Thrush or candidiasis is a systemic widespread disease. The cause of its occurrence is a fungus of the genus Candida. It refers to opportunistic microorganisms that are normally present in the human body.
They can colonize not only the area of the external genitalia; the site of colinization can be the skin, mucous membranes of the oral cavity, gastrointestinal tract, etc.
It can affect not only the female, but also the male body. Often the symptoms are pronounced, but a hidden course of the pathological process can be observed.
Diagnosis is not difficult, as is treatment.
Is it possible to cure thrush in one day?
The latest generation antifungal agents can eliminate all signs of thrush in one day. A single dose of Fluconazole 150 mg capsule makes it possible to destroy foci of fungal infection. For recurrent forms of thrush, you can take 1 capsule per week or once per month. The course of treatment in this case is selected by the doctor individually, and can last 6-12 months.
Rapid relief of symptoms and lasting results are ensured by systemic treatment with Fluconazole in the form of capsules and suppositories. The drug has an antifungal and anti-inflammatory effect. Fluconazole as an active substance is used in the production of Diflazon, Diflucan, Mikosist, Medoflucon, Flucostat, Forkan. The active component causes metabolic disturbances in fungal cells, causing their death. Fluconazole is quickly absorbed into the blood, penetrating all organs. The accumulation of the substance allows you to eliminate fungal infections of any location. The effect of the drug for vaginal candidiasis is noted after the first use. Full recovery can be achieved after 3-4 days of therapy.
The reason for contacting a doctor may be the persistence of symptoms of the disease 6-8 after taking the medicine.
Natalya Petrukhina, a specialist in the field of women's health and natural family planning, will tell you how to get rid of thrush once and for all:
Rating of quality drugs for 2021
The best ointments and creams
Nizoral
Manufacturer: Belgium
Average price – 500 rub.
Medicine in the form of a cream. The main active ingredient is ketoconazole, which has a pronounced fungicidal and mycostatic effect. Effective against thrush, quickly reduces itching and other symptoms. Prescribed for dermatomycosis, inguinal athlete's foot (as well as hands and feet), skin candidiasis, seborrheic dermatitis and other diseases.
Cream volume – 15 grams. The course of treatment usually lasts 5 days. The product should be used carefully, as excessive amounts can lead to swelling and burning.
Nizoral cream
Advantages:
- symptomatic improvement after the first application;
- There are practically no contraindications;
- side effects rarely occur;
- normalization of microflora;
- ease of use;
- safety of use.
Flaws:
- local allergic reactions are possible;
- interactions with other drugs have not been studied.
Clotrimazole
Manufacturer: Poland
Average price – 250 rubles.
A popular anti-candidiasis cream that can be used by both adults and children from birth. The main component is clotrimazole, which inhibits the growth and division of pathogenic microorganisms. Depending on the concentration, it has both an effect that stops the growth of fungal cells and leads to their death. Prescribed for candidal vulvitis and balanitis, mycoses of the feet and skin folds, erythrasma and other fungal infections.
Volume – 20 grams. The duration of treatment depends on the degree of complexity of the disease and its location. But no longer than 3 weeks.
Clotrimazole
Advantages:
- suitable for both men and women;
- promotes quick results;
- absorbs well;
- does not leave marks on clothes;
- easy to use;
- minimal risk of side effects;
- good smell.
Flaws:
- interactions with other drugs have not been studied;
- The cream contains cetostearyl alcohol, which can cause local reactions.
Candide
Manufacturer: India
Average price – 300 rubles.
Broad-spectrum medicinal ointment based on clotrimazole for external use. Volume – 20 grams. The cream should be applied 2-3 times a day. Do not use if the integrity of the skin is damaged. The standard duration of treatment is two weeks. As a rule, this is enough to get rid of the problem, but after the symptoms disappear, the cream must be applied for another two weeks to prevent relapse.
Candide cream
Advantages:
- rare side effects;
- low price;
- easy to use;
- easy to apply;
- can be used for preventive purposes.
Flaws:
- not compatible with certain drugs, for example, nystatin;
- One tube may not be enough for a course;
- contains benzyl alcohol.
Ecodax
Manufacturer: India
Average price – 220 rubles.
Cream for candidiasis, the main active ingredient of which is econazole nitrate. Econazole is an antifungal agent with active fungicidal and bactericidal action against dermatophytes, yeasts and molds. Topical application of Ecodax cream for 3 days helps to quickly reduce symptoms - eliminate itching and burning. Tube volume – 10 grams. Do not apply to damaged areas of skin.
Ecodax cream
Advantages:
- low cost;
- availability;
- quick results;
- good texture;
- economical consumption.
Flaws:
- there is no data on interactions with other drugs;
- contraindicated for children;
- allergic reactions are possible - urticaria, irritation, hypopigmentation of the skin.
Pimafucin
Manufacturer: Italy
Average price – 350 rubles.
A well-known universal remedy for beauty and health, which is used not only for fungal infections of the genitals, but also for damage to nails and skin. The popularity of the drug is due to the fact that its composition is based on natamycin, which is known for its wide spectrum of action. Almost all fungi are sensitive to natamycin, the only thing is that it does not treat dermatophytes very well. Volume – 30 grams. The duration of the course is calculated individually, but after the symptoms disappear, the cream should be applied for another three days.
Pimafucin cream
Advantages:
- absorbs quickly;
- does not cause discomfort;
- combined with other medications;
- large tube volume;
- spreads easily over the skin;
- does not leave greasy marks;
- no pungent odor;
- Suitable for pregnant women and children.
Flaws:
- slight irritation may occur.
The best pills
Nystatin
Manufacturer: Belarus
Average price – 160 rubles.
An inexpensive but effective antifungal agent containing an antibiotic from the polyene group. It is available not only in tablets, but also in capsules and suppositories. The main active ingredient is nystatin, which most actively counteracts Candida albicans. Nystatin is prescribed for prophylactic purposes during long-term antimicrobial treatment or after surgical operations on the gastrointestinal tract. The drug is also indicated for candidiasis of the skin, mucous membranes, oral cavity, vagina and internal organs. The course of treatment lasts on average two weeks. When combined with clotrimazole, the effectiveness of the latter may be reduced.
Nystatin tablets
Advantages:
- suitable for men and women;
- a large number of tablets in the package;
- easy to use regardless of meal;
- no need to chew;
- can be given to children from 3 years old;
- low cost.
Flaws:
- there are contraindications;
- allergic reactions and side effects are possible;
- not suitable for pregnant and lactating women (prescribed only in extreme cases);
- with prolonged use, the fungus may develop resistance to the drug.
Fluconazole
Manufacturer: Hungary
Average price – 190 rubles.
A modern budget medicine for thrush, which is characterized by high activity against fungal enzymes that promote the reproduction and maintenance of pathogenic microflora. The main active element of the drug is fluconazole. Prescribed for mild forms of candidiasis. Allowed for use from 18 years of age. The dosage and duration of use are calculated and prescribed by a specialist, since an overdose may result in hallucinations and paranoid behavior.
Fluconazole capsules
Advantages:
- has a powerful effect;
- has positive reviews;
- is able to get rid of the problem in a single dose;
- quickly suppresses symptoms;
- restores microflora in mucous membranes;
- reduces the likelihood of re-infection;
- affordable price.
Flaws:
- allergic reactions to individual components are possible;
- interacts with other drugs;
- there are contraindications and side effects;
- not suitable during pregnancy and breastfeeding.
Pimafucin
Manufacturer: Netherlands
Average price – 560 rubles.
One of the safest medications for candidiasis, which at the same time is characterized by high effectiveness. The main active ingredient is natamycin, which has antifungal and fungicidal pharmacological effects. Penetrates the cell membrane of a pathogenic microorganism and disrupts its integrity, which leads to the death of the fungus. According to buyers, Pimafucin is as harmless as possible and gives a noticeable positive effect.
The duration of treatment is determined individually, but after the symptoms of thrush disappear, treatment should be continued for several more days to prevent relapse. Pimafucin is often supplemented with topical medications in chronic cases.
Pimafucin tablets
Advantages:
- suitable for pregnant women;
- can be given to children from birth;
- there are practically no contraindications (except for cases of individual reactions to the drug);
- does not contribute to the development of resistance;
- works quickly and efficiently.
Flaws:
- relatively high cost;
- Side effects from the digestive system are possible, which most often occur only in the first days and go away on their own while taking the drug.
Diflucan
Manufacturer: USA
Average price – 450 rubles.
A quick-acting cure for thrush, which is equally effective in both chronic and acute forms. To eliminate symptoms and prevent the further development of pathogenic microflora, one tablet is enough, since the drug has a powerful effect by suppressing the source of infection. The main active ingredient is fluconazole, which is a triazole antibiotic. The excipients are lactose, corn starch, magnesium stearate and sodium lauryl sulfate. The daily dose should be prescribed by a doctor taking into account the severity of the disease.
Diflucan
Advantages:
- convenient to use;
- can be given even to small children;
- relieves acute symptoms;
- inhibits the development and spread of fungal infections;
- quickly absorbed;
- has a prolonged effect.
Flaws:
- interacts with many drugs and therefore should be prescribed very carefully;
- contraindicated during pregnancy and breastfeeding;
- Possible side effects - allergic reactions, skin rashes, disorders of the cardiovascular system.
The best suppositories
Hexicon
Manufacturer: Russia
Average price – 300 rubles.
Medicine for thrush in the form of suppositories for local therapy for intravaginal use. The main active ingredient is chlorhexidine bigluconate, which actively affects bacteria. Hexicon not only quickly and effectively eliminates thrush, but is also able to cope with diseases of the genitourinary system and eliminate infections that are transmitted through sexual contact. It can also be used as a disinfectant during surgical interventions on the pelvic organs, before abortion or childbirth.
Allowed for use from 18 years of age. For the treatment of thrush in children, there is the drug Hexicon-D, developed taking into account the characteristics of the child’s body.
Hexicon suppositories
Advantages:
- does not affect the natural microflora of the vagina;
- high bactericidal characteristics;
- suitable for pregnant women;
- the effectiveness of the drug is not affected by intimate hygiene procedures;
- there are practically no contraindications (with the exception of individual hypersensitivity to the components);
- suitable for preventive purposes against sexually transmitted infections;
- affordable price;
- the result appears after the first application.
Flaws:
- allergic reactions are possible.
Betadine
Manufacturer: Hungary
Average price – 600 rubles.
An affordable medicine for candidiasis in the form of a suppository, which has long been known and successfully used in gynecology. The active ingredient is povidone-iodine, which has an antiseptic effect and successfully inhibits the growth and development of most microorganisms. Treats bacterial and fungal skin infections, dermatitis (a common consequence of photoepilation), trophic ulcers, bedsores, burns, abrasions, wounds.
The minimum age for use is 18 years. The standard course of treatment lasts 7 days, but may be longer depending on the stage of the disease.
Betadine suppositories
Advantages:
- reasonable cost;
- minimal likelihood of side effects;
- gives lasting results;
- safe composition;
- wide spectrum of antimicrobial effects.
Flaws:
- incompatible with certain drugs;
- contraindicated for thyroid disorders, hypersensitivity to iodine and chronic liver failure;
- allergic reactions in the form of itching, burning, swelling are possible;
- not suitable for pregnant and lactating women.
Zalain
Manufacturer: Germany
Average price – 600 rubles.
Single-use medicinal suppositories for candidiasis, the main component of which is sertaconazole. The mechanism of its action is reduced to inhibition of ergosterol synthesis, which leads to increased permeability of the cell membrane in microbial cells and their subsequent death. The medicine is applied once through deep injection. As a rule, this is enough to get rid of the problem. However, if symptoms persist, the procedure can be repeated after 7 days.
When using Zalain, it should be remembered that it reduces the spermicidal effect of local contraceptives.
Zalain
Advantages:
- with antibacterial function;
- there is no risk of overdose;
- positive dynamics from the first use;
- can be used during menstruation;
- does not change the natural level of acidity in the vagina;
- minimal number of side effects.
Flaws:
- contraindicated in case of hypersensitivity to the components of the drug and their derivatives;
- allergic reactions are possible.
Livarol
Manufacturer: Russia
Average price – 550 rub.
Suppositories for thrush, which can be used by both adults and children over 12 years of age. The main active ingredient is ketoconazole, known for its powerful antifungal effect against dermatophytes and yeast. Livarol is intended for the treatment of acute and chronic vaginal candidiasis. It is also good for preventive purposes, including while taking antibacterial antibiotics.
The duration of the course depends on the complexity of the disease, most often a 10-day treatment is prescribed.
Livarol
Advantages:
- does not interact with other medicinal compounds;
- normalizes vaginal microflora;
- minimal similar actions;
- convenient form of suppositories for administration;
- availability.
Flaws:
- contraindicated in the first trimester of pregnancy and in case of hypersensitivity to the components;
- local reactions in the form of itching, irritation and hyperemia are possible.
Tips for choosing a medicine
- For the treatment of thrush diagnosed for the first time, Livarol, which has an effect against bacteria and fungi, is optimal.
- Clotrimazole is more effective for acute and chronic forms of candidiasis.
- Pimafucin is ideal for treating women during pregnancy and breastfeeding.
- Nystatin is the cheapest antifungal agent that does not affect bacteria.
- If thrush is combined with any infectious lesion of the genital organs, it is optimal to prescribe the drug Polygynax.
- Ketoconazole and Terzhinan act equally quickly and effectively for thrush of any severity.
- Fluconazole is a domestic product that effectively eliminates pathogenic fungi, regardless of the location of the process.
[Video] Gynecologist online - how to approach treatment correctly so that thrush never returns to you:
Causes and symptoms of candidiasis
Thrush (candidiasis) - damage to the vaginal mucosa by the Candida fungus
The vaginal microflora consists of 95% beneficial bacteria - lactobacilli. The remaining 5% consists of various rods, representatives of the coccus group, and fungi. Candida is classified as opportunistic microorganisms. In small concentrations they cannot cause harm to health, but in large concentrations they provoke inflammation of the mucous membranes or skin.
Normally, the proliferation of candida is restrained by normal microflora. Lactobacilli produce lactic acid, providing an acidic environment in the vagina. Thanks to it, not only fungi, but also other infections die. If the balance in the microflora is disturbed, favorable conditions arise for dangerous microbes.
Causes of candidiasis
Displacements in the composition of the vaginal microflora in women can provoke:
What to do if you have thrush?!
Read more >> |
- hormonal fluctuations (puberty, pregnancy, menopause);
- disturbances in the functioning of the immune system (acute and chronic systemic infections, diseases of the hematopoietic organs);
- neglect of personal hygiene rules;
- excessive desire for “sterility”;
- use of low-quality detergents for washing;
- violation of the regime for replacing sanitary pads;
- abuse of douching;
- promiscuity;
- taking certain medications (antibiotics, hormonal agents, immunosuppressants).
Thrush is not transmitted through sexual contact. With promiscuous sexual life, other infections spread (trichomoniasis, ureoplasmosis, mycoplasmosis). Their pathogens weaken local immunity and change the composition of the vaginal microflora. Hence the proliferation of candida. Some sexually transmitted infections can “masquerade” as thrush symptoms for a long time.
How does the disease manifest itself?
Symptoms of vaginal candidiasis
The onset of candidiasis is accompanied by discomfort during sexual intercourse and urination. A woman feels a burning sensation after sex, as well as when going to the toilet. The main symptoms of thrush are vaginal itching and copious curdled discharge. The patient may feel their unpleasant (lactic acid) odor, although this symptom is not always present. Secondary signs are redness and swelling of the external genitalia, the accumulation of dense white plaque on them, and the appearance of erosions on the mucous membranes. With severe inflammation of the intimate areas, bloody inclusions may be found in the secretions, or the secretion itself becomes pink.
Without proper treatment, the symptoms increase and disrupt the patient’s usual lifestyle. During menstruation, the symptoms become weaker, because at this time the mucous membrane is actively cleansed.
Further, candidiasis becomes chronic - the fungi reproduce less actively, but modified filament-like candida are present inside the mucous membranes. Reproducing by spores, they provoke periodic relapses of the disease (when a favorable time comes). With chronic thrush, the symptoms are less intense. The itching is mild and appears periodically. The curdled discharge becomes simply thick. At times, inclusions similar to particles of cottage cheese are found in them. Slight swelling of the labia minora persists. The burning sensation is felt only after sexual intercourse.
When should you consult a gynecologist with thrush?
You should contact a gynecologist in the following cases:
- Specific symptoms persist after the end of treatment, or if the disease relapses after 1-2 months.
- Side effects from taking medications appeared (allergic reactions, bloody or purulent discharge, etc.).
- In addition to the specific signs of thrush, there are signs of intoxication, hyperthermia, and pain in the lower abdomen.
Treatment of thrush with folk remedies
In the treatment of thrush, the most popular folk remedies are:
- Iodine, soda and water. You need to dilute a teaspoon of soda with 1 liter of water, then pour everything into a basin and sit for half an hour. Do not drain the water from the basin, you will need it next time. The next day, repeat everything again, just add a liter of boiled water, 1 tbsp. l. soda, 1 tsp. l. Yoda. You must do this until complete recovery. For more information on treating thrush with soda, see the detailed guide.
- Salt, soda and iodine. For one liter of boiling water you need to take 2 tablespoons of salt, boil for 2–3 minutes, cool to 40 °C, add 1 tablespoon of baking soda and 10–12 drops of iodine. Douche the vagina, thereby washing it twice a day - morning and evening - for five days.
- Herbal recipe. Rinse the vagina for two to three days with the herbs of chamomile, calendula, yarrow and sage - mix 3 tbsp. l. all herbs, take 1 tbsp. l. mixture of herbs, pour 0.5 liters of boiling water, leave, strain, add 50 ml of infusion for irrigation into a baby pear. Whatever remains should just be washed off.
Treatment of thrush should be comprehensive. That is, you should not assume that you can just take a pill and forget about this problem. You need to reconsider your diet, be sure to eliminate sweets, try to avoid stress, and then you will definitely cope with thrush
The problem of candida resistance to antimycotics
The problem of resistance of fungi of the genus Candida to antimycotic agents is no less relevant than bacterial resistance to antibiotics. Resistance to drugs of the azole group develops more often than others; the low sensitivity to azoles of C. non-albicans is of particular importance. The explanation lies in the mechanism of action of drugs in this group.
By inhibiting enzymes associated with cytochrome P 450, the drug disrupts the synthesis of ergosterol, a component of the cell membrane of the fungus. This is how the fungistatic effect develops.
Resilience is acquired in several ways. C. albicans is characterized by the accumulation of mutations in the ERG11 gene, which is associated with encoding the enzyme for ergosterol synthesis. It no longer binds to azoles, but forms bonds with the natural substrate lanosterol. The latter is converted into ergosterol during the reaction.
Another mechanism is associated with the removal of drugs from the cell using ATP-dependent transporters. Resistance to azoles is cross-resistance, that is, it develops to drugs of the entire group. In this case, it is possible to use polyenes.
What happens if thrush is not treated?
Thrush is a disease that can come back again and again. Candidiasis can affect the cervix, urethra, and bladder. The most common consequences of fungal infections are cystitis, cervicitis, and urethritis. The combination of thrush with sexually transmitted diseases can cause infertility.
Most often, these serious consequences occur due to self-medication or failure to consult a doctor in a timely manner. With a wide variety of gynecological medications, it can be very problematic to choose the right one. Patients often say that doctors replace medications with one another. It should be noted that this is not due to lack of experience, but due to a weak immune response to treatment. Chronic thrush with frequent relapses can appear against the background of weakened protective properties of the body. In case of exacerbations, it is important to find out the true cause of immune problems. In some cases, candidiasis may indicate the development of diabetes mellitus and HIV infection. Adequate, complete treatment prevents the development of complications and maintains a lasting effect.
Expectant mothers especially need timely treatment for thrush. Pregnancy causes changes in hormonal levels, reduces natural protective functions, creating all the conditions for the proliferation of bacteria in the vagina. A pregnant woman should take care of the baby's health, as thrush can pose a threat. Candida or other types of fungi cannot harm the child during intrauterine development, but pose a threat during passage through the birth canal. During childbirth, the baby's eyes, mucous membranes of the mouth and nose may become infected. In order to prevent candidiasis in infants, women with established thrush are prescribed specific therapy with vaginal suppositories. The risk of developing candidiasis in a child in the womb may occur with an advanced form of the mother’s disease. This type of pathology is quite rare. However, among all recorded cases, spontaneous miscarriages are often recorded.
Regarding the health of the expectant mother, we can talk about negative consequences during the birth process. Fungal infection of the vaginal mucosa negatively affects the elasticity of the tissue. This significantly increases the likelihood of multiple ruptures. Timely detection and treatment of thrush allows you to avoid unpleasant consequences.
How to get rid of the disease
Treatment with the only tablet advertised is appropriate only for the first episode of candidiasis, accompanied by mild symptoms. If thrush appears repeatedly or greatly bothers a woman, she cannot do without the help of a doctor.
At the appointment, the gynecologist will conduct a standard examination and take smears from the vagina and cervical canal. Their microscopic examination will help confirm or refute the fungal origin of the problems. The analysis will also be able to detect other infections, if any.
As part of laboratory diagnostics, cultural seeding is carried out - placing the detected microorganisms in a nutrient medium. Based on its results, a strain (variety) of candidobacteria is identified, and their sensitivity to antifungal substances is also determined. Treatment with specific drugs reduces the risk of chronic infection and speeds up recovery.
Treatment of acute form
For acute symptoms of thrush, a single oral use of antifungal tablets is prescribed. Most often, treatment lasts 1 day. The antimycotics used provide a prolonged effect - they remain in the vaginal mucosa for 24-32 hours. Hence the complete elimination of the fungus even with a single dose. In parallel with the tablets, suppositories are prescribed.
Candles Zalain
If this is the first case of thrush, and the symptoms are not very pronounced, only local dosage forms (suppositories or vaginal tablets) are sufficient. The doctor may prescribe powerful drugs, the treatment of which involves the introduction of just 1 suppository into the vagina (Zalain, Lomexin), or the use of suppositories in a course (from 3 to 14 days).
Treatment of the chronic form
Chronic thrush is treated with tablets and suppositories at the same time. Tablets are prescribed in a shock course, followed by monthly maintenance doses (often on the 1st day of the cycle). This approach ensures the prevention of relapses of candidiasis. Suppositories are often prescribed in one or two courses with a short interval.
To fully eliminate the disease, it is very important to find its cause. The woman will be advised to change hygiene products, stop using tampons, scented pads, and synthetic underwear. If medications are the provocateur, they are discontinued; internal chronic diseases are treated with specific drugs. In some cases, the final stage of therapy is suppositories to normalize the composition of the vaginal microflora (Fermalak, Vaginorm S, Laktozhinal).
Specific diet
Treatment of thrush involves following a certain diet with the exclusion of certain foods:
- Sweet fruits, juices.
- Sweetened foods.
- Products made from white flour - pasta, bread. The breakdown of starch into glucose creates an optimal environment for bacterial growth.
- Dishes that contain yeast. They increase the concentration of fungi in the affected area.
It is recommended to introduce yoghurts with active microorganisms into the diet. Bacteria can inhibit the activity of fungi. Systematic consumption of unsweetened, natural yogurt reduces the likelihood of developing thrush by 40%.
Read more: what you can and cannot eat if you have thrush
Reviews from women
Marina, 29 years old.
During the winter I suffered from sinusitis twice. Each time I took quite powerful antibiotics. I think this is what caused the development of thrush. There was a burning sensation, itching, and white discharge. On the recommendation of the gynecologist, I took Pimafucin. One capsule allowed me to get rid of an unpleasant problem.
Larisa, 31 years old.
During a routine check-up during pregnancy, the doctor said that I had candidiasis. I was scared, I thought it would harm the baby during childbirth. Unpleasant symptoms appeared. The doctor prescribed suppositories against thrush. After 5 days of use, not a trace of the disease remained.
Olga, 36 years old.
I suffer from chronic candidiasis. Due to my weak immune system, I often experience relapses. The doctor, knowing the characteristics of my body, developed a regimen using vaginal suppositories and Diflucan tablets. A week of therapy is enough to completely eliminate the symptoms of the disease. Frequent relapses bring inconvenience, but there is no escape from them in case of chronic thrush. All my efforts are now aimed at strengthening the immune system.
Preventive measures
Following certain recommendations helps prevent the development of thrush:
- Compliance with the rules of personal hygiene using special delicate care products, regular change of linen.
- Culture of intimate life. Exclusion of casual, promiscuous sexual intercourse. They cause negative changes in local immunity and change the vaginal microflora.
- Do not use antibiotics without a doctor's prescription.
- Douching causes changes in the vaginal flora and can injure the inner lining. They are prohibited as therapeutic or preventive measures for gynecological diseases.
- In order to increase immunity, it is important to treat endocrine, allergic, and infectious diseases in a timely manner.
- Optimal sports activities and following a proper diet will provide support for the body’s protective functions.
When will you need a doctor's help?
Pain in the lower abdomen and lower back, increased temperature indicate a worsening of thrush and the spread of inflammation. A change in the nature of the discharge - color, smell - may indicate the addition of other infectious pathologies. If antifungal treatment does not provide the desired effect, additional laboratory tests must be performed and another drug must be prescribed. After starting treatment for thrush, genital irritation may occur, which should be reported to your doctor.
The appearance of repeated signs of the disease precludes the reuse of previous antifungal agents. You cannot self-medicate; only a doctor must select the appropriate drug.
What else you need to remember
Treatment of candidiasis is a long process, especially if the disease has already become chronic. Therefore, it is worth remembering several important rules and principles that will help you choose the best remedy for thrush and immediately begin treatment measures.
- Some sexually transmitted diseases have symptoms similar to thrush. That is why you should not self-medicate if you find itching, burning in the genitals, or whitish discharge. The best solution is to contact a specialist who will make an accurate diagnosis.
- It is necessary to fight not only the symptoms, but also the cause. This is especially true if candidiasis constantly recurs. For example, if the disease arose due to psychological stress and is provoked by it, then, in addition to the gynecologist, the help of a psychotherapist will be needed.
- The composition of the physiological flora of the vagina is an individual feature. In practice, this means that the drugs for thrush that helped your girlfriends will be useless in your case. Again, the advice is simple: consultation and examination with a doctor.
- When choosing a drug, you need to take into account many nuances. You need to look not only at the main active ingredient, but also at the likely side effects, as well as contraindications. You should also carefully study the instructions for the medication and the recommended dosages.