There are such happy women who do not know what candidiasis is. But most of them have faced this unpleasant disease at least once in their lives. And many suffer from itching often. Such women are perplexed: where does thrush come from? After all, they carefully observe the rules of personal hygiene, use effective medicines, and the symptoms of candidiasis still return.
Why is this happening? The reasons for the appearance of thrush in women, its symptoms and methods of prevention, you need to know in order to properly protect yourself from this unpleasant ailment.
What is thrush
This is the name of the disease of the mucous membranes caused by the Candida fungus. This name appeared due to the fact that when infected, redness, itching and white cheesy discharge occur. In women, candidiasis mainly develops on the vaginal mucosa.
Where does thrush come from? Candida fungi are permanent residents of the human body. They do not come from the outside, but live in the intestines, vagina and oral mucosa. Such an environment is called opportunistic because it is not harmful as long as the microorganisms are in balance with each other.
In some people, the growth of these fungi is suppressed by the immune system and normal intestinal microflora. In others, their growth leads to the appearance of candidiasis.
Vaginal candidiasis: causes of occurrence
The normal microflora of a woman's vagina contains various bacteria. They maintain the balance of microorganisms and inhibit the growth of fungi. But under some conditions, the vaginal microflora is disturbed: beneficial lactobacilli die, and the environment becomes alkaline.
This situation is favorable for fungi. They begin to multiply without meeting the resistance of the disturbed microflora. Symptoms such as itching, burning, and sour-smelling cheesy discharge appear. And then the doctor diagnoses the woman with thrush.
It is believed that the main cause of candidiasis in women is unprotected sex. But it is not so. After all, there are often cases that one partner has symptoms of candidiasis, and the other has not become infected, and vice versa. Against this opinion, the statistics of the frequent occurrence of thrush in girls speaks.
In fact, the causes of candidiasis can be both external - lack of hygiene or infection, and internal - weakened immunity or chronic diseases.
How can you get candidiasis?
Despite the fact that Candida fungi constantly live in the human body, if from the outside they enter the mucous membrane in large quantities, thrush develops. This happens in an organism weakened by diseases or an unhealthy lifestyle. How do fungi get from the outside onto the vaginal mucosa?
- with unprotected intercourse from a partner with candidiasis;
- from dirty hands, because there are a lot of fungi in the environment;
- from the water, for example, after the sea or swimming in the pool;
- when transferring microflora from the intestines in case of non-observance of hygiene rules;
- through soap, towel or other objects.
Other external causes of thrush
But sometimes it also happens that a woman observes the rules of hygiene, and the fungi still multiply. Various factors can provoke an increase in their number.
Fungi like to multiply in a humid warm environment, so candidiasis occurs in the vagina most often.
What are the factors causing its appearance?
- Wearing tight and synthetic underwear that is breathable and creates a favorable environment for fungi. Thongs also provoke candidiasis, as they lead to the transfer of microorganisms from the intestines or their entry from the outside. Prolonged exposure to wet swimming trunks, for example, on the beach after swimming, is also a common cause of candidiasis.
- Where does thrush come from for those women who carefully monitor their personal hygiene and love to swim? Frequent use of soap and harsh detergents to cleanse the genitals leads to the fact that the microflora is disturbed. Soap kills beneficial bacteria, and fungi grows rapidly. This also happens due to frequent douching.
Therefore, it is better to use only special neutral products for washing.
- Improper use of panty liners and tampons. These hygiene products need to be changed every 2 hours. They should be made of natural materials that allow air to pass through and absorb moisture. But even in this case, they can serve as a favorable environment for fungi.
- Most often, thrush symptoms appear in the summer. The reason for this is the hot climate, which is conducive to the multiplication of microorganisms. Therefore, many women suffer from this ailment on vacation. Thrush can appear after the sea, if there are a lot of fungi in the water, and the woman does not immediately change her wet clothes.
- A local allergic reaction can cause candidiasis when using scented toilet paper, scented pads, and some shower gels.
Internal causes of thrush
The main factor causing the development of candidiasis is a decrease in immunity. At the same time, the body cannot control the growth of fungi.
So where does thrush come from in women? The reasons for this are:
- long-term antibiotic treatment always leads to the growth of fungal flora, since beneficial bacteria die;
- the presence of latent urinary tract infections: chlamydosis, gonorrhea, mycoplasmosis and others;
- the use of contraceptive drugs containing the hormone estrogen;
- change of climatic conditions: vacation or moving to another place of residence;
- endocrine disorders, especially diabetes mellitus and thyroid dysfunction;
- Thrush symptoms are often observed in patients with cancer, especially those undergoing chemotherapy;
- improper diet provokes the multiplication of fungi: abuse of sugar, smoked meats, spices, pickles and fatty foods;
- thrush symptoms may indicate a deficiency of vitamins and minerals, anemia, and other blood diseases;
- the causes of candidiasis are fluctuations in the hormonal balance after taking certain medications, during adolescence, with menopause, and even before menstruation;
- reduced immunity in chronic diseases: obesity, tuberculosis, asthma, bronchitis and others;
- intestinal dysbiosis causes frequent relapses of thrush;
- recently, it is believed that stress and other psychological factors can be the cause of candidiasis.
See also: why the chest itches.
Nowadays, many effective drugs have been created for the treatment of candidiasis. But often the symptoms come back again, almost a month later. Where does thrush come from in such women who follow the rules of prevention? The reproduction of fungi can occur only due to a decrease in immunity and a violation of the vaginal microflora. Therefore, it is worth paying attention to this.
Thrush is an infectious disease caused by the yeast-like fungus candida albicans. They are found in the body of absolutely healthy people, are conditionally pathogenic microorganisms and cause pathology only in the presence of provoking factors.
In the conditions of modern life, the disease has become more common. This is due to the widespread use of antibacterial drugs, the influence of unfavorable environmental factors and a persistent decrease in immunity and the population.
Thrush can affect the skin and mucous membranes of any localization, but most often it occurs in the genital area.
Causes of the disease
As mentioned above, the cause of thrush is the fungi of the genus candida albicans, namely their rapid and uncontrolled growth.
These microorganisms are conditionally pathogenic inhabitants of the skin and mucous membranes of the human body and are found in the oral cavity, pharynx, gastrointestinal tract and genitals.
However, fungi themselves do not cause disease, clinical manifestations develop only in the presence of such provoking factors as:
Hormonal disorders (imbalance of estrogens and corticosteroids).
Long-term use of antibacterial and antifungal drugs.
Diseases that suppress the body's immune response (malignant neoplasms, AIDS, tuberculosis).
Constant stressful situations.
Unprotected sex with sick partners.
Failure to comply with the rules of personal hygiene.
Symptoms of thrush in women and men
The clinical manifestations of candidiasis and their severity depend on the level of contamination by microorganisms and on the activity of the body's immune response. Most often, thrush is characterized by the following symptoms:
Itching and burning in the genital area.
Swelling, redness of the labia and urethra, which are noticeably worse after taking thermal and water treatments.
Discharge of tiny, cheesy plaque from the genital tract or urethra. It is also characterized by a sour odor and a white or yellowish tinge.
Painful and cutting sensations during urination.
Discomfort during sexual intercourse.
Symptoms of the disease can range from subtle to severe enough to disrupt the patient's normal life.
The diagnosis is made on the basis of collecting an anamnesis of the disease, physical examination and laboratory tests. The clinical symptoms of thrush are quite specific and often make it possible to diagnose it at the first contact with the patient. However, nevertheless, such manifestations can occur in a number of other pathologies, therefore, analysis is a mandatory event.
Most often, studies are carried out to determine the presence of yeast-like fungi in the pathological material, as well as their sensitivity to drugs:
Microscopy of a smear of discharge from the genital and urinary tract.
Sowing on culture media containing antifungal drugs.
PCR for the detection of fungal DNA.
Specialists such as gynecologists and urologists are involved in the treatment of the disease.
Attention! If the above symptoms appear, you should immediately consult a doctor. Do not self-medicate thrush. Folk remedies do not show high effectiveness, and antifungal drugs have many contraindications and side effects, so their intake should be strictly controlled by a doctor.
When prescribing therapy, it should be remembered that thrush is a disease that occurs due to hormonal disorders and against the background of immunodeficiency, therefore, its treatment should not only relieve the symptoms of candidiasis, but also fight the factors that provoked its appearance.
The main methods of therapy are systemic and local effects on fungal microorganisms.
Locally, patients are prescribed special ointments, gels and creams, which must be applied to the affected areas of the skin and mucous membranes. Systemically - drugs for oral administration.
For the treatment of thrush, the following medicines are most often used:
Important! The dosage, frequency and duration of drug use is prescribed by the doctor, depending on the severity of the disease. You also need to know that even with the complete disappearance of the clinical symptoms of candidiasis, you need to undergo a full course of treatment in order to avoid a relapse of the disease.
Currently, there are powerful drugs that help get rid of thrush in just one step. However, they are not suitable for all patients, and therefore, before using them, it is required to consult a specialist.
Antifungal drugs should not be used in conjunction with strong hypnotics, antihistamines, or alcoholic beverages.
Also, for the duration of treatment, patients are prescribed a special diet, low in carbohydrates, abstinence from sexual intercourse and drugs that stimulate natural immunity.
To prevent the re-development of thrush, it is necessary to compensate the patient for chronic diseases (for example, diabetes mellitus), examine him for tuberculosis and HIV, and normalize hormonal levels.
The prognosis for the treatment of thrush for life and working capacity is favorable. In most cases, the disease heals quickly enough and without a trace.
Thrush or candidiasis in women - a disease caused by fungi of the genus Candida. If these microorganisms have developed on the mucous membrane of the vagina and external genital organs, then they speak of vaginal candidiasis ... This disease affects not only women of childbearing age who are sexually active, but also young girls and those who have reached venerable years. The reason is simple: candidiasis occurs not only after contact with a sick sexual partner. It can be the result of active reproduction of Candide, which were previously part of the normal microflora. With candidiasis, women complain of profuse cheesy vaginal discharge and itching in the genital area. According to statistics, 70% of gynecologist's patients who come with such problems are diagnosed with thrush. This disease is not a sexually transmitted disease. Compared to them, it is less dangerous and much easier to treat. The disease affects women on all continents, regardless of age and wealth. Moreover, the incidence in hot countries is higher. Statistics claim that urban dwellers suffer more from candidiasis. 30-40% of women suffered from thrush during pregnancy. During this period, the risk of getting sick increases 2-3 times. 75% of the fair sex have suffered from candidiasis, and most of them repeatedly. Since this disease has an unpleasant property to return. So in 5%, the diagnosis is recurrent candidiasis. In this case, exacerbations occur 4 or more times a year. In recent years, the number of cases of thrush has been growing steadily. This is due to the uncontrolled intake of antibiotics and a decrease in the level of immunity. If you do not deal with the treatment of thrush in time, then from a slight malaise it can turn into a serious problem when fungi affect most of the internal organs.
The composition of the normal microflora of the vagina and external genital organs
The genitals of girls begin to be colonized by microorganisms within a few hours after birth. This is the moment when microflora begins to form. From the first day of life, various types of bacteria constantly live in the vagina and on the external genitals. There are more than 60 of them. Usually these microorganisms do not cause disease and do not harm the body. This set varies depending on the woman's age, the phase of the menstrual cycle, pregnancy, and the presence of a permanent sexual partner. Periodically, pathogenic bacteria enter the vagina. But if their number is not large, then representatives of microflora and immune cells destroy these microorganisms. The vagina contains:
- coagulase-negative staphylococci
- coliform bacteria
Most microorganisms in the body of a healthy woman are various types of lactobacilli and bifidobacteria - up to 90%. They provide an optimal level of acidity, pH up to 3.8–4.5 (in adult women). If their number decreases, then the vaginal environment becomes slightly alkaline and the pH exceeds 6. This leads to the multiplication of pathogenic bacteria and the development of inflammatory processes. In almost 80% of cases, Candida is present in the microflora of a woman. They are represented by single inactive rounded cells and do not form filaments of mycelium (pseudo-mycelium). Normal microflora in a woman's body performs important functions:
- Releases beneficial enzymes that provide the necessary acidity
- Promotes Vitamin Formation
- Supports local immunity tension
- Prevents the entry of foreign bacteria that can cause disease.
The vaginal microflora has a balanced composition. Moreover, some bacteria regulate the number of others. So lactic acid bacteria produce acid, which inhibits excessive multiplication of Candide. Therefore, normally, the fungi contained in the vagina do not cause thrush.
The causes of thrush
Why thrush occurs is one of the most common questions among women. After all, this problem is very common. Unpleasant sensations arise at the most inopportune moment. This fungal disease negates intimate relationships and ruins everyday life. You can get candidiasis from a sexual partner. Especially if a man has clear signs of this disease or he is a carrier of fungi. However, this reason is far from the most common. Much more often, thrush occurs as a result of a decrease in immunity and a violation of the natural balance of the microflora of the genital organs. There are many factors that trigger the development of vaginal candidiasis in women.
- Decreased body defenses as a result of chronic diseases or after infections.
- Hormonal shifts during pregnancy and before menstruation.
- Change in hormonal levels at menopause.
- Use of hormonal contraceptives .
- Long-term use of antibiotics , corticosteroids and cytotoxic drugs.
- Intestinal dysbiosis and fungi can enter the vagina.
- Climate change , which entails adaptation to new conditions, water composition.
- Use of intimate hygiene products : intimate gels, soaps, shower gels containing a lot of alkali and fragrances.
- Using panty liners ... They disrupt the access of air to the genitals, and the humidity rises.
- Deodorized tampons and pads cause allergic reactions and disrupt the condition of the mucous membrane.
- Wearing synthetic underwear that is tight and tight ... The most common culprits for thrush are thongs.
- Food rich in confectionery and carbohydrate dishes, strong coffee, carbonated drinks, yeast baked goods, spicy and fatty delicacies, ketchup and mayonnaise.
- Avitaminosis entails a decrease in the body's resistance and a deterioration in the condition of the skin and mucous membranes.
- Obesity - favorable conditions for the reproduction of fungi are created in the folds of the body.
- Metabolic disorders ... Diabetes mellitus is a prime example. It not only weakens local immunity, but also increases the amount of carbohydrates in cells, which is a good breeding ground for microorganisms.
- Smoking causes vasospasm and disrupts blood circulation, including in the genitals.
- Sexual intercourse with dry vagina and other actions that can lead to the appearance of microtraumas on the genital mucosa. Through them, Candida can penetrate deep into the tissues.
- Chronic stress , strong mental and physical stress, overwork, lack of sleep.
The action of these factors leads to the fact that the number of lactobacilli, which creates a protective microfilm, decreases. They secrete less lactic acid, and an alkaline environment forms in the vagina. Fungi and other bacteria enter the cells of the mucous membrane and thin skin of the external genital organs. There they begin to multiply actively, feeding on glycogen and destroying the host's cells. If untreated, the inflammatory process gradually spreads.
What are the symptoms of thrush and what are they associated with?
- Pain during intercourse. Most often, the reproduction of Candide begins on the vaginal mucosa. They destroy the upper cells of the epithelium, gradually affecting the deeper layers. In this case, the smallest lesions are formed, resembling sores. The vaginal mucosa becomes inflamed and painful. Therefore, during intercourse, a woman experiences pain and other unpleasant sensations.
- Swelling of the genitals. The inflammation causes the vaginal walls to swell. This is due to the fact that small vessels on the surface of the mucous membrane expand. Thus, the body tries to eliminate the toxins secreted by Candida. Blood circulation increases, and the tissue of the genital organs is saturated with fluid that has left through the walls of the capillaries.
- White bloom and cheesy discharge. Gradually, the number of fungi increases and the colonies grow. They look like a whitish plaque on the genitals. An inflammatory process begins, which is accompanied by abundant vaginal discharge. They look like white curdled masses or curdled milk. These are mainly mycelium of fungi, leukocytes and damaged cells of the mucous membrane.
- Itching and burning. Candida feeds on glycogen stores in cells. When this carbohydrate is broken down, acids are formed. It is they that cause itching and burning in the vagina and irritate the skin of the genitals damaged by Candida, while the woman feels severe discomfort. These symptoms are worse after urinating or washing. Therefore, each time the skin in this area must be dried. It is advisable to use soft paper towels, so as not to further injure.
- Rash with thrush. The inflammatory process with thrush also extends to the vestibule of the vagina, labia majora and labia minora. On the skin of the genitals, the epidermis is stratified as a result of the activity of fungi, and small burgundy pimples-bubbles with liquid contents inside - vesicles are formed. After a day or two, they burst and small erosion and crusts form in their place.
- Spread to nearby skin areas. Signs of candidiasis: redness, small rash, itching, the formation of white plaque can occur in the perineum, on the skin of the intergluteal and groin folds. More often, this form of the disease occurs in women who are overweight.
- Deterioration of the general condition. Itching, constant discomfort and discomfort cause nervousness, bouts of bad mood, and sleep disturbance. The latter is due to the fact that the burning sensation intensifies at night. The unpleasant symptoms increase after long walking and during menstruation.
- Urethritis and cystitis with thrush. Frequent urination and the appearance of cuts indicate that Candida entered the urinary system and caused urethritis and cystitis. Another sign that the inflammatory process has spread to other organs is the appearance of aching pains in the lower abdomen. In this case, the temperature may rise. If you notice such symptoms, then be sure to consult a doctor and do not self-medicate.
Diagnosis of thrush
If you notice signs of thrush in yourself, contact your gynecologist. This is especially necessary if the appearance of unpleasant sensations was preceded by unprotected sexual intercourse. The fact is that the symptoms of candidiasis are in many ways similar to the manifestations of dangerous sexually transmitted infections. In addition, the mucous membrane damaged by fungi becomes vulnerable to pathogenic bacteria. Therefore, taking antifungal drugs alone is not enough. A visit to a specialist is mandatory if symptoms of thrush reappear soon after treatment. Otherwise, the disease can become chronic. In order to clarify the diagnosis, the doctor takes a smear of the contents from the vagina. Flora smear (gynecological smear, bacterioscopy) is necessary to determine the composition of microflora and the presence of pathogenic bacteria. Ideally, the analysis should contain 90% of lactobacilli. Gardnerella and Candida may be in single copies. And such microorganisms as Trichomonas should not be. In the laboratory, a sample of the vaginal contents is examined under a microscope and the number of immune cells of leukocytes and bacteria, the presence of Candide pseudomycelium is determined. In some cases, carry out sowing microflora on special nutrient media. As a result, it is possible to determine which of the 150 species of Candide caused inflammation, to which drugs these microorganisms are most sensitive. This must be done if a woman suffers from recurrent thrush. Also an informative research method is coloscopy - examination of the vagina with a special device called coloscope. The doctor applies Lugol's solution to the walls of the vagina. If, after that, small inclusions in the form of semolina are clearly visible on them, then this indicates the presence of thrush. If necessary, the doctor prescribes an additional study for sexually transmitted infections, an analysis of feces for dysbiosis, an immunogram, an analysis aimed at detecting diabetes mellitus - a glycemic profile with stress. In the event that the gynecologist believes that chronic diseases provoke thrush, then he will advise you to contact a therapist, endocrinologist or immunologist.
How to treat thrush
A gynecologist should deal with the treatment of vaginal candidiasis. Self-administration of medicines can lead to the fact that thrush becomes chronic. In this case, the fungus becomes resistant to drugs, and it becomes much more difficult to get rid of it. In this article, we will provide answers to the questions that most often arise in women in the treatment of candidiasis.
In the treatment of thrush, Tantum Rose solution is used. Thanks to its antifungal effect, it fights the cause of the disease, and in combination with other antifungal drugs it also reduces the risk of thrush recurrence by 2 times. In addition, Tantum Rose relieves itching, pain, burning and reduces discharge in candidiasis within 20 minutes, and can be used at any stage of pregnancy.
Local therapy of infectious and inflammatory diseases of the female reproductive system not only allows you to destroy pathogens, but also inevitably leads to an imbalance in the beneficial microflora of the vagina and a decrease in local immunity. If you do not quickly restore lactoflora, it is possible to activate conditionally pathogenic microflora, which will lead to an exacerbation of thrush or bacterial infections.
How to treat thrush during pregnancy?
Treatment must necessarily take place under the supervision of a gynecologist. He prescribes drugs that are not toxic, are poorly absorbed into the blood, do not harm the child and have a maximum therapeutic effect. Almost always, this local treatment is Pimafucin suppositories. The drug causes destruction of the walls of the fungal cell and leads to its death. This remedy can be used both in the first weeks and just before childbirth. Another drug approved during pregnancy is Terzhinan. It contains the antifungal antibiotic Nystatin. But besides this, it contains substances that fight bacteria. The treatment can be supplemented with a complex of vitamins to maintain immunity. After completing therapy with antifungal drugs, it is imperative to restore the intimate microflora to reduce the risk of repeated exacerbations of thrush and maintain local immunity. Preparations in tablets that have a systemic effect on the body are usually not used. It is better to abstain from douching during pregnancy. With the pressure of fluid, you can bring an infection into the uterine cavity. This procedure can only be prescribed by a doctor in exceptional cases. Instead of douching, it is better to use a weak soda solution, decoctions of chamomile and calendula for washing.
What suppositories are effective for treating thrush?
Suppositories and vaginal tablets for thrush are topical treatments. They are prescribed when the lesions are not deep and there are no complications. Here is a list of the most effective remedies for thrush. The active ingredient is indicated in the arms.
- Pimafucin (Natamycin) is the least toxic. Can be used during pregnancy. Causes the death of various fungi. Candles are used at bedtime. They quickly relieve symptoms, but treatment must be continued for another 2-3 days after improvement. On average, the course is 3-6 days.
- Antifungol, Yenamazole 100, Kandibene, Kanesten, Kanizon, (Clotrimazole) its components dissolve the Candide shell. Suppositories or vaginal tablets are inserted into the vagina 1 time per day before bedtime. The course of treatment is 6-7 days.
- Gyno-Travogen Ovulum (Isoconazole) disrupts the permeability of the fungal cell wall. It has anti-fungal and anti-inflammatory effects. Quickly relieves itching. It is used to treat forms of fungi that are resistant to other agents. A suppository (candle) is inserted deep into the vagina before going to bed once a day. The course of treatment is 3 days.
- Ginesol 7, Gino-Dactarin, Klion-D 100 (Miconazole) - destroys fungi and some bacteria. The treatment lasts 14 days. One suppository deep into the vagina before bedtime.
- Polygynax, Terzhinan (Nystatin) - these vaginal tablets must be moistened before insertion into the vagina. Use one at a time before bed for 10 days.
What pills are effective in treating thrush?
Treating thrush with pills has several benefits. You will get rid of unpleasant symptoms in 1-3 days. While the treatment with suppositories, vaginal pills and gels takes an average of a week. Taking pills provides a comprehensive treatment for fungi in all organs. Therefore, the likelihood of recurrence of thrush is reduced. If the course of the disease is mild, then one drug will be sufficient. In another case, you will need to take several antifungal agents of different groups. To enhance the effect and get rid of itching, local treatment in the form of creams or suppositories is additionally prescribed. There are several types of drugs designed to combat fungi. They have different mechanisms of action, but they all lead to the death of Candide and the destruction of their mycelium. Here is a list of substances that destroy fungi and preparations based on them:
- Fluconazole (Diflucan, Mikosist, Medoflucon, Forcan) - a single dose of 150 mg of the drug is enough.
- Ketoconazole (Ketoconazole, Nizoral) - 1-2 tablets per day. Course 5 days.
- Natamycin (Pimafucin) - 1 tablet for 3-5 days.
- Miconazole (Miconazole, Mikatin, Funginazole) - take 1 tablet for three days.
- Nystatin (Nystatin) - 1 tablet 4 times a day. The treatment period is 10-14 days.
These drugs should not be taken to treat thrush in pregnant women. For the prevention of exacerbations of candidiasis in the future, it is desirable that both sexual partners undergo the course of treatment.
How to treat thrush at home?
Treatment of thrush almost always occurs at home. Ideally, this should be done after consulting a doctor. Traditional medicine has many benefits. They have no side effects, are non-toxic and completely safe. However, in terms of the speed of treatment, they are significantly inferior to drugs.
- To relieve itching and prevent bacterial complications, washing and douching with soda solution is used. Dissolve 1 teaspoon of baking soda in 0.5 liters of warm boiled water. Repeat the procedure 2 times a day.
- Such a composition has a strong antifungal and anti-inflammatory effect. Take 5 tablespoons of the collection from equal parts of oak bark, chamomile, nettle and knotweed. Pour a liter of water and bring to a boil. Cool, strain and use for douching in the morning and evening.
- Tampons with sea buckthorn oil heal erosion on the mucous membrane and relieve inflammation. Soak a tampon of several layers of gauze with pharmacy sea buckthorn oil and insert overnight.
- Garlic oil swabs effectively get rid of Candide. To prepare the product, you need to peel and chop 5 large cloves of garlic and pour 50 ml of refined vegetable oil. Insist 3 hours, mix and strain. Soak a tampon with this product and insert it into the vagina for 2 hours. If there is a strong burning sensation, then the procedure must be stopped. Garlic phytoncides are very powerful. Therefore, it is recommended to eat several cloves daily.
- To restore the normal microflora of the vagina, tampons with bifidumbacterin are used. Dilute an ampoule of this drug in a tablespoon of refined vegetable oil. Soak a tampon and insert into the vagina for 1 hour. American doctors recommend lubricating the mucous membrane with pure natural yogurt without flavoring. It can be a pure culture of lactobacilli, which are sold in a pharmacy.
- If you do not have an allergy to honey, then you can dilute it with water in a ratio of 1:10 and lubricate the affected areas of the mucous membrane.
- Use tar soap or brown laundry soap for cleaning. Its components prevent the growth of microorganisms.
In order for the thrush not to return after a while, it is necessary to continue the procedure for another 2-3 days after the symptoms of the disease disappear. Folk remedies are best used as an adjunct to the treatment prescribed by a doctor.
What drugs should be used to treat thrush?
To get rid of thrush forever, one drug is not enough. It is necessary to reduce the amount of Candide to normal levels, to cure the damage to the mucous membrane that arose as a result of the disease. After that, you can begin to normalize the microflora in order to increase the number of lactobacilli. And also it is required to strengthen the immune system. Therefore, various groups of drugs are used for the complex treatment of thrush. Antifungal agents (antimycotics) destroy the bulk of Candide. These are funds based on Fluconazole, Clotrimazole, Iconazole, Ketoconazole. In the form of suppositories and creams for local treatment of the genitals, as well as in the form of tablets and capsules for oral administration. Antibiotics for the treatment of thrush fight not only Candida, but also some bacteria that join during candidiasis. They are also available for topical and general treatments.
- Macrolide antibiotics : Pimafucin, Natamycin
- Triazole antibiotics: Flucostat, Mikosist
- Polyene antibiotics: Nystatin, Levorin
Combination drugs are products that contain several types of antibiotics. It also contains the hormone prednisone for quick relief from itching, pain and inflammation. These are funds in the form of ointments and vaginal tablets Terzhinan, Neo-Penotran, Polygynax. Probiotics normalize the composition of the vaginal microflora and the level of acidity. They also often contain components for the restoration of the vaginal mucosa and external genitalia. These are vaginal tablets and suppositories with a complex of lacto and bifidobacteria: Gynoflor, Ekofemin, Vaginorm C and Vagilak, as well as Bifidumbacterin, Lactobacterin. Immunomodulators or immunocorrectors are prescribed to strengthen general immunity. Its task is to restrain the growth of Candide after treatment cancellation. These are tablets for oral administration Likopid and rectal suppositories Viferon, Methyluracil.
Is fluconazole effective for thrush?
Modern antifungal drugs allow you to get rid of thrush in one day. In most cases, it is sufficient to take a 150 mg Fluconazole capsule once to destroy the fungal infection. If a woman suffers from recurrent thrush, then you will need to take one capsule once a week or a month for 6-12 months. The doctor selects the scheme individually. For a quick recovery, it is advisable to combine systemic treatment with Fluconazole in capsules and local treatment: suppositories with antifungal and anti-inflammatory drugs, the use of creams and douching. Various pharmaceutical companies produce fluconazole-based drugs: Diflazon, Diflucan, Mikosist, Medoflucon, Forcan, Flucostat. The active substance of these drugs disrupts metabolic processes in fungi, which leads to their death. The medicine is well absorbed into the bloodstream and goes to all organs, where it accumulates in the required amount. Thus, these drugs rid the body of any diseases caused by fungi. With vaginal candidiasis after taking Fluconazole, a woman usually notices a significant improvement within a day. But full recovery occurs in 3-4 days. If a week after taking the drug, you continue to be bothered by the manifestations of thrush, then you need to consult a doctor again. There are several reasons why the Fluconazole capsule has not worked. This can happen if the fungi have developed resistance and are not sensitive to it. Other drugs can reduce the effectiveness of Fluconazole when taken simultaneously. For example, the antibiotic Rifampicin. In some cases, a single dose is not enough. It is required to take one more capsule on the third and seventh day of treatment. It must be remembered that Fluconazole has contraindications and serious side effects. Therefore, it must be taken on the recommendation of a doctor.
What are the alternative methods of treating thrush?
For the treatment of thrush in women, recipes of traditional medicine are successfully used. They have significantly fewer contraindications and side effects than traditional medicines. However, even natural ingredients can cause an allergic reaction. Douching is generally not recommended for pregnant women. Consider this during treatment. St. John's wort is an excellent remedy for thrush due to its astringent, anti-inflammatory and antiseptic properties. The high content of phytoncides guarantees the elimination of bacteria and fungi of the genus Candida. A decoction of St. John's wort is used for douching. For its preparation, take 3-4 tablespoons of herbs, pour boiling water in an amount of 1.5-2 liters. After that, let the medicine brew for 1.5-2 hours. It is necessary to douche with such an infusion 4 times a day. Have long been used infusion of sage and raspberry leaves rich in estrogen and anti-inflammatory components. How to use: mix sage with raspberry leaves in equal proportions - 2 tablespoons of each herb. Then pour the mixture with a liter of boiling water. We wait 20 minutes for brewing, then filter the infusion through a sieve or cheesecloth. Let the product cool to room temperature. It is used for douching 2-3 times a day. For greater effectiveness, you can add 2 tablespoons of apple cider vinegar per liter of product. Oak bark Is an effective way to get rid of thrush. The broth has a strong antimicrobial effect, soothes inflammation and protects the genital mucosa from deep damage. To prepare the broth, you need to take three parts of oak bark, one part of the string and one part of lavender. To prepare, pour 150 ml of boiling water over one tablespoon of the herbal mixture. Let it brew for 2 hours. After that, strain the broth and add the same amount of boiling water to it. Douch with this composition 2 times a day. Cranberries and viburnum - universal helpers in the fight against thrush. The polyphenols contained in these berries stop the growth of yeast fungi, relieve symptoms and strengthen the body. Juices from cranberries or viburnum will prevent the development of thrush. But the main requirement is to consume only unsweetened juice. The presence of sugar has the opposite effect and the fungus develops even more intensively. It is necessary to drink juices 3 times a day, 2 tablespoons. You can add the same amount of water. For douching, take 1 tablespoon of strained juice in a glass of warm water.
Answers to frequently asked questions:
Is it possible to get pregnant with thrush?
A woman who has an exacerbation of thrush may become pregnant. The processes that take place during candidiasis and the acid secreted by the fungi can slightly impair sperm vitality. But if their number is large, and the mobility is high, then fertilization will still occur. It is desirable that the woman be absolutely healthy at the time of pregnancy. But nevertheless, this disease does not carry a serious danger to the fetus. Unlike rubella, for example.
Is it possible to have sex with thrush?
Sex is not recommended for thrush. This is due to the fact that with vaginal candidiasis, the mucous membrane becomes edematous and covered with erosions. During sex, her injury occurs. This promotes the penetration of fungi into deeper layers and the addition of a bacterial infection. In addition, pain and itching in the genitals increases during and after intercourse.
Is it possible to douche with thrush?
You can douch with thrush. This helps cleanse the walls of the vagina from fungi and curdled plaque. Various medicines can help relieve itching and inflammation. Most often, a weak soda solution, decoctions of chamomile and calendula are used.
Is it possible to use kefir or cottage cheese with thrush?
Kefir or cottage cheese contains a large number of lactic acid bacteria, which normally constitute the bulk of the microflora. With thrush, their number decreases sharply. Therefore, the use of such foods restores balance and will be very beneficial. It is necessary to include in the diet fresh kefir and natural yoghurts with a short shelf life and a minimum sugar content. They are most beneficial.
Prevention of thrush in women
Prevention of candidiasis is based on the general strengthening of the immune system. Also, strict adherence to personal hygiene is necessary, the meaning of which is to maintain normal vaginal microflora. Gynecologists recommend using for washing intimate gels with high acidity, which include lactic acid and with a minimum amount of flavors. Wear natural fabrics that allow your skin to breathe. But tight skinny jeans provoke the development of the disease. You can get infected with thrush in swimming pools and saunas, where there are many people and bleach affects the skin. If you notice such a tendency, then avoid visiting these places. Consume more vegetables, fruits and dairy products. This will help keep the number of lactobacilli in the normal range. Avoid taking medications uncontrolled and remember to make preventive appointments with your doctor.
THERE ARE CONTRAINDICATIONS. CONSULT YOUR DOCTOR BEFORE USE.
Thrush is a fungal infection that causes inflammation of the vaginal mucosa. In medicine, the disease is called vaginal candidiasis and is caused by fungi of the genus Candida. Without proper treatment, it provokes serious complications, including inflammation of the cervix and infertility.
Causes of vaginal candidiasis
Candida under the microscope
The Candida fungus is classified as conditionally pathogenic microorganisms. He is constantly on the skin, mucous membranes of a person, but does not cause disease. Under certain conditions, the fungal microflora multiplies, provoking vaginal candidiasis in women.
In the vagina, a weakly acidic environment is normal (supported by lactobacilli). It does not allow fungi and other pathogenic flora to multiply, develop gynecological diseases.
Normal vaginal pH is 3.8-4.4. With a decrease in these indicators, they speak of an increase in acidity. The main provoking factors:
|What to do if you have thrush?! |
- using regular soap for intimate hygiene : in order not to disturb the normal acidity of the vagina, you need to use special gels, foams with a neutral pH;
- long-term use of antibiotics that kill not only pathogenic, but also beneficial microflora;
- frequent douching , in which lactobacilli are washed out, which increases the likelihood of the reproduction of opportunistic fungi;
- hormonal disruptions (occur before menstruation, during pregnancy, in girls during puberty, in women in menopause).
Where does thrush come from?
Decreased immunity becomes the cause of candidiasis. An insufficient level of the body's defenses is recorded when:
- chronic diseases;
- unbalanced diet;
- vitamin deficiency;
- lack of sleep;
- physical stress;
- constant stress, depression;
- malignant tumors.
Other causes of Candida overgrowth include:
- taking hormonal birth control pills;
- exhausting diets, excessive amounts of carbohydrates in the diet;
- metabolic disorders;
- intestinal dysbiosis;
- endocrine diseases (pathology of the thyroid, pancreas);
- a large number of Candida fungi are found in girls and women who wear synthetic underwear, use pads with fragrances.
The frequent occurrence of a fungal infection in the vagina is recorded among women with disordered sexual intercourse. Thrush also occurs in men, but for the most part, the infection does not manifest clinically. At the same time, an infected man is a hidden source of Candida fungi, infecting women during intercourse. Sometimes thrush in men leads to the appearance of signs of balanoposthitis, urethritis.
Vaginal candidiasis is combined with other infectious diseases of the genital area. With thrush, women are often found:
Diagnosis of thrush
Cheese discharge with thrush
When diagnosing, the presence of characteristic complaints in a woman is taken into account:
- severe itching, burning in the external genital area (vulva);
- pain when urinating, touching intimate areas;
- during intercourse, discomfort, unpleasant pain occurs;
- white discharge of a curdled consistency with an unpleasant sour odor.
Symptoms are worse before menses. On examination, the gynecologist notes redness, swelling of the vulva, white plaque, abrasions, a rash on her mucous membrane. Massive white discharge appears in the vagina.
To confirm the diagnosis of vaginal candidiasis, a smear is taken on the flora. The purpose of laboratory diagnostics:
A vaginal swab is taken to check for candidiasis
- detection of Candida fungus on the mucous membranes;
- exclusion of other diseases occurring with similar symptoms;
- determination of the general condition of the vaginal microflora;
- assessment of the degree of dysbiosis.
In women with candidiasis, a smear can be taken from the mucous membrane of the vagina, cervix, and urethra. Since Candida fungi are representatives of the normal vaginal flora, they speak of the disease when their number exceeds normal values several times, the level of lactic acid bacteria decreases, and coca and other pathogenic microorganisms are additionally detected.
With thrush, a bacterial culture is performed. Using a sterile spatula or gauze swab, it is taken from the walls of the vagina. The analysis allows you to determine the type of causative agent of the disease, to determine its sensitivity to drugs.
If necessary, resort to PCR diagnostics. It is based on the identification of the DNA of fungi, which makes it possible to determine their various subspecies.
Features of the treatment of thrush
The choice of drugs for the treatment of candidiasis is based on examination data of the vaginal microflora, the causes of the disease.
Self-medication leads to chronic forms of thrush, a decrease in local immunity, the development of other infections of the genital tract.
Basic rules for the treatment of thrush:
- therapy is carried out in both sexual partners;
- for the duration of treatment, women need to abandon sexual intercourse or use condoms, since men suffer from thrush with an asymptomatic course;
- observe thorough personal hygiene, change towels daily;
- wear linen made from natural fabrics, do not use daily panty liners;
- adhere to the treatment regimen prescribed by the doctor, do not miss taking medications;
- for girls who are not yet sexually active, they choose medicines in the form of ointments, creams for treating the vulva, and tablets for oral administration. When prescribing vaginal suppositories, a special applicator should be used. This allows you to control the depth of administration of drugs, prevents damage to the hymen.
It is a cheap but effective antiseptic, antimicrobial drug. When used topically, it is not absorbed through the mucous membrane, it is prescribed for treatment when symptoms of thrush appear, with a prophylactic purpose with prolonged antibiotic therapy.
Contraindications to the appointment are sensitivity to nystatin, pregnancy, lactation.
The drug is injected deep into the vagina. The dose is determined individually. Usually, 1 suppository is prescribed 2 times a day for 2 weeks. The drug sometimes causes local allergic reactions, burning, itching. Nystatin reduces the effectiveness of clotrimazole.
The active ingredient of the drug is natamycin. It belongs to polyene antibiotics, which have a detrimental effect on yeast fungi. With vaginal administration, the candle quickly melts to a thick mass, which allows the drug to be evenly distributed throughout the entire vaginal mucosa and in its upper parts.
Pimafucin is not absorbed into the bloodstream, therefore it can be used during pregnancy, lactation. During menstruation, treatment is discontinued.
Rarely there are side effects in the form of burning, minor irritation. If you are hypersensitive to natamycin, choose another drug.
The drug is based on ketoconazole. It is used to treat acute, chronic forms of thrush, prophylactically prescribed to women with low immunity, taking medications that change the microflora of the vagina.
Contraindication to use is individual intolerance to ketoconazole, I trimester of pregnancy. The drug reduces the effectiveness of latex contraceptives (diaphragms, condoms), causes irritation, allergic reactions in the sexual partner, therefore it is recommended to refrain from sexual activity during treatment.
In acute thrush, 1 suppository is prescribed once a day at night for 5 days. In chronic candidiasis, therapy is continued for up to 10 days.
Adverse reactions during treatment with Livarol:
- abdominal pain;
Vaginal tablets Klion-D
Antimicrobial agent in the form of vaginal tablets that contains metronidazole and miconazole. The drug has antimicrobial, antifungal effect, quickly relieves itching, does not affect pH, vaginal microflora. It is prescribed for candidiasis, which is caused by the Candida fungus, Trichomonas.
Contraindications to the appointment of Klion-D:
- pregnancy (I trimester);
- age up to 12 years;
- organic diseases of the central nervous system;
- low level of leukocytes in the blood;
- hypersensitivity to active ingredients.
With caution, the agent is prescribed for women with diabetes mellitus, impaired blood microcirculation.
Apply 1 tablet intravaginally (injected into the vagina) at bedtime for 10 days.
During treatment, it is forbidden to drink alcohol, continue sex life. Among the side effects:
- cramping abdominal pain;
- constipation or diarrhea;
- change in taste;
- allergic reactions;
- local irritation, itching;
- staining of urine in brownish-red color.
Systemic treatment of candidiasis
In the absence of the effect of the treatment of thrush with local drugs, systemic drugs are prescribed.
Popular pills that are used for vaginal candidiasis:
Systemic drugs quickly eliminate the symptoms of candidiasis, but they have many contraindications, side effects on the body. They disrupt the work of internal organs, have hepatotoxic properties (destroy liver cells).
The complex therapy of thrush includes:
- vitamin and mineral complexes that help strengthen the immune system;
- preparations for restoring the microflora of the vagina, intestines (Vagilak, Linex, Bifiform);
- homeopathic remedies.
Diet food for thrush
For a quick recovery, it is recommended to stick to a diet. Spicy, fatty foods, alcohol, sweets, yeast baked goods, sweet fruits (bananas, grapes), whole milk, strong coffee, mushrooms, sugar are excluded from the diet. The daily menu should include dairy products, fresh vegetables, garlic, protein products (boiled eggs, lean fish, boiled meat), seafood. To strengthen the immune system, you should eat more berries (blueberries, cranberries, sea buckthorn).
|What to do if you have thrush?! |
With a combination of complex treatment, careful personal hygiene and proper nutrition, all manifestations of thrush disappear.
The causes of thrush are factors that affect the onset of the disease and contribute to the development in the human body of a favorable environment for the reproduction of candida fungi. What is thrush and where does it come from? How can one get infected with such a disease and in what ways is it transmitted? How does the disease appear and what are the reasons for its appearance? Answers to these and many other questions can be found in the next article.
What is thrush and how does it arise
Thrush is a fungal infection caused by a yeast-like fungus of the genus Candida. Such a pathogen is considered a conditionally pathogenic microorganism and is contained in small quantities in the body of a healthy person. But in the presence of accompanying factors, when there is a rapid reproduction and growth of pathogenic microflora, it causes the development of candidiasis.
In many cases, the carrier of the disease may not even be aware of its presence, since most of the thrush is asymptomatic. But if a favorable environment has been created in the human body for the development and reproduction of a yeast-like fungus, then the symptoms of the disease appear quite rapidly, which indicates that the acute stage of the disease begins. In such cases, the carrier of the infection puts all family members at risk, since candidiasis is transmitted not only through sexual contact, but also through household and airborne droplets.
Infection occurs through dishes, clothes, as well as when using some personal hygiene items. Often, a strong thrush occurs in infants who infect her from the mother during childbirth. The wife can pick up such a disease after sex with her husband, who does not suspect that is a carrier of infection.
Methods of transferring candidiasis are rather diverse, but the appearance of the disease should be accompanied by some factors provoking the development of the disease and the transition to its acute or chronic stage.
Causes of disease development
The main reason for the occurrence and development of the disease is a sharp decrease in immunity. It is during this period that useful microorganisms that inhabit the mucous membranes are dying, without being able to prevent the development of pathogenic bacteria. Thus, the body creates favorable conditions for active reproduction of yeast-like fungi, and their uncontrollable growth indicates the possible availability of the person of the infectious process.
To other reasons, promoting the occurrence of thrush, belong:
- reception of antibacterial and hormonal drugs;
- stressful states and other psychological factors;
- permanent chronic infections;
- frequent use of sweet, irregular diet;
- concomitant venereal infections;
- supercooling or overheating;
- sharp climate change;
- non-compliance with personal hygiene;
- Diseases of the endocrine system;
- Pregnancy and breastfeeding.
All listed factors have a certain impact on the human immune system and at the level of acid-alkaline medium in the body, which provokes the rapid development of the fungus and contributes to the occurrence of the candidiasis.
Special attention should be paid to the color of the discharge during the disease. So the yellow color of the secret indicates the presence of infectious diseases in the body: venereic or gynecological. Such a color can give trichomoniasis, gonorrhea, vaginal dysbiosis or other inflammatory processes in the reproductive system.
Thus, if the thrush began, or the disease is repeated quite often, it is necessary to eliminate the cause that caused the disease. And in order to reveal this reason, it is necessary to seek help from a specialist, since independent treatment will only aggravate the course of the disease and can lead to unpleasant and unforeseen consequences.
The most frequent causes of the disease are: antibacterial drugs and psychological prerequisites. Let us dwell on them in more detail.
Reception of antibacterial drugs
Very often, antibiotics are used to treat various diseases in medical practice. These are medicinal preparations that destructively affect the bacterial microflora of a person. They effectively eliminate the patient from malicious microorganisms, which gives a possible body to withstand many serious and dangerous diseases. But constant, and in particular, uncontrolled therapy with antibacterial agents leads to the fact that the balance of the microflora is disturbed, because such drugs are negatively affecting useful bacteria.
Therefore, often after taking antibiotics in the human body, a favorable environment is formed to reproduce the causative agent of the candidiasis, which entails a significant increase in pathogenic microflora, and the development of thrush.
In order to prevent this, when prescribing antibacterial drugs, an experienced and qualified specialist will always prescribe the use of probiotics - lactobacilli, which help to restore beneficial microflora and normalize its balance in the body.
If you do not quickly restore lactoflora, it is possible to activate conditionally pathogenic microflora, which will lead to an exacerbation of inflammatory manifestations. For the same reason, antifungal therapy for vaginal candidiasis alone may not be effective enough. Therefore, it is important after the first stage of treatment aimed at destroying the infection, to carry out the second stage - to restore the balance of beneficial microflora with the help of Lactojinal capsules. It is a probiotic containing a lyophilized culture of lactobacilli Lactozhinal quickly restores pH, vaginal microflora and protects against recurrent exacerbation of bacterial vaginosis and thrush for a long time. Two-stage therapy has recently become the gold standard for treating conditions with abnormal discharge. Many experts are sure that only such a method can provide a pronounced and long-term therapeutic effect, strengthen local immunity, which serves as the prevention of subsequent exacerbations.
Psychological reasons for the development of the disease
The psychosomatics of thrush is different for each individual patient and only a competent specialist can find the factor that causes the development of the disease: a psychologist or a psychotherapist. Most often, the occurrence of thrush against the background of psychosomatic disorders affects the fair sex: young girls and women. This is due to their more delicate nervous system, lifestyle and other reasons.
The main psychological factors causing the development of candidiasis include:
- dissatisfaction with sexual life, in which failure to obtain an orgasm leads to various hormonal disorders, which also entails the onset of thrush;
- relationships with the opposite sex;
- a woman's focus solely on everyday problems, forgetting about her own purpose, which is the cause of frequent stresses that lead to the onset of the disease;
- low self-esteem;
- enthusiasm for strict diets, leading to a violation of microflora, and as a result - the emergence of candidiasis;
- excessive perfectionism, which forces you to be in a constant state of stress, which inevitably affects your health and provokes the growth of yeast-like fungi;
- it happens that frequent lies also become the cause of candidiasis;
- the development of thrush in a child indicates a lack of love and attention from the parents.
In each specific case, one should deal with the cause that caused the disease, and throw all efforts to eliminate it, because if there is a problem at the psychological level, then no supermodern drugs will help to completely get rid of the disease. They will only heal physiological symptoms, which, under the influence of psychosomatic factors, will not slow down to return again.
Causes of thrush in women
The causes of candidiasis in women are various factors. This is a decrease in immunity, and taking antibiotics, and psychological problems, which were mentioned above. In addition, thrush in women often occurs during pregnancy, as well as before menstruation. The fact is that during these periods, hormonal changes are taking place in the female body, which often provokes the development of a fungal infection.
In addition, the appearance of candidiasis before menstruation may indicate the conception of a baby. At this time, there is a noticeable activation of blood circulation in the pelvic organs, which leads to an increased secretion of secretions from the vagina. When pregnancy occurs in the woman's vagina, there is an increase in substances that help protect the body of the expectant mother from pathogenic microorganisms. This creates favorable conditions for the reproduction of yeast-like fungi - the causative agents of the disease.
Often women notice that thrush occurs when taking certain hormonal drugs: Duphaston or Utrozhestan. This can be explained by a change in hormonal levels, which also contributes to the development of pathogenic microflora.
The causes of thrush in pregnant women are also:
- dysbiosis of the vagina;
- diseases of the gastrointestinal tract;
- wearing synthetic and uncomfortable underwear;
- taking corticosteroid, hormonal, antibacterial drugs and immunomodulators;
- a significant increase in the hormone progesterone, characteristic of pregnancy.
The appearance of thrush before menstruation can often indicate the presence of chronic candidiasis in a woman's body. In any case, this is a reason to once again visit a gynecologist and undergo a series of clinical studies for an accurate diagnosis.
Causes of candidiasis in men
Thrush in men develops most often after sexual intercourse. Of course, the progression of the disease is observed in persons with reduced immunity, but disorders in the body's immune system are not the main factor in predisposition to the disease.
In general, all the reasons for the development of candidiasis in men can be divided into two main groups: external factors and internal sources.
External factors include:
- high humidity caused by prolonged exposure to wet laundry;
- insufficient hygiene of the genitals;
- promiscuous sexual intercourse without the use of barrier methods of contraception.
The internal causes of male thrush include:
- dysbiosis of the mucous membranes of the genital organs, caused by prolonged use of antibacterial drugs;
- hormonal imbalance in the body;
- increased blood sugar, the development of diabetes mellitus;
- overweight, due to which a favorable environment for the development of Candida fungi is created in numerous skin folds;
- weakening of immunity while taking various medications;
- the presence of cancer or HIV infection;
- mechanical damage to the mucous membranes of the genital organs - cracks, ulcers and others.
First of all, men suffering from diabetes mellitus or overweight, as well as HIV-infected and undergoing chemotherapy are susceptible to the disease. But the main reason for the development of thrush in men is the sexual transmission of the disease from a sexual partner.
Sex is one of the causes of candidiasis
Unprotected sex is one of the most common ways to pass thrush to your sexual partner. Most often, this disease passes from a woman to a man, and the latter may not even guess that he has a disease. Being a carrier of the disease, a man, unaware of it, can infect a woman in whom the disease will cause unpleasant symptoms.
During intercourse, the disease is transmitted to the sexual partner, provided that he has a favorable environment for the development and reproduction of the fungus. After sexual intercourse, especially if ejaculation has occurred, the microflora of the woman's vagina changes significantly, which leads to the occurrence of candidiasis. And this applies not only to promiscuous sexual intercourse, but also to sex with a regular partner.
You should also be aware that thrush can be contracted after oral sex. Sex on the beach is also a trigger for this infection. Sand is a strong irritant to the vaginal mucosa, and salt water disrupts its microflora. Having sex in clean, but rather cool water can also lead to the onset of illness.
Therefore, during the illness, it is best to give up intimacy and wait for a complete recovery.
Thrush is an infectious fungal disease, which can be caused by various factors, both physiological and psychological. At the same time, it is quite important to identify the true cause of the disease in order to direct all efforts to eliminate it. Only then can we talk about complete recovery. This can only be done by an experienced and qualified specialist urologist or gynecologist. In opposite cases, especially as a result of self-medication, the disease can go into a chronic stage, which will lead to serious complications and negative consequences. In especially advanced stages, candida enters the bloodstream, affecting many internal organs, which can even cause death.
- Sources of
- Prilepskaya V.N., Bayramova G.R. - Vulvovaginal candidiasis. Clinic, diagnostics, principles of therapy. - St. Petersburg, GEOTAR-Media, 2010 - 84 p.
- Skin and venereal diseases. / Ed. Yu.K. Skripkina. - Moscow, ed. Medicine, 2006
The author of the article:
Izvozchikova Nina Vladislavovna
Specialty: infectious disease specialist, gastroenterologist, pulmonologist .
Overall experience: 35 years .
Education: 1975-1982, 1MMI, san-gig, highest qualification, infectious disease doctor .
Academic degree: doctor of the highest category, candidate of medical sciences.
- Infectious diseases.
- Parasitic diseases.
- Emergency conditions.
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The article was prepared by a specialist for informational purposes only. We urge you not to self-medicate. When the first symptoms appear, consult a doctor.
Almost all adult women have heard of such a disease as thrush. Unfortunately, a large number of the fair sex have personally encountered this problem. In some cases, the fight against the disease drags on for months, and the disease comes back again and again, reducing the quality of life and forcing one more time to take medications.
What is thrush in women?
Thrush in women - This is a disease of the vagina, called in science - candidiasis. Associations with milk among the population arose due to the fact that women have white discharge on their genitals, similar in consistency to cottage cheese.
The causative agent of the disease is the fungus Candida albicans. Scientists have calculated that this microorganism is present in the body in 80% of people as its own microflora, without causing any problems. A woman's vagina is not normally sterile. On its epithelium there are microorganisms, including this fungus. It is involved in maintaining a normal vaginal pH, which is very important for the epithelium itself, the fertilization process.
The vagina's own flora, in addition, competes with other unwanted microorganisms and reduces the likelihood of developing infectious diseases. At the same time, the immunity of the female body strictly monitors the state of affairs and, if necessary, inhibits the reproduction of "its" bacteria. If for some reason this does not happen or conditions are created for their active reproduction, then the likelihood of developing thrush increases.
The causes of thrush in women
There are quite many reasons that can lead to a violation of a fragile equilibrium in the body of a woman and create conditions for the development of thrush.
Reception of antibacterial drugs - One of the most frequent reasons. Many diseases are currently treated with antibiotics. This is an effective group of drugs that allowed many deadly diseases to eliminate literally in a few days and prevent serious complications. However, antibiotics have its own side effects. They do not act selectively by one microbe and can badly affect their own vaginal microflora.
Fungi They also have a completely different structure of the cell wall and antimicrobial antibiotics are not dangerous for them. As a result, this situation is obtained: fungi, pathogens of the thrush, remain safe and preservation, and bacteria suffer and partially die. No niche in nature is empty, and the place of the dead microbes is occupied by Candida Albicans, which simply does not have competitors. As a result, a woman develops candidiasis.
Reducing immunity which holds back and reproduction of conditionally pathogenic flora. Candidiasis is the most common opportunistic infection in patients infected with HIV. If patients develop candidiasis in many places (mouth cavity, vagina, intestines) and poorly treatable, that is, the high probability that the root cause is HIV. Chronic inflammatory diseases and long-term flowing bacterial infections can also adversely affect the immune protection of the body. (List of best products that increase immunity!)
Divided metabolism - Almost always this condition is caused by diabetes mellitus. Few people know that at the same time in the human body not only fails to regulate the level of sugar, but fat and protein metabolism suffer. The development of candidiasis of sugar diabetes contributes at once in two mechanisms.
10 facts about the dangers of sugar see here
In the absence of proper control From human side (reception of drugs or insulin, monitoring the level of glucose) in its blood contains many carbohydrates. This may not affect the content of them in the intercellular space and in the mucus of the vagina. It turns out that bacteria and the candida albicans fungus are in a sweet medium, which is ideal for their nutrition and reproduction, increases the likelihood of thrush.
Immunoglobulins - These are substances, at the expense of which the immune response of the human body occurs. Disruption of protein exchange, which takes place in diabetes, affects their education only in the negative side. The result is to reduce immunity and the absence of the necessary control over the condition and composition of microflora. The fungi willingly enjoy this, given the good nutrient medium, and it is uncontrollable, causing candidiasis.
Unbalanced and irrational food - Normally, a person must take proteins, fats and carbohydrates in a certain consideration ratio. Many girls and women call themselves sweet tooths and eat inappropriately a large amount of sweets, flour products, sweet carbonated drinks. Their pancreas tries, but cannot produce so much hormone to reduce blood glucose levels to at least the upper limit of the norm. Further, everything happens as follows as described in the case of diabetes mellitus: a lot of blood sugar - a lot of sugar in the vaginal epithelium - good conditions for breeding Candida Albicans. In addition, the abuse of the sweets of people increases the risk of the development of sugar diabetes of the second type, which is much more serious and more dangerous than thrush.
Hormonal background. The condition of a woman's genitals, including the vagina, is highly dependent on the hormonal levels in her body.
Pregnancy can lead to its significant change, which increases the likelihood of developing thrush.
Incorrectly selected hormonal contraceptive drugs can change the level of hormones in the blood so much that the likelihood of developing candidiasis increases.
Many diseases of the endocrine system can lead to the development of thrush. Experienced doctors always remember this and try to find the very original factor. This allows not only to prevent the development of candidiasis in the future, but also to eliminate hormonal pathology, which is important.
Wearing tight synthetic underwear or improper use of sanitary pads (they need to be changed quite often) creates conditions under which heat and moisture do not come out, and these are ideal conditions for the reproduction of fungi.
Symptoms of thrush in a woman
The disease has quite specific manifestations, which allows doctors to quickly make the correct diagnosis. Often, even before visiting a doctor, women themselves understand what kind of ailment they have and begin to make their own attempts at treatment, which is unacceptable.
So, thrush is characterized by:
Cheesy discharge from the external genital organs. They are especially noticeable on dark underwear. They are mucus with a large number of white lumps.
Itching and burning sensation in the vaginal area. In no case should you try to strongly scratch the affected area, since this can damage the delicate inflamed epithelium and create conditions for the penetration of pathogens into the depths of the tissues. Also, when scratching, the discharge spreads over a large surface and causes additional inflammation.
Pain and discomfort when urinating - due to a decrease in the protective properties of the mucus of the vagina and urethra. The epithelium is defenseless against such an aggressive fluid as urine, and inflammation increases the sensitivity of the receptors.
Pain and burning during intercourse - this is just one of the reasons why it is worth refusing to have sexual intercourse until the disease recedes.
Smell - should be discussed separately. It is not very pronounced and has a sour tint ("kefir"). In most cases, only a woman feels it, but for her it is a very big problem. Patients believe that all her interlocutors will certainly be able to catch him. Many sexually transmitted diseases and bacterial vaginosis come with a really bad smell, but it has almost nothing to do with thrush.
With an erased (atypical) course of thrush and mild symptoms, women may be disturbed by only one of the indicated signs. It is impossible to find out about the disease in such cases without professional help. Candidiasis often accompanies many gynecological diseases, including latent and dangerous sexually transmitted infections. Only a qualified physician is able to analyze the symptoms and prescribe the correct treatment. Self-diagnosis in severe cases of the manifestation of the disease is useless, and self-medication is dangerous.
A comparative table of characteristic symptoms for thrush, bacterial vaginitis and trichomoniasis can be seen in the table. It is not worth considering it as an aid in diagnostics. Diagnoses are made by a doctor on the basis of tests, examination and patient complaints. Even in such cases, the presence of other genital infections accompanying thrush is possible. Self-medication is unacceptable. All appointments must be made by the attending physician.
Allocations: Homogeneous, thick milky color, reminiscent of cottage cheese
The discomfort: Burning, itching, pain during intercourse and when urinating
Smell: Unpleasant fishy smell
Allocations: Profuse, purulent, frothy, yellowish-green hue.
The discomfort: Intense growing itching (external and internal), impaired urination, redness (irritation) of the vaginal mucosa.
Smell: Fish odor (characteristic of discharge)
Allocations: Abundant and thin, gray-white, sometimes frothy.
The discomfort: Vaginal itching, burning, irritation of the mucous membranes.
The first signs of thrush in a woman
The first signs of the development of thrush, which make a woman alert, are:
Acute burning and itching in the external genital area;
Hyperemia (redness) of the external genital organs and vagina;
The appearance of profuse vaginal discharge in white;
Painful sensations during intercourse.
As a rule, the first symptoms appear a week before the onset of menstruation. Burning and itching are significantly worse in a warm environment, especially after taking a bath, and often interfere with sleep. And the appearance of white discharge removes all suspicions of a woman about the disease and makes her see a doctor.
The consequences of thrush in women
In the case of thrush, it is necessary to consider several options for the development of events:
Complications of chronic thrush
According to statistics, in almost 70% of cases, the chronic course of the disease leads to the development of any complication:
Adhesion of the pelvic organs;
Obstruction of the fallopian tubes due to the development of adhesions;
Infertility is a consequence of the development of obstruction of the tubes or damage to the ovaries;
Decreased immunity of the body, which leads to the frequent development of infections;
If a woman is pregnant, then the fungi can still infect the fetus in utero;
The transition of the disease to other organs of the small pelvis - the bladder and rectum;
The penetration of the pathogen into the blood is candidal sepsis.
Is thrush transmitted to men?
Normally, a man's body is constantly faced with the same fungi as a woman's. Since they are contained in the vagina of most women, the partner's genitals in any case come into contact with the causative agent of thrush. A man can also develop genital candidiasis, which has approximately the same manifestations and causes as a woman's. Therefore, if a man has reduced immunity, has diabetes mellitus or other prerequisites, then he can easily become infected with thrush. Moreover, the sexual partner can bring a large amount of fungus into the woman's body, which will provoke the development of the disease.
Thus, thrush is transmitted to a man only if he has the prerequisites for its development, and he does not follow the basic rules of personal hygiene. In the end, it is much easier for a man to remove all pathogens from the surface of the penis by simply washing it thoroughly, unlike a woman. And the sexual intercourse itself in the presence of candidiasis is an act of thoughtlessness, contrary to the recommendations of doctors and is unlikely to bring pleasure.
How to treat a husband for thrush?
A spouse or partner is treated in the same way as a woman. For therapeutic purposes, drugs for internal use are used, for example, Pimafucin 100 mg 4 times a day. The treatment cycle is 10 days.
Most often in men, candidiasis is asymptomatic. If visible signs of illness appear, a thorough examination should be carried out to detect an infection that lowers immunity. These pathologies include hepatitis B, C, HIV infection, AIDS, acute leukemia.
Diagnosis of thrush
For an accurate diagnosis and drawing up a complete clinical picture, the doctor must have not only the test results, but also draw conclusions based on the examination data. Going to an appointment with a gynecologist, a woman will have to answer a number of questions. You need to be ready for this and, if possible, provide the most complete and reliable information that will help the doctor.
A specialist may ask:
What symptoms are troubling? You need to describe in all details.
When were the first manifestations of the disease noticed?
Have the signs of the disease changed since its onset? If so, how.
What is the nature of the discharge? Color, smell, abundance, consistency, all the details are important.
What triggers an increase in symptoms? If the condition worsened, how was it provoked? When and for what reasons does relief come?
Have you had symptoms before?
Have you ever had to be treated for sexually transmitted diseases?
How active is your sex life? How many sexual partners?
How and with what do you protect yourself?
Has your partner seen a discharge from the penis?
What medications have you taken recently? If antibiotics were prescribed, which ones?
How many days does your period last? What is their regularity?
Ever used douching or not?
Are there any chronic diseases? If they were in the past, which ones?
After collecting the necessary information, the doctor examines the patient. A smear of the cervix and vaginal mucosa is taken. Microscopic examination of the smear may reveal fungal mycelium. This examination method is considered more informative, since it is impossible to recognize the type of fungal infection that caused thrush.
To find out what kind of fungus provoked the disease, bacterial inoculation of a smear on special nutrient media allows. The sensitivity of the identified colonies is determined, their susceptibility to antifungal drugs. The quantitative factor is also very important. A small number of colonies is considered the norm for a healthy microflora of the vagina.
All studies carried out by specialists point to the fact that thrush is associated with other genital infections. In most cases, candidiasis occurs in a complex, while the symptoms of thrush are masked by hidden infections. There is a tendency for their growth and widespread distribution in recent decades. That is why doctors recommend a differential diagnosis of thrush. This will reveal the presence of diseases such as gardnerellosis, gonorrhea, trichomoniasis, genital herpes, ureaplasmosis. A visit to a venereologist and the delivery of the necessary tests make it possible to confirm or exclude the presence of dangerous infections and draw up the correct treatment plan for thrush.
A comprehensive examination for chronic candidiasis helps to identify diabetes mellitus. The first symptom of this serious illness is thrush. If the tests show an excess of blood sugar, the woman is advised to consult an endocrinologist and follow his recommendations.
The participation of a gastroenterologist is also important. An abdominal ultrasound may be needed to effectively treat candidiasis. Most likely, you will need to donate feces and check the intestines. If there are indications, FGS and other diagnostic measures are prescribed.
If thrush causes complications in the urinary system, it is necessary to visit a urologist, undergo an examination and pass the necessary tests (ultrasound of the bladder and kidneys, urine analysis according to Zimnitsky, a smear from the urethra).
When should you definitely contact a gynecologist?
Relapses of candidiasis are observed more often 4 times a year.
Treatment for a week does not give results and does not relieve symptoms.
If, after taking the prescribed drugs, irritation appears in the genitals.
In cases when the temperature rises with thrush, weakness is felt, pains in the lower abdomen begin to bother.
With relapse of candidiasis after a treatment course.
If blood and purulent discharge appears during treatment. Especially dangerous is the discharge of a brown tint in the middle of the therapeutic cycle.
How to treat thrush in women?
If the disease has a mild course and the woman asked for help in a timely manner, then the doctors try to get by with local drugs. These are pills, creams or suppositories that are inserted into the vagina. There they quickly get to their destination and begin to act.
At the first symptoms
At the first symptoms of the disease, it is advisable to prescribe a specific treatment regimen:
Clotrimazole in the form of 200 mg suppositories. 1 candle at night for 14 days.
Fluconazole - 150 mg tablets. The drug is taken one tablet on the 1st, 4th and 7th day of treatment. Or Itraconazole 200 mg tablets - 1 tablet for 7 days.
After a two-week treatment, a course of probiotics is recommended to restore the intimate microflora.
Video: Dr. Evdokimenko “How to cure thrush in women and men? Simple Tips, Effective Means "
With a mild form
For the treatment of candidiasis in a mild and uncomplicated form, you can use topical preparations:
Clotrimazole (Candizol, Canesten, Candibene, Yenamazole 100, Antifungol). Within 14 days, use 1 vaginal suppository.
Miconazole (Gyno-dactarine, Ginesol 7, Klion-D 100). Has antifungal and antibacterial action. Used 1 suppository in the vagina at night. The course of treatment is 14 days.
Isoconazole (Gyno-travogen). The drug affects the permeability of fungal cell membranes. Has antifungal effect, is able to eliminate the symptoms of inflammation, itching. It has a good effect on the types of fungi that are resistant to other antimycotics. For treatment, 1 suppository is injected deep into the vagina at night. The course is 3 days.
More about treating uncomplicated thrush
In chronic form
In the chronic form of thrush, along with specific drugs, antibacterial, fortifying agents are prescribed:
Fluconazole. Analogs - Diflucan, Flucostat.
Itraconazole. Analogs - Kanditral, Irunin, Rumikoz, Itrazol, Orunit.
Pimafucin (Natamycin) - practically does not have a toxic effect. Let's say during pregnancy. Destructive for various types of fungi. Suppositories are inserted into the vagina at bedtime. The course is 3-6 days, the treatment is continued even after improvement.
Ketoconazole. Analogs - Fungavis, Oronazol, Nizoral.
More about the treatment of chronic thrush
Features of treatment during pregnancy
The first three months of pregnancy is the most dangerous period for prescribing any medication. At this time, the laying of organs and systems of the fetus takes place. Thrush is rarely established in the first trimester, since the level of hormones is controlled in a natural way, the protective functions remain at the same level.
For treatment in the first trimester, use one of the following means:
Pimafucin - 1 candle at night, for 6 days.
Betadine - 1 suppository before bed, for 6 days.
With thrush in the II and III trimester, it is permissible to use other, more active antifungal drugs. Antimycotic course may consist of:
Pimafucin - 6 suppositories.
Betadine - 6 suppositories.
Clotrimazole - 7 suppositories.
Gino-Pevaril - 6 suppositories.
Gynofort - vaginal applicator, 1 time.
Candidiasis during pregnancy provides complete treatment. The improvement of a woman's condition with the disappearance of symptoms occurs 2-3 days after the start of treatment. This does not mean that therapy should be stopped. It is important to follow the full course of treatment to avoid flare-ups and recurrence of symptoms.
More details: thrush during pregnancy and lactation
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It is important to initially treat only with antifungal drugs, since substances of a wide spectrum of action can provoke the development of other infectious diseases due to the complete destruction of the flora.
Thrush treatment speeds up the intake of vitamins and minerals. This normalizes the intestinal microflora and strengthens the immune system. It is recommended to take prebiotics and vitamin-mineral complexes.
Antifungal drugs in gynecology for topical use:
Zalain (vaginal suppositories)
Candizol, Antifungol, Canesten, Clotrimazole, Candibene, Yenamazole 100, Candide B6
Gino-pevaril and Ifenek
Klion-D 100, Gino-dactarine, Ginesol 7, Mikogal
Polygynax, Nystatitn, Terzhinan
Nizoral, Livarol, Mycozoral, Ketoconazole, Oronazole, Brizoral, Vetorozal
Antifungal drugs for systemic use:
Flucostat, Mikomax, Enalapril Hexal, Diflazon, Mikosist, Mikoflucan, Diflucan, Tsiskan.
Irunin, Orungal, Itrazol, Orunit, Rumikoz, Canditral
Nizoral, Mycozoral, Fungavis, Oronazole
Side effects. Taking antifungal pills can cause side effects. The most vulnerable is the digestive system. Possible diarrhea, nausea, flatulence, unpleasant painful sensations in the abdomen, abnormal liver function, change in taste.
Side effects associated with the nervous system are manifested in the form of allergic reactions, seizures, headaches and dizziness. The most common and serious complications are caused by drugs that contain Itraconazole.
Most antifungal oral agents should not be taken during lactation and pregnancy, with liver dysfunction, renal failure and hypersensitivity. Antifungal agents are prescribed only in cases where local treatment is insufficient and complex therapy is required.
What can you do to prevent a relapse of thrush?
To exclude a relapse of the disease, the following measures are adhered to:
The appointment of a systemic antifungal agent - 200 mg of Itraconazole or 150 mg of Fluconazole on the first day of menstruation for 6 months.
Vaginal suppositories for local action for 6 months 1 time per week.
Diet for thrush in women
During the treatment of thrush, certain foods should be excluded from the diet:
any food containing a large amount of sugar;
sweet fruits and fruit juices;
white bread, pasta, flour products, since the starch contained in them is processed by the body to glucose - a breeding ground for bacteria;
any yeast-based foods, because this will only increase the number of fungi in the body.
In details: what you can and cannot eat with thrush
On the contrary, yoghurts with a high content of active bacteria will come in handy. Microorganisms will be good competitors for fungi and will somewhat complicate their life. Doctors say that regular consumption of such yoghurts can reduce the risk of developing candidiasis by almost 40%. The main thing is that they are savory.
The author of the article: Lapikova Valentina Vladimirovna | Gynecologist, reproductologistEducation:
Diploma in Obstetrics and Gynecology was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013 completed postgraduate studies at N.N. N.I. Pirogova.Our Authors