How to cure thrush drugs. Principles of effective treatment of thrush in women. Symptoms of thrush in women

Thrush is another name for a fungal disease caused by yeast fungi of the genus Candida. Candidiasis can affect different parts of the human body. When they talk about thrush, they mean a disease localized on the mucous membranes of the genital organs.

Since this ailment occurs in many women and often becomes chronic (exacerbates again and again), it is useful to know how to cure thrush at home forever. The right choice of food, modern drugs and folk remedies will help you quickly cope with an unpleasant disease.

The disease occurs only if their number exceeds the allowable value. This situation becomes possible only if the immune cells of the body are not able to restrain the reproduction of fungi, that is, the level of immunity is reduced. Various factors contribute to the decrease in the body's defenses, including frequent colds, chronic diseases, endocrine system disorders, dysbacteriosis caused by antibiotic therapy or improper and malnutrition.

Unfortunately, the use of drugs for thrush, although it solves the problem, is temporary, since the disease often returns again due to the fact that the provoking factor has not been eliminated. Therefore, thinking about how to cure thrush at home forever, you should first identify the cause of the decrease in the level of immunity and eliminate it.

Symptoms of pathology

Thrush has characteristic symptoms that distinguish it from other infectious pathologies. In men and women, the disease differs in the brightness and severity of symptoms. If a woman experiences unbearable itching in the genital area, then a man may not even notice the onset of the disease.

In women, the symptoms of thrush (vulvovaginal candidiasis) are manifested as follows:

• white coating on the inside of the vulva;
• discharged from the vagina, resembling cottage cheese in consistency and appearance;
• itching in the genital area;
• pain during the outflow of urine;
• pain and discomfort during sex;
• specific odor of sour milk.

In men, thrush (candidal balanitis) is determined by the following signs:

• the head of the penis swells and turns red;
• when urinating, there is pain and burning;
• the mucous membrane of the head is covered with a white coating;
• pain during erection and sexual intercourse.

Treatment at home

If a man or woman has noticed symptoms characteristic of genital candidiasis, then it is necessary to contact a medical institution to confirm the diagnosis. It is important to identify the cause of the disease, since treatment without eliminating the provoking factor can lead to a relapse of the disease.

Treatment plan for thrush:

• dieting;
• the use of general medicines;
• strengthening immunity with vitamins.

To cure thrush at home forever, you must first review the diet. The fact is that improper nutrition and long-term treatment with antibiotics disrupt the normal intestinal microflora, and this directly affects the condition of the skin and mucous membranes of a person.

No matter what means to treat thrush, first of all, you need to limit the consumption of sweets, fried meat, fast food containing transgenic fats, and include more vegetables, fruits and dairy products in the diet. Some women prefer to use natural remedies instead of medications. Traditional medicine offers many recipes to help fight thrush, but their use must be agreed with the doctor. It should be remembered that if thrush is treated incorrectly, it will turn into a chronic form, which is more difficult to treat.

How to cure chronic thrush with medicines and folk remedies

The vivid symptoms of thrush characterize its acute form. If the treatment of a fungal disease is not started in time, then the woman will soon notice that the symptoms subsided, and after a while they completely disappeared.

However, this does not mean that the disease has receded, it just turned into a chronic form. In this case, relapses of thrush are repeated several times a year. How to cure chronic thrush is best advised by a doctor, and useful information on this topic can be found on medical forums dedicated to treatment without pills.

Features of drug treatment in men and women

Antifungal medications come in a variety of forms, including gels, ointments, creams, vaginal suppositories, and tablets. For the treatment of thrush, it is enough to use topical agents, systemic drugs are usually prescribed in case of a severe course of the disease. Candidal balanoposthitis in men is easily cured with a cream or ointment with an antimycotic component, for example, with clotrimazole. The cream is applied to the head of the penis and foreskin twice a day for five to seven days.

Usually this time is enough to defeat the fungal infection. On the recommendation of the attending physician, the local remedy can be replaced with systemic drugs. For the treatment of thrush, it is enough to drink one tablet with fluconazole (Flucostat, Diflucan, Mikosist and analogues). For the treatment of vulvovaginal candidiasis, therapy with topical antimycotic drugs is also sufficient. In addition to ointments, women can use vaginal solutions to rinse the genitals. Candles, like ointments, are used for five days.

Thrush can be treated with Nystatin, Clotrimazole, Miconazole or Isoconazole. You can rinse the vagina and external genitalia with Chlorhexidine, Miramistin and other similar solutions. If necessary, local treatment is replaced with one tablet containing fluconazole.

When answering the question of how to cure chronic thrush, experts recommend that broad-spectrum vaginal suppositories, such as Tregynan or Polygynax, be used with caution, since repeated use of these drugs can disrupt the normal microflora of the vagina and lead to gardnerellosis. Treatment during pregnancy should be strictly under the supervision of a doctor.

The list of medicines allowed for pregnant women is limited, so you should not choose pharmacy drugs on your own. Most often, women are prescribed Clotrimazole and Miconazole ointments or Pimafucin tablets.

Traditional medicine recipes

How to cure chronic thrush was known many centuries ago. Traditional healers offer many recipes to help stop the reproduction of fungi, strengthen the immune system and normalize the intestinal microflora. With the help of a wide variety of folk remedies, you can make solutions for lotions and douching, tampons in the vagina, and prepare drinks from medicinal berries and herbs.

• Soda is the simplest and most effective remedy for thrush. The solution is prepared at the rate of one liter of water and ten grams of the medicinal component, some healers recommend adding a few drops of iodine to it. To quickly cure thrush, it is necessary to carry out daily douching and washing of the genitals until the discomfort and other symptoms of the disease disappear completely.
• Laundry soap in its effectiveness is not inferior to the previous remedy. The rinse solution is prepared from crushed soap and boiling water. When the liquid becomes warm, douching is carried out. The external mucous membranes of the genital organs can be washed with laundry soap when taking water procedures.
• Kefir is an equally well-known folk remedy that helps to quickly eliminate unpleasant symptoms. A swab is twisted from gauze, soaked in kefir or yogurt and inserted into the vagina overnight. The swab should be removed in the morning. The folk remedy perfectly relieves inflammatory processes caused by the active reproduction of yeast fungi and restores the microflora of the vagina.

Douching and washing the penis can be done with decoctions of herbs - chamomile, calendula, nettle, celandine, birch buds, oak bark and a number of other plants. In the affected areas, you can rub vegetable oil with the addition of garlic or an ointment made from lard and calendula flowers.

What is candidiasis of the vaginal mucosa is known to literally every woman, and 30% of them suffer from chronic, recurrent thrush. In women, drug treatment has not always been successful recently, since only in modern paid clinics are they suitable for the treatment of any disease, taking into account the sensitivity of microorganisms to various antibiotics and, in the case of candidiasis, to antifungal drugs.

Otherwise, the treatment may not be effective. This is due to the fact that since the discovery and active use of antibiotics and other antimicrobial, antimycotic agents, pathogenic microorganisms have gradually begun to adapt, develop resistance to certain antibiotics, antimycotics. Doctors have been sounding the alarm for a long time that with every decade banal, ordinary bacteria, viruses, fungi have become much more aggressive than 50-60 years ago, and the immune response to their introduction or reproduction in the majority of the population is weakening.

Unhealthy food, meat products stuffed with growth hormones and antibiotics, an abundance of chemicals in everyday life, in food, polluted air, a lot of negative information and constant stress, experiences - gradually destroy the natural processes in the body, which cannot cope with increased stress, hence decrease in the body's defenses.

At the same time, the pharmaceutical industry continues to produce new and new means to fight infections, viruses and fungi. As for thrush, most women consider this disease to be a slight imbalance in the microflora of the vagina. This is so if antibiotic therapy is used, the use of hormonal contraceptives, pregnancy - in these cases, after discontinuation of drugs or the end of pregnancy, the thrush in a woman quickly passes after treatment with a topical drug.

However, if thrush occurs in combination with other gynecological diseases, latent sexual infections, is the first sign of diabetes, its relapses after treatment constantly occur - this indicates serious malfunctions in the body, metabolic disorders, immunodeficiency states, hormonal disorders, diseases of the endocrine system etc.

This is, as it were, a wake-up call, a signal that local immunity has weakened, since candida is a fungus that is always present in the normal microflora of the vagina in healthy women, and the presence of favorable factors for the growth of fungal flora leads to its active reproduction. Therefore, many women are interested in the question - by what means and how to treat thrush in women effectively, safely and quickly?

Choosing the best drug and the right treatment for thrush in women

The Russian pharmaceutical market is unusually rich in various preparations for thrush - candles, creams, ointments, tablets. All of them are divided into 2 main groups:

• Preparations for local treatment - ointments, suppositories, creams, vaginal tablets - this is the best choice for gentle therapy, since their use does not have a systemic effect on the entire body. They are used for mild or uncomplicated forms of vaginal candidiasis, as well as for chronic thrush in complex therapy with antimycotic agents taken orally.
• Preparations of systemic, general action are tablets that have an effect on the entire body, getting into the focus of inflammation, and into other systems and organs. They are used for severe and often recurrent candidiasis.

Understanding which of them are the most effective is endless. The main thing when choosing drugs is to rely on the result of the analysis of bacterial seeding, which should determine the sensitivity of the identified colony of fungal agents to a specific active substance.

Sometimes in chronic thrush, Candida glabrata fungi are detected, unlike the usual causative agents of thrush Candida albicans, they are considered more resistant to antimycotic agents.

That is why it is important for recurrent thrush to determine the pathogen using bacterial culture. In this case, the attending physician will prescribe a known effective remedy, which will be both less toxic and with the least side effects. In our article, you can learn about the pros and cons of using any suppositories for vaginal candidiasis.

Basic principles in the treatment of primary thrush or uncomplicated candidiasis

Treatment of thrush in women should begin with eliminating the causes of its occurrence, reducing the influence of provoking factors (narrow synthetic underwear, violations of intimate hygiene, abundant consumption of sweets, flour products, a rare change of tampons and pads, etc.), treatment with antifungal drugs and restoration of intestinal microflora and vagina:

• It is advisable to do with a mild form of thrush only with local treatment, since systemic effects have a toxic effect on the liver and kidneys. In the uncomplicated form of candidiasis, various vaginal suppositories or vaginal tablets are used, which include antimycotic drugs.
  • Clotrimazole - Kanesten, Candizol, Yenamazol 100, Antifungol, Candibene
  • Miconazole - Klion-D 100, Gyno-dactarin, Ginezol
  • Isoconazole - Gyno-travogen
  • Natamycin - Pimafucin
  • Feticonazole - Lomexin
  • Sertaconazole - with thrush in a woman, treatment with Zalain is effective, but in a chronic process its use is not advisable.
  • Econazole - Gino-pevaril, Ifenek
  • Imidazole-Ginofort, Mikogal, Ginezol 7, Candide B6
  • Ketoconazole - is considered the most effective drug - Livarol, Vetorozal, Mycozoral, Nizoral, Ketoconazole, Brizoral, Oronazole.
• On the recommendation of a doctor, local treatment of thrush in mild cases can be replaced by a single dose of Fluconazole (), whose analogues are Flucostat, Diflucan, Mikosist, Mikomax, Ciskan, Diflazon, Mikoflucan.
• Acute thrush, depending on the choice of the drug, is treated from 1 day to 7 days, while the effectiveness reaches 85-90%. During therapy, a woman should refrain from sexual intercourse and strictly observe intimate hygiene.
• As a preventive measure for the resumption of thrush after treatment, you can periodically wash yourself with a weak solution of soda, boric acid or potassium permanganate.

Many women believe that treating thrush with douching is the optimal, inexpensive, affordable and effective treatment. This is a big misconception. , potassium permanganate, etc. solutions - a very dangerous, unacceptable method of treatment.

• When thrush is first discovered, if it occurs as an independent disease, other tests do not reveal any other bacterial infection, doctors do not recommend the use of drugs such as Terzhinan and Polygynax for local treatment of thrush in a woman. Although these drugs contain nystatin (an outdated antifungal drug), they are suppositories with a wide antibacterial spectrum of action, and with thrush, their use disrupts the microflora of the vagina, suppresses the beneficial flora and leads to gardnerellosis (see).
• It should be remembered that the disappearance of signs of thrush does not always indicate that the disease has been cured. Be sure to re-examine the vaginal smear after therapy.

Since thrush is often combined with other gynecological diseases, latent infections, you should definitely consult a gynecologist if:

• After treatment persist or recurrence occurs 1-2 months after treatment.
• In addition to signs of thrush, there is weakness, fever, pain in the lower abdomen.
• If side effects, mucosal irritation or allergic reactions appear on the drug for thrush, or purulent or bloody discharge appears during treatment ().

How to treat chronic thrush in women

Lack of free time, workload, family chores often force women to self-medicate, despite the fact that everyone knows perfectly well that it is impossible to engage in self-diagnosis and take drugs without a full examination and control of cure.

In addition, it is impossible to determine the disease by the sensations, symptoms and nature of the discharge, and thrush very often masks other hidden infections (bacterial vaginosis, gonorrhea, trichomoniasis, etc.), allergies and other gynecological chronic diseases.

Incorrect selection of medication, too short courses of therapy leads to chronic, often recurrent thrush, resistance of candida to many antimycotic agents, which aggravates further treatment of candidiasis. Antifungal agents for thrush have a lot of side effects, contraindications, their improper use can lead to complications and the transition of the disease to a chronic one.

Therefore, in the event of any discomfort in the genital area, a woman should find time for herself, undergo an examination by a gynecologist on time and follow all the doctor's recommendations. Gynecologists say about the occurrence of chronic thrush when exacerbations of the disease occur more often than 4 times a year. The usual treatment prescribed for acute thrush in such cases is not effective. Basic principles of treatment of chronic thrush in women:

• Preparations for local therapy - creams, suppositories, ointments are used the same as for mild forms of thrush.
• To local therapy, a systemic intake of antifungal agents in tablets from thrush is necessarily added.
• Treatment of chronic thrush usually lasts several months and includes the treatment of possible concomitant diseases, general strengthening vitamin therapy, oral contraceptives are excluded, antibiotics are taken, and the possible is restored.
  • Fluconazole - analogues of Flucostat, Diflucan
  • Itraconazole - analogues, Canditral, Itrazol, Rumikoz, Orunit, Orungal
  • Pimafucin
  • Ketoconazole - analogues of Oronazole, Fungavis, Nizoral, Mycozoral.
• When establishing a mixed vaginal infection caused by pathogens of gardnerellosis, candidiasis and trichomoniasis, Neo-Penotran Forte suppositories are used.
• After antifungal treatment and the elimination of candidiasis confirmed by analyzes, eubiotics should be used to restore the healthy microflora of the vagina. The doctor may prescribe candles Atsilakt, Bifidumbacterin.
• Various physiotherapy procedures are also widely used for the treatment of often recurrent thrush:, SMT, darsonvalization,.

One of the treatment regimens for chronic thrush

At the initial stage of treatment of chronic thrush in women, the following drugs are used:

• Local treatment - suppositories of Clotrimazole 200 mg, course of 10-14 days, 1 suppository at night.
• Fluconazole tablets 150 mg, on day 1 of treatment, days 4 and 7
• Tablets with the active ingredient Itraconazole (Irunin, etc.) 200 mg., 1 tablet per day for a week

With maintenance therapy:

• Local treatment - suppositories of Clotrimazole 500 mg. for six months, 1 candle per week.
• Also 1 tablet of Fluconazole 150 mg. 1 time per week for six months.
• Itraconazole 200mg tablets. 1 time per month - 1 tab. 2 r / day also for six months.

Despite the success of modern medicine in the development of drugs, diagnosis and identification of risk factors for candidal infection, the problem of treating vulvovaginal candidiasis (thrush) in women is still relevant.

Over the past 20 years, the number of candida carriers, women with asymptomatic, chronic recurrent "thrush", women infected with Candida non-albicans, has been growing, drug therapy in these groups is the most difficult, requires care and high qualification of the attending physician.

Fungi of the genus Candida themselves can develop resistance to drugs and respond poorly to ongoing activities, including due to the formation of persistent biofilms on the surface of the vaginal epithelium.

We will devote this material to the features of acute and chronic recurrent vulvovaginal candidiasis (thrush) in women.

• Show all

  1. Briefly about the pathology

  The cause of vulvovaginal candidiasis (VVC, VVC) are fungi of the genus Candida. Most often they belong to the species.

  Candidiasis infection of the vulva and vagina is usually accompanied by the following symptoms:

  1. 1 White, cheesy or creamy discharge from the genital tract.
  2. 2 Itching and burning in the vagina, vulva area. These symptoms may intensify after hygiene procedures, the use of intimate hygiene products, and during sexual intercourse.
  3. 3 Violation of urination - soreness, frequent urge.
  4. 4 Pain during intercourse - dyspareunia.
  5. 5 Edema and hyperemia of the vaginal mucosa, less often the vulva.

  Preference is given to azoles (fluconazole, clotrimazole, miconazole), which in this case are more effective than nystatin. This approach allows to stop the symptoms in 80-90% of patients who correctly completed the course (treatment regimens for uncomplicated thrush in table 1).

  

  Table 1 - Treatment regimens for vaginal candidiasis (thrush) in non-pregnant women according to CDC recommendations, 2015

  If the symptoms of candidiasis persist after a course of therapy or a relapse develops over the next 2 months, then the patient is sampled for inoculation on a nutrient medium in order to clarify the dominant type of candida and determine their sensitivity to known antimycotics.

  The mechanism of development and pathogenesis of recurrent vulvovaginal candidiasis is not fully understood. Many patients do not have obvious predisposing factors that could lead to chronic infection.

  In chronic thrush, Candida non-albicans is more often detected (in about 10-20% of cases), which are insensitive to basic drugs.

  With relapse C. albicans therapy includes several courses of antimycotic drugs:

  1. 1 Initial course - a short course with the use of local or systemic drugs from the azole group. For a better clinical effect, some doctors suggest extending the use of local azoles to 7-14 days or prescribing fluconazole orally, orally according to the scheme - 1, 4, 7 days of therapy at a dosage of 100, 150 or 200 mg, respectively.
  2. 2 Support course. For 6 months, fluconazole is taken 1 time / week at a dose of 100-150 mg. If this is not possible, then local azoles are prescribed in intermittent courses. Such therapy is effective, but 30-50% of women experience relapses after discontinuation of drugs.

  For Candida non-albicans, the optimal treatment regimen has not been established. It is proposed to use local or systemic drugs from the azole group (except fluconazole) for 1-2 weeks. In case of relapse, the use of boric acid (vaginal gelatin capsules 600 mg) is allowed for 14 days once a day. This scheme leads to recovery in 70% of cases.

  In pregnant women, azoles can be used in the form of vaginal suppositories or vaginal cream. Medications are not allowed to be taken internally.

  4. DGGG, AGII and DDG program (2015)

  According to this provision, the situation when fungi of the genus Candida are found in a smear in a woman with a normal immune status, but there are no symptoms, does not require treatment (exception, pregnant women).

  Acute vaginal candidiasis, according to these recommendations, is treated with the following drugs:

  1. 1 Local therapy with nystatin preparations for a course of at least 6 days.
  2. 2 Local therapy with drugs based on clotrimazole, econazole, miconazole, etc.
  3. 3 Systemic therapy (fluconazole, oral itraconazole).
  4. 4 Cyclopyroxolamine vaginal cream, vaginal suppositories, a course of at least 6 days.

  All of the above options have approximately the same effectiveness in acute vaginal candidiasis. Cure rates (clinical and laboratory) are up to 85% one week after the end of the course and 75% after 1-1.5 months.

  In pregnant women, the use of imidazoles is more effective than polyenes (comparison was made with nystatin). With asymptomatic carriage 6 weeks before the expected date of birth, prophylactic treatment is recommended. Its purpose is to prevent infection of the newborn.

  For chronic thrush, a two-stage treatment is offered:

  1. 1 Initial course (suppression of symptoms, normalization of laboratory parameters).
  2. 2 Maintenance therapy - local (clotrimazole) or systemic (fluconazole).

  European guidelines for the management of women with abnormal vaginal discharge - IUSTI / WHO (2011) J Sherrard, G Donders et al. include treatment regimens for vulvovaginal candidiasis, trichomoniasis and bacterial vaginosis.

  Treatment regimens for thrush in non-pregnant women recommended by IUSTI/WHO are presented in Table 2 below.

  

  Table 2 - Antifungal regimens recommended by IUSTI/WHO (2011) for the treatment of acute vaginal candidiasis in non-pregnant women

  With thrush, which occurs with severe itching, ointments and gels with hydrocortisone can be used. Moisturizing creams (emollients) can be used in patients receiving oral antimycotics (fluconazole, itraconazole).

  Treatment for chronic thrush includes:

  1. 1 Elimination of predisposing factors, correction of concomitant diseases.
  2. 2 Initial course - 10-14 days.
  3. 3 Supportive therapy involves the appointment of antifungal drugs 1 time / week, a course of 6 months.
  4. 4 To cope with dry skin of the vulva will help avoid the use of soap and the use of moisturizing creams (emollients).
  1. 1 Inclusion of basic therapy for thrush of another drug from the group of polyenes - natamycin (Pimafucin).
  2. 2 Use of natamycin in chronic recurrent thrush and C. non-albicans infection.

  

  Table 3 - Treatment regimens for acute and chronic thrush in non-pregnant women according to the Federal Clinical Guidelines. Click on the table to view

  7. Supportive Therapy

  Auxiliary therapy for thrush allows you to eliminate concomitant infections of the reproductive system, normalize the vaginal microbiota, improve the general condition of the woman's body.

  1. 1 Nutrition correction for thrush, exclusion of foods that promote the growth and reproduction of fungi. Undesirable foods include sugar and sweet foods, rich yeast baked goods. Diet therapy for thrush in more detail.
  2. 2 Vaginal candidiasis is often combined with intestinal dysbacteriosis. This confirms the need for an integrated approach in the treatment of vaginal candidiasis. You can supplement the scheme by taking natural probiotics - fermented milk products containing lactobacilli and bifidobacteria.
  3. 3 Thrush against the background of severe vaginal dysbiosis, gardnerellosis requires the appointment of complex drugs, for example, neo-penotran, polygynax, terzhinan. Their effect is to eliminate inflammation, impact on anaerobes, gardnerella and fungi.
  4. 4 Preparations for the restoration of the vaginal microflora (gynoflor, vaginorm, ecofemin) we cannot recommend until a sufficient number of studies on their effectiveness have been performed.
  5. 5 It is important to eliminate foci of chronic infection in the body, if any. In the presence of diabetes, dynamic monitoring and therapy by an endocrinologist is required.
  6. 6 We cannot recommend immunomodulators, dietary supplements, homeopathy due to the lack of evidence base. In our opinion, a healthy lifestyle, rational nutrition, physical activity fully replace these groups of drugs.
  7. 7 Methods of traditional medicine, herbal treatment are distracting and have a placebo effect. They should not be used in women.

  8. 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 the resistance of bacteria to antibiotics. More often than others, resistance to drugs of the azole group develops, of particular importance is the low sensitivity to C. non-albicans azoles. 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 fungal cell membrane. This is how the fungistatic effect develops.

  Resilience is acquired in several ways. C. albicans is characterized by the accumulation of a mutation in the ERG11 gene, which is associated with the coding of the enzyme for the synthesis of ergosterol. It ceases to bind to azoles, but forms bonds with the natural substrate lanosterol. The latter during the reaction turns into ergosterol.

  Another mechanism is associated with the removal of the drug from the cell with the help of ATP-dependent carriers.
  Resistance to azoles is cross, that is, it develops to the drugs of the entire group. In this case, the use of polyenes is possible.

  9. Evaluation of the effectiveness of treatment

  The criteria for the effectiveness of treatment are the following indicators:

  1. 1 Complete recovery, the vagina is sanitized: no clinical symptoms, signs of inflammation, laboratory tests (, sowing on a nutrient medium) confirm the absence of the fungus.
  2. 2 Improvement: decrease in the severity of symptoms of the disease, objective signs.
  3. 3 Relapse - the appearance of new symptoms of thrush, the detection of a fungus during smear microscopy 2-4 weeks after the course of therapy.

  In the acute form, control is prescribed 14 days after the last dose of drugs.

  10. Prevention of relapse

  To prevent the recurrence of vaginal candidiasis, factors that create favorable conditions for the growth and reproduction of fungi of the genus Candida should be excluded.

  1. 1 Mycoses develop in a warm and humid environment. This is facilitated by wearing tight clothing made of synthetic, poorly breathing fabrics. It is better to choose cotton, comfortable underwear. Change of linen should be daily.
  2. 2 Panty liners retain moisture and heat and form an environment that promotes the growth of fungus. Their frequent change can eliminate these shortcomings.
  3. 3 It is necessary to maintain a balance in the use of different food groups, give preference to vegetables, fruits, cereals, dairy products, lean meat. Sweet and starchy foods are limited to a minimum.
  4. 4 Do not use antibiotics without a doctor's prescription, you can not extend the course for a longer period than recommended by the doctor. Antibacterial agents can be combined with fluconazole (150 mg) in women with a history of vulvovaginal candidiasis.
  5. 5 Long-term use of glucocorticoids also promotes the growth of fungal flora. You can not use them without a doctor's prescription.
  6. 6 Antifungal drugs should not be used without the advice of a doctor, as in the case of antibiotics, this leads to the development of resistance in fungi of the genus Candida.
  7. 7 CDC does not recommend sexual partner treatment for thrush in women.
  8. 8 It is recommended to visit a gynecologist at least once a year in the absence of complaints, if necessary, if there are any symptoms from the reproductive and urinary systems.

  The information presented in the article is intended to familiarize you with modern trends in medicine and cannot replace an in-person consultation with a specialist. It cannot be used for self-treatment!

Almost every representative of the fair half is familiar with thrush. The second name of this disease is candidiasis, it manifests itself as an inflammation of an infectious nature in the vaginal area, affecting it with a fungus and killing beneficial microparticles of the natural flora.

Here, more than ever, it is important to start treatment in a timely manner, otherwise you can earn a number of unpleasant consequences. Therefore, we will analyze this delicate problem in more detail, so that this enemy is destroyed as quickly as possible without repeated relapses.

Causes of thrush in women

The occurrence of candidiasis can be provoked by any factor that affects the state of the vaginal flora, which can simply lead to its slight change, or complete destruction.

Main reasons:

Signs of thrush

All of the above symptoms are more acute on the eve of menstruation, or during it.

Drug treatment of thrush in women

To date, there are many means and methods of treating candidiasis with a medical method, let's talk about the most effective of them.

Pills

Derivatives of the triazole series, namely Fluconazole in the form of tablets or capsules, as a rule, a dosage of 150 mg is prescribed for a single or three-day intake, the result will be only in the case of early diagnosis of thrush and the start of taking the drug in the first days of the disease. For preventive purposes and to avoid relapse, Fluconazole is taken once a week for a month.

Antifungal antibiotics: Nystatin, Nitamycin, are prescribed in a more advanced form of inflammation. The course of treatment is 7-10 days, from the moment of diagnosing candidiasis.

Preparations for local treatment

This method can be attributed to the most effective way to get rid of unpleasant symptoms, since the pharmaceutical substance has its effect in the very focus of inflammation, and not superficially throughout the body.

Candles : Livarol, Zalain, Pimafucin, Nystatin, Povidone - Iodine, Betadine, Nystatin.

vaginal tablets : Neotrizol, Clotrimazole, Klion-D, Terzhinan, Hexicon.
Ointments and creams : Pimafucin, Clotrimazole, Zalain, Nystatin.

douching : Chlorhexidine or Decasan solutions.

When this diagnosis is detected, the appointment should be made by a gynecologist, after a preliminary examination and selection of smears for analysis. Self-medication may not have the desired effect or cause a relapse

Treatment of thrush with folk remedies in women

It is also advisable to resort to old, long-known methods from traditional medicine, the duration of the course of treatment will be a little longer than with medication, but the method will not be inferior in effectiveness.

Soda

Soda is a natural antiseptic, in the case of candidiasis, it is able to destroy fungal spores and create an invisible, protective film on the external and internal genital organs, the main thing is to prepare a solution with the correct concentration, for this you need 30 grams of powder (2 tablespoons without a slide), dissolve in 250 ml of warm, boiled water and use for douching twice a day, preparing a fresh solution each time. The course is 3-7 days.

Borax with glycerin

They have antimicrobial and anti-inflammatory effects. You can buy the components at a pharmacy, mix them in equal amounts, and soak a homemade swab made of sterile bandage and cotton into the mixture, put it in the vagina for 3-4 hours, or at night, after the procedure do not wash for two hours. The course is individual, until the symptoms are relieved.

Garlic

This food product is famous for its antifungal action, the use of this method can be considered one of the most effective, since the symptoms will disappear in 2-3 days from the start of treatment.

Peel two medium or one large cloves, rinse well and turn into gruel, pour it with a liter of boiled, cooled water, slightly warm. Douche in the morning and at bedtime, dividing the liquid into 2 applications, slightly warm the solution before the procedure.

In order for the treatment to be completed, the course should be at least 10 and not more than 14 days, despite the fact that the symptoms disappear in the first days of using the method.

Contraindications: pregnancy, allergy to garlic, tendency to hypertension.

Magnesia with kefir

Dilute a teaspoon of magnesia powder in 70 milliliters of warm kefir, blot the tampon well with the mixture and put it deep into the vagina at night, wash yourself with warm water in the morning without using soap. Course up to 10 days.

healing bath

Pour 15 grams of baking soda and 5 ml of iodine into a liter of warm water, let it brew for 3-5 minutes, take a bath with the solution for ten minutes. Repeat 7 days in a row.

The method can also be used for douching in a chronic or advanced stage of the disease.

Herbs

Chamomile

Chamomile flowers have excellent anti-inflammatory and healing effects, and are also the safest way to overcome the fungus.

50 grams of dry chamomile should be poured with 2 liters of boiling water and left for six hours under a closed lid in a warm place or a thermos, use the infusion for taking a bath or douching every 3 days, after recovery, reduce the use to once a week for a month and a half.

Calendula + yarrow

Pour 2 dessert spoons of herbs into a saucepan with cold water, bring to a boil, cover and let it brew for half an hour. Three times a day, for a week, douching with a solution, while you should refrain from intimacy.

Collection

Mix herbs of juniper, yarrow, nettle, sage, grind to a powder state. Combine a teaspoon of the mixture with a glass of fresh, boiled water and simmer over low heat or a water bath for fifteen minutes.

Take the decoction inside 100 milliliters before each main meal. With severe inflammation, additionally use for douching three times a day, a course of a week.

Sea salt

The easiest method. Pour a glass of salt into a basin with boiling water and stand over it for 5 minutes making a steam bath for the vagina and external genitalia. After the procedure, there may be a burning sensation for a short time. Repeat every evening, at night from 7 to 21 days in the absence of irritation.

The consequences of thrush

The consequences of candidiasis are not the most pleasant, some of them can pose serious threats to women's health and interfere with a normal, fulfilling life:

1. Violation of the supporting forces of the body, the destruction of immunity.
2. The prevalence of infection and inflammation in the uterus, appendages, which can provoke the development of erosions, cysts, benign tumors.
3. Infertility, miscarriages.
4. Chronic cystitis.
5. The development of herpes on the genitals.
6. Lack or decreased libido.

In addition, a woman will experience constant discomfort during intercourse, if the disease is started to a chronic form, then you can forget about pleasure in bed, there will only be cramps, pain, itching and burning.

Prevention of thrush

It has been scientifically proven that women who are overweight are twice as likely to be attacked by thrush. This is due to nutritional errors, deficiency or excess of female hormones, predisposition to excessive sweating, as well as defective kidney function, so it is important not to forget that the harmony of the body is not only aesthetic beauty, but also a healthy mind in a healthy body.

Treatment of thrush is necessary when a woman has this disease. Its other name is vaginal candidiasis. Candida fungus causes pathological symptoms, which, under favorable conditions, actively develops in the body and affects the mucous membranes of the external genitalia and vagina.

When is therapy required?

Causes of the disease

A number of factors provoke the development of the disease:

• The use of antibiotics. The most common cause of unpleasant symptoms. One of the side effects of taking antibacterial drugs is the inhibition of the natural microflora of the female vagina.
• Violation of metabolic processes in the body. One of the causes of thrush is diabetes mellitus, as a result of which the metabolism of fats and proteins is disturbed, as well as increased blood sugar. This is an ideal environment for the development of the fungus.
• Decreased immune forces. Frequent infections, inflammatory diseases, chronic diseases reduce immunity.
• Wrong nutrition. The lack of a balance of vitamins and nutrients in the daily diet often leads to the development of candidiasis. Sweet lovers deal a serious blow to the pancreas, hence the increase in glucose levels and the violation of the vaginal microflora.

Main symptoms

If thrush develops in women, the symptoms are often not confused with other diseases. The symptoms of the disease are as follows:

• severe burning and itching in the vulva;
• redness and swelling;
• white discharge like curdled with a sour smell.

In some cases, candidiasis is asymptomatic. This occurs in men, who are often only carriers of the disease, infecting their sexual partner.

Treatment of thrush

When diagnosed with thrush in women, treatment can be of two types:

• local (candles, creams, ointments, vaginal tablets);
• complex (local therapy is supplemented with systemic drugs - these are tablets with antifungal action).

Treatment of thrush in women of uncomplicated form can only be local. With recurrent candidiasis, complex therapy is required, including suppositories, ointments and antimycotic tablets for oral administration.

When it is necessary to treat thrush in women, they are prescribed only by a doctor based on the results of the analysis. When applying, a smear will be taken for bakposev, with the help of which the doctor will determine the sensitivity of the fungus to a certain active substance in the composition of the preparations.

Candles

Pills

If there are symptoms of thrush in women, only a doctor should be treated. Chronic forms of the disease require complex therapy, when local preparations are supplemented with tablets. This is the only way to eliminate the fungus in the body.

Modern pharmacology has in its arsenal various types of drugs that are actively fighting Candida. The following are effective:

• Pimafucin (Natamycin);
• (Diflucan, Flucostat);
• Ketoconazole;
• Nystatin;
• Miconazole.

If a woman is sexually active, a course of therapy is also prescribed for her sexual partner.

Treatment of thrush requires strengthening the woman's immunity and restoring the microflora of the vagina after a course of antifungal drugs. For this purpose, immunomodulators are prescribed (for example, Viferon, Likopid), probiotics and vaginal suppositories or tablets (for example, Lactobacterin, Vaginorm, Gynoflor and others).

During pregnancy

Treatment of thrush during pregnancy should be carried out with extreme caution. Therefore, the doctor selects drugs that do not have toxicity, are characterized by minimal absorption into the blood, do not harm the fetus, and at the same time have the most effective effect on the fungus.

In most cases, expectant mothers are prescribed Pimafucin suppositories as a local therapy. The drug is effective against the fungus, destroys the walls of the fungus and causes its death. This drug is acceptable in any trimester of pregnancy.

Tablets from thrush during pregnancy are not prescribed. Douching is also prohibited, which can have a negative impact on the course of pregnancy. Douching can be replaced by washing (not intense) with a decoction of chamomile or a solution of baking soda.

How can you help yourself at home?

The treatment prescribed by the doctor can be supplemented with folk remedies that are good to use. In any case, you must first consult a doctor.

How to treat candidiasis:

• Chamomile decoction. Has an anti-inflammatory effect. Used for washing or douching. Preparation: pour 1 tbsp. a spoonful of grass with a glass of boiling water, put on fire and bring to a boil, cool and filter.
• A solution of baking soda. Soda is alkaline, and therefore neutralize the acidic environment of the vaginal mucosa. To prepare a solution of 1 tbsp. Dissolve a spoon in a glass of boiled water. It is used for washing, douching or rubbing the external genitalia.

Diet

In the treatment of candidiasis, along with the use of suppositories, ointments or tablets, it is good to follow a diet. Special nutrition will help to quickly cope with the fungus and restore the body's strength.

With thrush, the following foods should be included in the diet:

• stewed vegetables (carrots, beets, cucumbers are the most effective);
• seaweed and carrot juice;
• chamomile leaves, plantain, oregano, blackcurrant berries (brewed as tea);
• parsley dill);
• legumes, cereals;
• poultry meat;
• boiled liver;
• unsweetened fruits;
• seafood;
• wholemeal bread;
• natural yogurt.

Thrush is an unpleasant disease, which can only be cured by properly selected therapy. Treatment should only be prescribed by a doctor based on test results.

Self-treatment of candidiasis leads to a number of unpleasant consequences in the form of allergies and the transition of the disease to a chronic form.

On the video about the disease