonorm”, “Gynoflor”, “Acilact”.

Local medications have virtually no contraindications, and a reaction to them can only occur due to individual intolerance.

At the same time, you will have to follow a diet - you will have to exclude foods that cause candida activity from your diet. These include: yeast baked goods, grapes, beer, carbonated drinks, sweets, hot seasonings.

A regular sexual partner should also be treated. He will have to take a course of antifungal medications and use topical agents, even if he does not have any symptoms indicating infection. As noted above, in men symptoms rarely appear - only when the body is weakened.

During treatment, it is necessary to strengthen individual hygiene measures, change underwear and bedding more often. Refuse the desire to show off elegant lace panties - intimate lingerie should be made from natural fabrics, preferably cotton.

You will also have to do without specific intimate products - gels and detergents with fragrances, special perfumes, scented pads.

To wash the intimate area, you will have to use special products that help normalize the vaginal microflora, for example, “Lactocide”.

Mistakes in the treatment of candidiasis

In most cases, the culprits that the disease has become chronic are the patients themselves.

Dear friends, hello!

Today we will talk to you about thrush.

Do people often come to you with this problem?

I hear your unanimous “yes”!

Certainly! Going to the pharmacy is much easier than dragging yourself to the clinic, taking a coupon, waiting a week or more... And no one cares that “there” everything itches, itches and burns.

And if the female doctor’s advice is “douche with baking soda and chamomile” or “insert a tampon soaked in kefir” (this is not fiction), then I would like to say a lot of “warm” words to him.

What kind of rubbish is this - thrush? Where does it come from? What should you find out from a customer who asks you for something for thrush? How is this infection finally treated? Why does it sometimes not go away? What to offer in the complex?

Shall we figure it out?

How do mushrooms enter the body?

We already talked about mushrooms once. But this was a conversation about mycoses and skin.

Among other pathogens of mycoses, I mentioned to you yeast-like fungi of the genus Candida.

They are the cause of thrush.

We can acquire them in the course of our lives, or we can receive them as a gift from our mother at birth, if she was visited by thrush just before giving birth.

In the first case, vulvovaginal candidiasis, as thrush is otherwise called, can be contracted through direct contact with a sick person, including sexual intercourse, through a shared towel.

In the second case, when passing through the birth canal, the fungi enter the baby’s skin, settle on the oral mucosa, penetrate the body with amniotic fluid and become permanent residents of the large intestine and vaginal mucosa.

Vaginal residents

However, mushrooms are not permanent and not the predominant representatives of the vaginal fauna. Now I wrote this word and thought: I wonder why, when we talk about microbes, they say microFLORA? After all, “flora” is plants, and “fauna” is animals. Or are microorganisms more like plants?

The main inhabitants of the vagina are lactobacilli. They make up more than 90%.

Bifidobacteria and opportunistic microbes also live here in minimal quantities: gardnerella, mycoplasma, streptococci, staphylococci, anaerobes, etc.

Lactobacilli perform a very important function: they protect the vagina from external microorganisms, restrain the excessive reproduction of “neighbors” and prevent them from going all out.

The vaginal epithelium is a multilayer structure. Like the stratum corneum of the skin epidermis, young epithelial cells are born in the lowest layer, which divide, mature, move to the upper layers, and then desquamate.

The epithelial cells of the vagina contain glycogen. Lactobacilli break it down to form lactic acid. This maintains the acidic environment in the vagina at a level of 3.8-4.5, which protects it from pathogenic bacteria.

This makes it clear why you can’t use douching with a soda solution, which doctors love to recommend. Soda alkalizes the vagina and provokes gynecological problems.

And in general, any douching is harmful, because... wash away beneficial microbes, disrupt the ratio of good and conditionally bad bacteria. There are fewer good ones, but a holy place is never empty, so it is filled with those very conditionally pathogenic bacteria that were just waiting for this to begin to multiply.

In addition, soda dries out the mucous membrane, and dry mucous membrane is vulnerable. Therefore, a decrease in symptoms after this treatment method is the calm before the storm. The thrush will play out with renewed vigor, and other bad kids will join the mushrooms. Bacterial vaginosis will develop.

What does the first day of the cycle have to do with it?

You may have seen in doctors' prescriptions that for recurrent thrush they are prescribed on the first day of menstruation.

Do you know why?

The vaginal epithelium is hormone dependent. Estrogens help its cells accumulate glycogen and, therefore, break it down to release lactic acid. They also ensure the adhesion of lactobacilli to vaginal epithelial cells.

But in the first days of the cycle there is little estrogen.

During this period, a large number of destroyed endometrial cells and blood cells enter the vagina, and the environment here shifts to the alkaline side (pH increases to 5.0-6.0).

Therefore, the risk of getting thrush at the beginning of the menstrual cycle increases.

What causes vulvovaginal candidiasis?

Why is vaginal candidiasis called “thrush”?

Because the discharge in this disease resembles sour milk.

So, the most common factors that provoke the appearance of thrush:

1. . They destroy not only harmful, but also beneficial microbes, including those in the vagina, i.e. lactobacilli. There are fewer of them, they cannot fulfill their protective function, and the fungi begin to multiply intensively.
2. . During pregnancy, vaginal candidiasis occurs 2-3 times more often.

Sometimes thrush is a marker of pregnancy, when the test still shows nothing, but the fungus is already right there!

This is explained, firstly, by a physiological decrease in immunity during this period in order to reduce the activity of the immune system, which regards the fetus as a foreign body that needs to be expelled.

Secondly, hormonal changes occur, as a result of which there is too much glycogen in the vaginal cells, and this is also bad. Lactobacilli do not have time to break it down, and it provokes the proliferation of fungi.

1. Violation of hygiene rules. This is the use of tampons, which sometimes remain in an intimate place all day, collecting all representatives of the vaginal fauna. This also includes excessive use of antiseptic products not intended for intimate hygiene. They, like antibiotics, destroy everyone, without understanding who is right and who is wrong.

Keep this in mind and tell customers that tampons need to be changed every 2 hours!

Some gynecologists are not only against tampons, but also against panty liners, because they interfere with oxygen access to the intimate area.

1. Swimming pools. Chlorinated water dries out the mucous membrane, which leads directly to vaginal dysbiosis.
2. Clothes and some toiletries. These are tight trousers and jeans that pinch and rub in intimate places, disrupting blood circulation and reducing local protection. The same applies to thongs.

We already talked about the journey of microorganisms through thongs from point K (intestines) to point B (vagina).

Let's add here panties made of synthetic materials that retain heat and moisture, which is why mushrooms grow as if after rain. So, away with lace sexy lingerie, long live the good old hebeshechki!

1. Thrush is often brought from warm countries. Firstly, climate change is for the body, as a result of which it decreases. Secondly, this means increased humidity in an intimate area if you spend the whole day in a wet swimsuit.
2. Hypothyroidism. As you know, the thyroid gland regulates ovarian function. With its hypofunction, hormonal disturbances in the reproductive system are ensured. Little estrogen means little glycogen in the vaginal epithelium. There is little glycogen, lactobacilli have nothing to break down. There is nothing to break down - lactic acid is not formed in the required amount. Lactic acid is not formed - the acidic environment in the vagina is not maintained.
3. Love for sweets. It turns out that mushrooms have a terrible sweet tooth. Therefore, during the treatment of candidiasis, doctors advise giving up sweets and starchy foods. For the same reason, thrush often visits.
4. Combined hormonal. They are included in this blacklist because they create a lower level of estrogen in the female body than natural.
5. Estrogen-containing hormonal preparations for HRT. Here is the other extreme: there is a lot of estrogen, the level of glycogen in the cells increases, it draws water onto itself, the mucous membrane loosens, the pH shifts to the alkaline side. In 20% of women, glucose tolerance changes.
6. Glucocorticosteroids, immunosuppressants – i.e. drugs that reduce immunity.

How does thrush manifest?

It is not difficult to recognize thrush.

The following complaints may occur:

1. Itching, burning, discomfort in an intimate place, which intensifies in the evening.
2. White cheesy discharge without odor. People call them “beli”.
3. Pain during sexual intercourse.
4. Burning when urinating.

Thrush also occurs in men, and then white plaques, redness, and swelling appear on the genitals. The remaining complaints are the same as in women, but they are less pronounced.

To confirm the diagnosis of candidiasis, a smear is taken and a culture is done.

What forms of thrush exist?

There are 2 forms:

1. Acute candidiasis. Lasts no more than 2 months.
2. Chronic candidiasis. Lasts more than 2 months.

Chronic candidiasis is divided into 2 types:

• Recurrent – ​​symptoms go away completely after treatment, but exacerbations occur at least 4 times a year.
• Persistent – ​​symptoms are constantly present to varying degrees. After treatment they subside somewhat.

What questions should the buyer ask?

When you are asked to give something for thrush, you do not need to immediately offer an antimycotic. Talk to the customer. Why did she think it was thrush?

Questions could be:

1. Did your doctor give you this diagnosis?
2. How does the disease manifest? Is there itching, burning, or pain when urinating? What kind of discharge? (interested in color, consistency). White, curdled ones are thrush. If others, then the big question is what it is. Possibly an STD, and it makes no sense to recommend Fluconazole.
3. Is this your first time, or have you already had similar symptoms? If you have already had thrush, find out how often exacerbations occur.

The fluconazole treatment regimen depends on the severity of symptoms and the frequency of exacerbations.

Now some of you are reading these lines and thinking:

- Yeah, the line is halfway across the pharmacy, and I’m going to be interested in the discharge?

In order not to embarrass the customer and not to embarrass yourself, it is better to go out to her in the hall with the words: “I’ll come out to you now, I need to clarify something,” then, taking her aside, ask her these questions, since without this your recommendations may not be entirely literate.

General treatment regimen for thrush

The treatment regimen depends on several factors:

1. Acute or chronic process?
2. Is it just thrush? Often fungi are combined with other representatives of opportunistic flora, so the task becomes more complicated.
3. How severe are the symptoms?
4. Are there any concomitant diseases?

Comprehensive treatment of thrush includes:

1. Systemic antimycotic.
2. Local antimycotic.
3. After the course of treatment - a vaginal eubiotic to restore vaginal flora.
4. For chronic thrush -.

Fluconazole and Itraconazole are most often used for systemic therapy.

Treatment regimen for thrush with Fluconazole

There are different treatment regimens for Fluconazole, but the most logical one seems to me to be the following:

1. Light discharge, minor itching and discomfort, or new-onset thrush:

Fluconazole 150 mg once for both men and women.

1. Itching, burning, discomfort, heavy discharge, 1-4 episodes of thrush per year:

Woman: Fluconazole 150 mg twice with an interval of 72 hours.

Man: 150 mg once.

1. Recurrent thrush (more than 4 episodes per year):

Woman: 150 mg three times with an interval of 72 hours. Then 150 mg once a week for 6 months.

Man: 150 mg once.

If Fluconazole is ineffective, see a doctor for examination!

If the diagnosis of candidiasis is confirmed, the doctor may prescribe, for example, Itraconazole 200 mg 2 times 1 day or 200 mg 1 time per day for 3 days.

Other

We influence mushrooms in their habitat

For local treatment, if the symptoms are definitely thrush, in my opinion, it should be a single drug: Pimafucin, Livarol, Zalain, Clotrimazole, Ginezol 7, Ginofort.

For women, most often these are suppositories or vaginal capsules/tablets, for men - cream.

The duration of treatment is different for each drug.

The average duration of use of the cream for a man is 7-10 days.

As for combined remedies (Terzhinan, Polygynax, Klion D, etc.), using them for thrush is like cutting your finger and at the same time smearing it with iodine. With the antifungal component we will destroy the fungus, and with the other, beneficial microbes, while reducing local immunity, which in itself is the cause of thrush.

They are usually prescribed for combined fungal and bacterial infections.

You ask: But how can you recognize her?

Firstly, a bacterial infection is manifested by “colored” discharge (yellowish-greenish).

Secondly, unpleasant smell.

Third, it can give in the stomach, deterioration in general health.

And then, most likely, you need Macmiror, Flagyl or a broad-spectrum antibiotic inside. Plus a combined local remedy such as Terzhinan or Polygynax.

Restoring microflora

Food for thought. In the instructions for such drugs, candidiasis is listed as a contraindication, but doctors prescribe them in the complex treatment of thrush. How to understand this?

I haven't found any clear explanations for this. Moreover, opinions are divided as to which environment Candida mushrooms reproduce best in: some say that it is acidic (which I do not agree with), others say that it is alkaline. If we assume that they like an acidic environment, then how can we explain their existence in the large intestine, where the environment is slightly alkaline?

And yet: why are these drugs contraindicated for candidiasis?

I believe that firstly, because of the excipients. For example, in the drug Acylact it is written that bacteria are cultivated with the addition of sucrose-milk medium, and mushrooms, as you now know, love sweets.

Secondly, against the background of candidiasis, the affected cells of the vaginal epithelium contain little glycogen, so lactobacilli will not have enough nutrient substrate, and candidiasis will only get worse.

But after the end of antifungal therapy, with negative smears for the fungus, these drugs will come in very handy.

What do you think about this?

Understanding immunity

For recurrent candidiasis, the doctor may prescribe Viferon, Genferon, Polyoxidonium in suppositories, etc.

We take proper care

And ideally, especially with recurrent thrush, you need a special intimate care gel that will maintain an optimal environment in the vagina (for example, Lactacid).

During treatment:

1. Use only cotton linen.
2. Avoid thongs, tight trousers and jeans.
3. Eliminate sweets and starchy foods from your diet.
4. You should abstain from sexual intercourse during this period.
5. Both need treatment.

Why is thrush treatment often ineffective?

I found 5 reasons for this:

By the way, if a woman has doubts that it is thrush, you can offer her the FrauTest Candida.

What can you do for thrush during pregnancy?

Pimafucin: suppositories, tablets. The rest is all with some reservations.

That's all I wanted to tell you today.

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With love to you, Marina Kuznetsova