How to cure recurrent thrush. Complex treatment of acute and chronic recurrent thrush in women: drugs, regimens, monitoring of effectiveness. How to get rid of chronic thrush

We can talk about a recurrent or chronic form of thrush if the disease worsens more than four times a year. Most often this is due to a weakened immune system, which is simply unable to fight the attack of a fungal infection.

• Reasons for development and specifics chronic candidiasis
• How to get rid of chronic thrush?
• How to treat chronic thrush?
• Treatment regimen for chronic thrush
• Combating predisposing factors
• Diet
• Drug treatment
• Prevention is the best cure
• Is it possible to cure chronic thrush with traditional medicine?

Also, relapses are often observed in advanced forms of candidiasis, as a result of which deep lesions caused by yeast-like fungi are present on the walls of the vagina.

Treatment of chronic thrush in women is a long and complex process that requires a patient and attentive attitude to your health. The treatment process of a recurrent form has a number of its own distinctive features including lifestyle changes.

It's safe to say that just one pill from a commercial won't help matters.

Causes of development and specificity of chronic candidiasis

Statistics show that in most cases, the chronic form of thrush develops in people with serious disorders and severely weakened defenses. Since the disease can occur against the background of other pathological processes, it is not surprising that if you have complaints characteristic of candidiasis, your doctor may refer you to tests for the presence of sexually transmitted infections and hormonal levels.

To achieve lasting therapeutic effect It is important to follow your doctor's recommendations. Self-medication can aggravate the situation and lead to serious complications. Before starting treatment, it is important to understand what in a particular case caused the development of the disease.

The following reasons most often lead to the occurrence of persistent candidiasis:

• chronic infectious processes. Infectious diseases genitourinary system greatly weaken the work immune system, as a result, it simply cannot resist the attacks of fungal agents;
• hormonal changes, for example, during pregnancy, diabetes, obesity;
• poor nutrition. This is especially true for sweet lovers. Wrong diet can lead to intestinal dysbiosis and, as a result, cause thrush;
• uncontrolled and long-term use antibacterial agents;
• initiation of the disease in the early stages.

If we talk about the clinical manifestations of persistent candidiasis, they are similar to regular form diseases:

• unpleasant curdled discharge with a specific smell;
• itching, burning of the genitals;
• swelling and redness of the external genitalia;
• discomfort when urinating.

As for the differences, in the chronic form the symptoms are more pronounced. And in addition to all of the above, cracks appear in the genital area.

How to get rid of chronic thrush?

Treatment of recurrent thrush includes not only the use antifungal agents. It will take deep, long and serious treatment source, which led to immune disorders. If you want to eliminate thrush once and for all, it is important to address the cause of its occurrence.

Treatment of the recurrent form includes detailed and comprehensive monitoring. First of all, of course, it is necessary to check the gynecological smear for flora.

The procedure for taking biological material is absolutely painless. The glass with the material is sent to the laboratory, painted, and the laboratory assistant looks at the smear under a microscope. This study helps to accurately identify or exclude the presence fungal infection.

At positive result a smear on the flora is prescribed to the patient additional research in the form of bacteriological culture of a gynecological smear. Additionally, it is important to find an experienced and qualified professional to help you conduct your due diligence.

How to treat chronic thrush?

Treatment is carried out under the strict supervision of a doctor. Purpose medicines– this is an individual question that depends on the severity, form of the pathological process, as well as the characteristics of the body.

Treatment of chronic candidiasis is a multi-stage work; if you follow each “step” of the treatment process, then you can rest assured that you will be able to get rid of the hated disease.

Treatment regimen for chronic thrush

Treatment of recurrent thrush includes five main stages, namely:

• combating predisposing factors;
• diet;
• refusal bad habits;
• drug treatment;
• folk methods.

Combating predisposing factors

The first stage includes three points:

• rational antibiotic therapy;
• maintaining and protecting the immune system;
• personal hygiene.

Let's talk in more detail about compliance intimate hygiene in women with thrush:

• You should wash your hands thoroughly before and after washing;
• antibacterial soap kills well fungal infection, but at the same time it also has a detrimental effect on beneficial microorganisms, so it is better to use special products for intimate areas;
• Do not overuse baths;
• use an individual towel;
• frequent douching can only aggravate the situation, leading to disruption of the normal microflora;
• You should wash yourself at least twice a day, as well as before and after sexual intercourse;
• You should wash from front to back, this will prevent infection from the intestines;
• give up tampons;
• change pads regularly, as they become a favorable environment for the development of fungal infections;
• to avoid microtraumas, use soft toilet paper;
• wear natural underwear.

Separately, I would like to say about strengthening the immune system during chronic candidiasis. Patients may be prescribed immunomodulatory and vitamin complexes. As a rule, with candidiasis, a deficiency of vitamins such as A, C, E is detected.

These vitamins are wonderful antioxidants and provide normal functioning mucous membranes of the vagina and take an active part in immune reactions body.

To boost immunity, it is important to consume the following foods:

• sea ​​fish;
• olive oil;
• fermented milk products;
• pine nuts;
• citruses;
• dried fruits;
• greenery;
• carrots, etc.

Separately, I would like to mention the harmful effects of nicotine and alcohol on microflora. Even passive smoking greatly weakens the immune system and can lead to candidiasis.

Diet

Proper nutrition plays an important role in the fight against chronic infection. Patients should enrich their diet with foods that have antifungal properties. For example, pumpkin inhibits the growth of fungi. The well-known garlic, according to scientists, has pronounced antibacterial properties and suppresses the growth of fungal cultures.

In addition, it is important to fill the body with “competitors” of the fungal infection - beneficial bacteria. To do this, you need to eat unsweetened yoghurts with live cultures of beneficial microorganisms.

Drug treatment

Drug treatment of chronic thrush includes the use of the following drugs:

• systemic antimycotics;
• local azole therapy.

Popular antimycotics that experts prescribe for recurrent forms of candidiasis are:

• fluconazole. This drug is considered the gold standard in the treatment of fungal infections. Fluconazole is effective against fungal infections various types. Doctors prescribe one capsule every three days. The course of treatment is three doses. To prevent exacerbations, one capsule is prescribed once a week for up to six months;
• itraconazole This is another effective antimycotic agent. Most often, itraconazole is used when fluconazole is ineffective or hypersensitivity to that active substance. Take one capsule per day for a week. For prevention, itraconaol is taken one capsule on the first day of menstruation for three months.

Local therapy with azole drugs includes the following:

• clotrimazole. This drug has pronounced fungicidal and fungistatic properties, that is, it not only stops the growth of fungal infections, but also disrupts their vital functions. The tablet is inserted into the vagina overnight;
• bifonazole The product is an antimycotic drug with a wide spectrum of action. Bifonazole destroys the protective membrane of the fungal cell, which leads to its death. The cream is applied once a day for two to four months.

Prevention is the best cure

It is much easier to prevent a disease than to treat it, and this is especially true for thrush. Preventive measures include many aspects that are aimed at various areas human life.

The first and fundamental points that will help prevent the disease are:

• stopping contact with infected people;
• maximum strengthening of protective forces;
• careful adherence to personal hygiene rules.

As for those patients who have already undergone treatment, for prevention reinfection The following is recommended:

• usage barrier methods contraception;
• early examination and treatment of diseases of the genitourinary system;
• timely treatment of disorders that can lead to weakened immunity;
• refusal intimacy with an infected person.

The most important rule is to avoid self-diagnosis and self-medication. Don't focus on commercials and word of mouth. Only a qualified specialist with the necessary knowledge base will be able to prescribe the optimal treatment that will bring the desired result.

Is it possible to cure chronic thrush using traditional medicine?

Traditional medicine is not an alternative to traditional methods, but only a supplement. Despite the fact that traditional medicine recipes are usually reliable and safe, their illiterate use can lead to serious consequences. That is why traditional treatment must be carried out under the supervision of a specialist.

It is also worth noting that traditional methods can only slightly reduce the manifestations clinical symptoms, but they do not affect the very cause of candidiasis.

Let's consider effective and popular techniques:

• gynecological collection. The finished product can be purchased at a pharmacy. It can be used internally. To do this, pour a tablespoon of the product into a glass of water and boil for ten minutes. After straining, the decoction is ready for use. Also, breast collection can be used as douching. To do this, four tablespoons of the prepared decoction must be diluted in a liter of warm water;
• local baths. To prepare the medicine you will need one teaspoon of copper sulfate, alum and boric acid. The ingredients should be poured with a liter of boiling water. Next, the product should be infused for two days in a dark, dry place;
• washing. To carry out the procedure you will need medicinal plants. It is necessary to take the following plants in equal parts: chamomile, calendula, sage, yarrow, juniper, eucalyptus, birch and poplar buds. For one liter of boiling water there are two tablespoons of raw materials. The product should sit in a thermos overnight. The resulting infusion can be used for baths taken before bedtime;
• soda and iodine. One tablespoon baking soda should be dissolved in a liter of water, then add a teaspoon of iodine. The solution must be poured into a basin and sit for twenty minutes. This procedure should be done daily for a month.

Treatment of chronic thrush is long and painstaking work. You should not allow the disease to become your constant companion in life - as soon as the first symptoms of thrush appear, seek professional help.

—>

Symptoms and treatment of the chronic stage of thrush

Thrush or candidiasis colpitis is a lesion of the vagina by yeast-like fungi Candida. The disease occurs predominantly in women in reproductive age. Candida is part of the permanent microflora of the vulvar mucosa. While creating favorable conditions protozoa begin to actively grow and reproduce, causing irritation and inflammation of the reproductive organs.

Causes of development of chronic thrush

Vaginal candidiasis is most often diagnosed when the immune system is weakened. Provoking factors may include:

• accompanying illnesses internal organs;
• endocrine disorders: diabetes mellitus, hyperthyroidism;
• hypothermia;
• poor hygiene;
• antibiotic treatment;
• promiscuity;
• chronic dysbacteriosis;
• wearing tight clothes, underwear made of synthetic fabrics;
• taking oral contraceptives.

Thrush infection occurs during sexual contact, through personal hygiene items. Chronic candidiasis develops if treatment is not carried out on time acute stage. Gradually, the symptoms subside and become less pronounced, but relapses occur periodically. A cold can cause an exacerbation, viral disease, hypothermia, stressful situation, hormonal disorders. Most often, a recurrent form of thrush appears before the onset of menstruation.

Main symptoms of chronic thrush

In the acute stage, women are worried severe itching, burning and rash on the external genitalia, discharge white with an unpleasant sour smell, similar to cottage cheese. Uncomfortable sensations occur during urination, sexual intercourse is painful. Due to constant scratching, microcracks appear on the outer mucous membranes, the tissues turn red and swell greatly.

The acute period can last up to 2 months, then chronic candidiasis develops. Fungi deeply affect the mucous membranes, forming areas of infiltration and erosion. Symptoms of the recurrent form of the disease in the remission stage are less pronounced; there is a cheesy discharge, slight burning and itching of the genitals, which intensifies in the evening and at night.

Chronic thrush in women manifests itself as periodic exacerbations. Reappear typical signs candidal colpitis, is involved in inflammatory process urinary system. Cystitis, pyelonephritis may develop, sometimes on the skin in the perineal area, inguinal folds, painful ulcers are formed, covered with a whitish coating.

If long time Do not treat chronic thrush; the disease can lead to serious complications. Women develop adhesions fallopian tubes, the risk of infection increases Bladder and kidneys. Adhesive process leads to obstruction of the pipes, and as a result - intensifies PMS symptoms, violated menstrual cycle, infertility develops.

Diagnosis and treatment of recurrent candidiasis

The diagnosis of recurrent thrush is confirmed after examination, interviewing the patient, and obtaining test results for the composition of the vaginal microflora. Laboratory tests make it possible to exclude other sexually transmitted infections or identify a mixed type of pathology, and select a medicine to which pathogenic microorganisms are most sensitive.

How to cure chronic thrush, what medications help get rid of itching and discharge? The treatment regimen is selected by the gynecologist taking into account the severity of the disease and the presence of complications. Recurrent thrush is treated with the same drugs as the acute form, but to completely get rid of the disease, it will take much more time. The doctor prescribes local application vaginal suppositories and reception antifungal tablets inside.

Drugs for the treatment of chronic thrush in women:

• Fluconazole is a capsule for oral administration. Indicated for the treatment of generalized forms of candidiasis of the genital organs, intestines, urinary tract. Fluconazole is used for therapy and prevention of relapses. Capsules are taken once a month, the course of treatment is from 6 to 12 months. For complicated forms, a large dosage of antimycotic is prescribed.

• Vaginal tablets Clotrimazole – antibacterial, antifungal drug wide range actions. Suppositories are used if thrush is tormented, manifested by frequent relapses. The drug is also effective for mixed types of infection. For the treatment of chronic candidiasis, the use of suppositories and external treatment of the genitals with Clotrimazole cream are prescribed for 10–14 days.

• Livarol suppositories have a fungicidal effect during an exacerbation of thrush or to prevent relapses. Suppositories are inserted into the vagina once a day for 10 days.

• Candide gel is used for intravaginal administration to treat the mucous membranes of the vagina. The procedures are repeated for 6 days.

How to treat chronic thrush in women is determined by a gynecologist. Self-administration of pills and suppositories can aggravate the course of the disease and cause side effects and the development of complications. Before starting therapy, tests and examination by a doctor are required. With a mixed type of infection antifungal drugs will not give the desired result.

Treatment must be carried out by both sexual partners, otherwise reinfection. It is necessary to take the tablets strictly according to the prescribed regimen, even if the symptoms of chronic thrush have already passed. An interrupted course threatens the re-development of a fungal infection.

If your period begins during treatment, you should not use tampons, as they intensify the symptoms of candidiasis. Preference should be given to gaskets with top layer made from natural cotton.

Rehabilitation therapy

After eliminating the fungal infection, it is necessary to normalize the vaginal microflora, populating the mucous membranes with beneficial bacteria. This reduces the risk of repeated proliferation of yeast microorganisms, increases local immunity.

To restore microflora, suppositories and gels with bifidobacteria are used:

But you can use the products only with the permission of a doctor; if thrush is not treated, a relapse may occur.

In addition to drug treatment physiotherapeutic procedures are prescribed. Magnetotherapy, electrophoresis with zinc, mud, laser technologies help strengthen local immunity and increase resistance to pathogenic microorganisms.

Extended examination

Diabetes mellitus and diseases can cause the development of thrush thyroid gland. These pathologies develop due to a violation hormonal regulation body and require special treatment see an endocrinologist. Thrush often appears against the background of these ailments, as the immune system is weakened and a favorable environment is created for the proliferation of fungi.

The use of local antimycotics in such cases will not give results; elimination is required main reason illness. If you have diabetes, you need to control your blood sugar levels. Thyroid diseases are treated by correcting hormonal balance thyroid hormones.

The development of thrush can be provoked by an untimely treated tooth, inflamed gums, intestinal dysbiosis or sinusitis. Foci of infection should be eliminated and specialists should be consulted.

The necessary medications are selected by the attending physician, taking into account individual characteristics, the patient’s age and severity of the disease. Vitamins and immunomodulators must be prescribed: Immudon, Echinacea.

Prevention of chronic candidiasis

To prevent thrush from bothering you every month, you must follow the following measures to prevent exacerbations:

• prevent hypothermia of the body;
• treat concomitant diseases in a timely manner;
• wear cotton underwear;
• avoid casual sex;
• limit the consumption of sweets, flour products, alcoholic drinks;
• wash 2 times a day, do not use intimate gels with antibacterial effect;
• when using panty liners, you need to replace them 2-3 times a day;
• Antibiotics should only be taken as prescribed by a doctor.

At severe forms Chronic thrush during the period of remission is prescribed antimycotics in the form of tablets or vaginal suppositories.

Treatment of the recurrent form vaginal candidiasis is carried out comprehensively. It is necessary to use antifungal drugs for local treatment of the genitals and internal administration. It is important to strengthen the immune system and restore the vaginal microflora with the help of bifidobacteria.

What pills should women take for thrush?

The greatest effectiveness in therapy against candidiasis is shown oral medications. But which anti-thrush pills for women are trusted by doctors?

Thrush is a common infectious disease. It is caused by fungi of the genus Candida, which spread in the mucous membranes of the vagina. Treatment is comprehensive, aimed at eliminating the pathogen and symptoms of the disease.

What you need to know about antifungal drugs

Diagnosing candidiasis is not difficult. The gynecologist will need to examine the patient’s vaginal mucosa for discharge characteristic of a fungal infection. With candidiasis, the walls of the genital organs and the cervix are covered with a thick, curdled coating that cannot be removed. mechanical removal. But visual inspection it is not enough to make a diagnosis, since another infectious disease may be hiding under the symptoms of thrush. The gynecologist can confirm or refute his assumptions after examining a smear for flora.

Treatment is prescribed by a doctor based on the test results. Drugs for therapy against candidiasis are conventionally divided into two types:

• local action for external use - these include gels, ointments, creams, vaginal suppositories. They have an anti-inflammatory, anti-edematous and antipruritic effect. Suitable for treating thrush initial stage, in acute form and for the prevention of fungal infection. Quickly relieve symptoms, alleviating the woman’s condition;
• systemic action for oral use - these include tablets and capsules that allow you to cure thrush in the chronic and acute stages, less often used for prevention. Have a blocking effect on fungi, stopping reproduction pathogenic flora and suppressing the action of microorganisms. Disadvantages include rapid addiction, impact on gastrointestinal tract, many contraindications.

Features of treatment with preoral drugs

Despite the fact that creams and vaginal suppositories are effective against yeast-like fungi and can quickly eliminate the source of the disease, gynecologists continue to prescribe preoral medications. This is explained by several reasons:

1. The tablets help with chronic, recurrent thrush, which worsens several times a year.
2. Oral medications have excellent therapeutic properties. Sometimes taking one capsule is enough to feel relief within a few hours.
3. In severe cases of candidiasis, which is painful, with complications and/or when several infections are combined at once, treatment tablets are required.
4. If the patient has contraindications to the use of topical medications.
5. For young girls, when the introduction of suppositories is prohibited for ethical or religious reasons.

The active substance of the drug enters the gastrointestinal tract, then is absorbed into the blood and spreads throughout the body, affecting painful areas.

Effective drugs for the treatment of candidiasis

Among the variety of tablets to choose from pharmaceutical market It is problematic to choose a drug suitable for the body, based only on price and purpose. Self-medication of candidiasis is unacceptable, so medications should be taken only on the recommendation of the observing and treating gynecologist. Let's consider the safest, most reliable and effective, from the point of view of women and doctors, oral medications for oral administration.

A safe and highly effective drug against fungal infections. The disease will need to be treated for 2-3 weeks, which is one of the main disadvantages of Nystatin. There is also a weak effect of the substance in chronic and complicated thrush. The advantages are low cost, safety, no side effects.

Inexpensive tablets that are prescribed for the treatment of recurrent and acute thrush. They are ineffective against the chronic form of candidiasis, but due to the lack of contraindications, they are prescribed by doctors quite often. The main advantage of the drug is the speed of treatment. The package contains only 1 capsule, which can be taken at any time of the day. After a few hours, maximum two days, the woman feels relief from the symptoms of the infection.

Diflucan, Flucostat

Preoral medications are often used for self-treatment of thrush. They have several features:

• the active substance is fluconazole;
• the drug, after dissolving in the stomach and entering the blood, remains in the body for 30 hours, during which the substance actively fights fungi, destroying the source of the disease;
• Taking 1 capsule is enough;
• suitable for the treatment of recurrent thrush;
• quickly eliminates the symptoms of candidiasis.

Ketocanazole

Antifungal agent suitable for the treatment of chronic and acute form candidiasis. You will need to take the tablets for 5 days. A decrease in symptoms is observed after the first day of treatment.

Pimafucin

Today it is one of the most effective antifungal antibiotics with a wide spectrum of action. Suitable for the treatment of acute, chronic and complicated thrush. Pimafucin is prescribed in cases where other drugs are ineffective. Effective against fungi of the genus Candida and others infectious diseases. Prescribed for the prevention of thrush, including during pregnancy and before childbirth. Vaginal suppositories Pimafucin can be prescribed together with tablets.

Futsis

Refers to safe antifungal drugs. It acts directly on the site of the disease, so side effects are extremely rare. Candidiasis should be treated with Fucis for 1-2 weeks. Suitable for women suffering from acute thrush.

Contraindications to taking pills

Each drug has a list of contraindications. These include:

• diseases digestive tract in the acute stage;
• allergies, individual intolerance to the components of the drug;
• mental and neurological diseases;

Chronic candidiasis (or thrush) is a fungal infection of the mucous membranes, recurring up to several times within one year. Relapses of the disease appear due to incorrect, ineffective treatment of the acute form of the disease in women and men.

Developmental problems also concern children: they often become patients of a dermatologist.

Candidiasis: the cause of relapses

Thrush is a fairly common ailment, with 2-3% of sick women belonging to the youth group. age group. Chronic candidiasis causes a lot of trouble and inconvenience to the patient. The causes of the disease are varied:

• decreased immunity;
• advanced inflammatory process;
• concomitant kidney and liver diseases;
• hormonal disorders;
• abuse of antibacterial drugs.

The cause of the disease can also be the development oncological process and promiscuity.

There are many factors that weaken the immune system: stress, exhaustion of the body due to improper daily routine, hypothermia, balanced diet. Eating foods containing vinegar, indulging in spicy, salty foods, chocolate, and alcohol causes exacerbation and worsens the course of the disease.

With thrush, the patient’s body is weakened, and the fungus, called Candida, multiplies very rapidly, causing the appearance of characteristic clinical signs diseases.

Chronic oral candidiasis occurs after infectious diseases and with the development of endocrine diseases:

• diabetes mellitus;
• dysfunction of the adrenal glands in patients with AIDS, tuberculosis, leukemia.

Return to contents

Signs of developing an infection in the mouth

A long-term disease in the oral cavity bothers the patient, causing him painful sensations. A coating in the form of curdled grains appears on the mucous membranes. The rashes are difficult to remove with a spatula, bleed, and are painful when touched. Chronic form hyperplastic candidiasis is accompanied by abundant appearance plaque covering the back of the tongue.

With the development of chronic atrophic candidiasis, the patient notes swelling and hyperemia of the entire oral mucosa with damage to the palate and the entire surface of the tongue. A chronic form of the disease can appear under a removable denture if the patient violates the rules of its use. Orthodontic drugs contribute to the formation of chronic candidiasis in older men.

The sensitivity of the oral mucosa increases when exposed to temperature and chemical factors. The spots covering the tongue are varnished, smooth, with areas of altered epithelial tissue and small films. The papillae of the tongue are slightly smoothed, the mucous membrane is clearly hyperemic.

Erythema progresses, covering the entire mucous membrane of the tongue. In the corners of the mouth there are pockets covered with slightly weeping crusts.

Return to contents

Symptoms of hyperplastic chronic fungal infection of the mucous membrane

Patients note severe pain in the oral cavity after eating spicy and sour foods, unpleasant taste sensations. The mucous membrane is covered with multiple plaques with an uneven surface. Formations contain gray plaque, are difficult to remove from the surface. After their removal, a bleeding erosion with uneven edges is formed. Inflammation covers the mucous membrane of the pharynx and larynx.

Numerous plaques indicate the germination of fungal mycelium inside the tissues. In older people, areas of redness with an atrophic, shiny surface and pronounced swelling form under dentures. Patients are concerned about cracks in the corners of the mouth, but general state remains stable. Patients have a sharply reduced immune status.

Treatment must be under the supervision of specialists.

Return to contents

Features of nutrition for chronic candidiasis

As a result of the growth and reproduction of the Candida fungus, harmful substances accumulate in the patient’s body, reducing his resistance to infections. Diet food reduces the toxicity of microorganisms and neutralizes the effects of toxic substances. It is necessary to combine a balanced diet with a proper daily routine to enhance the effectiveness of treatment of the disease.

The main goal of the diet is complete blocking nutrients for the growth and reproduction of fungus. It is forbidden to eat foods rich in carbohydrates:

• sugar;
• sweet juices;
• beets;
• alcohol.

Meat and fish dishes, eggs, green vegetables and fruits. Limit the consumption of coffee and tea, which affect the effect of antifungal drugs. Low-fat dairy products with bifidobacteria promote quick recovery. Before starting a diet, you need to consult a nutritionist.

Healthy nutrition helps improve the patient’s immunity. It is useful to eat nuts, sunflower and pumpkin seeds, which reduce the risk of relapse of candidiasis.

Return to contents

Diagnostic scheme for the disease

Chronic urogenital thrush is registered by laboratory testing in the acute stage of the process. Colonies of the fungus Candida are studied: if their integrity is violated, a diagnosis of “chronic candidiasis” is made. The analysis allows the doctor to prescribe comprehensive treatment.

For diagnosis, culture of biological material is used: blood, cerebrospinal fluid, urine. A serological study of antibodies in the blood serum and tissue histology after biopsy are carried out. At asymptomatic disease, it is necessary to conduct a study of the patient’s dried urine to determine the mycelium of the Candida fungus.

Diagnosis of urogenital chronic fungal infection using a drop of dried urine with asymptomatic treatment makes it possible to establish the form of candidiasis. The doctor prescribes effective antimycotic treatment to prevent the occurrence of generalized candidiasis.

In children they carry out differential diagnosis chronic candidiasis, taking into account the patient’s concomitant diseases and clinical symptoms illness.

Recurrent vaginal candidiasis is also called thrush. The disease is characterized by periods of remission and exacerbation, replacing each other. The cause of the disease is Candida fungi. They belong to the opportunistic vaginal flora, but with a decrease in immunity they begin to multiply rapidly. One of the forms of candidiasis is recurrent, when symptoms of the disease appear every month even after treatment.

Causes of relapses

Recurrence of candidiasis in women has several causes. This diagnosis is established in cases where signs of pathology return every month. However, the periods of remission are short.

The main reasons are:

• reduced immunity due to long-term illnesses;
• long-term use antibacterial agents that negatively affect the vaginal microflora;
• use of hormonal contraceptives;
• insufficient amount of vitamin A in the body;
• disruption of the vaginal microflora due to various reasons;
• increased sensitivity to fungi, when thrush is accompanied by an allergic reaction;
• presence of primary fungal infection.

A man can also become infected with candidiasis and be a carrier of the infection.

The disease also manifests itself in cases where the viability of other types of fungi, such as yeast-like ones, increases.

Even after complex treatment, they remain in the body and, under the influence of certain factors, begin to multiply again. Recurrence of vaginal candidiasis is not rare disease among women. This is due low immunity, which is unable to cope with pathogenic microorganisms. As a result, the period of remission is replaced by exacerbation.

Advice from immunologists on the treatment of recurrent vaginal candidiasis

The main reason for the development of recurrent candidiasis is reduced immunity. In order to increase the period of remission, you need to contact an immunologist. He will determine the reason why the immune system cannot cope with the disease and prescribe a course of therapy. Experts recommend:

1. 
   

   Complete treatment. This will help reduce the likelihood of recurrence of the pathology.

2. Eliminate the influence of provoking factors.
3. Eat properly. The diet should not include harmful products, for example, fast food or with a lot of flavorings, carcinogens.
4. To refuse from bad habits. Alcohol and smoking negatively affect not only the lungs and liver. They have a bad effect on vaginal microflora and immunity.
5. Avoid sexual intercourse for the duration of treatment.
6. Do not use hormonal agents or antibiotics. In cases where treatment of another disease is impossible without these drugs, it is necessary to take drugs to maintain microflora.
7. Follow the rules of intimate hygiene.

It is much more difficult to cure the recurrent form of vaginal candidiasis, in contrast to the acute form.

For this purpose, a complex of medications is prescribed, the main ones being antifungal. Their main advantage is the possibility of local influence. The drugs are also available in the form of ointments and creams. They have no side effects and are easy to use. The form of funds allows active substance reach the hearth faster pathological process and act directly on pathogenic microorganisms. This helps to achieve the desired effect faster.

In cases where chronic recurrent candidiasis is established, systemic drugs in the form of tablets. In order to restore the vaginal microflora, products are also recommended that help create a favorable environment for the development and spread of lactobacilli.

After use antibacterial drugs antihistamines, painkillers and immunomodulators are prescribed. The treatment regimen is determined by the attending physician.

Recurrence of candidiasis before childbirth: what to do

During pregnancy, especially during later, thrush often occurs. The opinions of specialists and women themselves regarding the need for treatment vary. Many people believe that treatment for thrush during pregnancy is inappropriate. But gynecologists say that with candidiasis it is necessary to rely on the woman’s condition and the characteristics of the course of the disease.

Disease with severe course may cause the following complications:

• infection of the fetus during intrauterine development or passage through the birth canal;
• premature birth or miscarriage;
• soft tissue rupture labor activity, which threatens bleeding of varying intensity.

When diagnosing recurrent vaginal candidiasis during pregnancy, drugs such as pimafucin or ecofucin are prescribed. They have similar action, safe for the child and expectant mother. Experts do not recommend self-medication, as this can lead to serious consequences.

How to reduce relapses

In order to reduce relapses of candidiasis, it is recommended to follow a number of rules. They are aimed at maintaining immunity and reducing the risk of fungi entering the genital mucosa. In this way, it is possible to reduce the likelihood of relapse several times.




1. Wear underwear made from natural materials. They allow air to pass through and absorb moisture, preventing bacteria from multiplying.
2. Treat any diseases in a timely manner. The treatment method depends on the type, form and degree of development of the pathology.
3. Visit your doctor regularly for preventive examinations.
4. Give everything up necessary tests, which help determine the presence of fungi and bacteria.
5. Eliminate the possibility frequent changes sexual partners.
6. When using intimate lubricants, absorb only on a water basis.
7. Rule out hormonal disorders.
8. To refuse from bad habits.

You should also eat right, especially during pregnancy, as the body is more susceptible to the influence of various factors.

The diet should contain fresh vegetables and fruits. You also need to reduce the amount of fatty, fried and salty foods.

Attention should also be paid to intimate hygiene. Doctors do not recommend using special sanitary pads. You need to wash yourself twice a day using intimate hygiene products.

Recurrent vaginal candidiasis is not a rare occurrence among women. The main reason for the development is reduced immunity. In order to reduce the frequency of relapses, it is necessary to follow a number of preventive measures. If there is no improvement, you should consult a doctor who will select a treatment regimen. This will help reduce the number of relapses of the disease.

In situations where a woman is literally tormented by thrush, complex treatment is required. Often this disease is cured quickly, but under the influence of unfavorable factors, the acute form of the disease develops into recurrent vaginal candidiasis. At increased activity fungal therapy causes certain difficulties, since frequent relapses are associated with a decrease in the body’s immune system.

The diagnosis of “recurrent thrush” in women is made in cases where the disease returns every month. There are only short periods of remission and frequent exacerbations.

Causes frequent thrush the following:

• depressed immunity;
• reception hormonal contraceptives or ;
• lack of immunoglobulin A in the body;
• disruption of the vaginal microflora and creation of a favorable environment for the development and reproduction of pathogenic microorganisms;
• incorrectly selected therapeutic course;
• damage to the body by other representatives of fungi;
• increased sensitivity to fungal infection, accompanied by an allergic reaction;
• self-medication.

Thrush often appears in cases where the viability of certain forms of yeast-like fungi is quite high. Even after complex treatment, the infection remains in the body, and the disease certain conditions will return.

It should be noted that gestation period is also included among the risk factors. Constant women are far from uncommon. This is due to a decrease in the body’s protective functions and hormonal disorders.

Treatment of frequent thrush in women

Treatment of recurrent thrush is carried out comprehensively. The gynecologist chooses the course of therapy.

Diagnosis and treatment of the disease are carried out under the strict supervision of a specialist. Trying to get rid of candidal colpitis on your own is strictly prohibited. Therapy continues even after all clinical manifestations diseases. Often the reason that thrush recurs every month is due to insufficient treatment.

To cure a disease, it is extremely important to identify the root cause of its occurrence. For this purpose, you need to seek help from a doctor. He will spend in the gynecology department laboratory research and, based on the data obtained, will prescribe an adequate course of therapy. If during the first episode it is enough for a specialist to examine a smear taken from the vaginal mucosa during an examination, then with the frequent return of the disease, studying the discharge from candidiasis turns out to be little.

Includes the following activities:

• examination on a gynecological chair and taking vaginal contents to study the microflora;
• stool, urine and blood tests;
• determination of sensitivity to medications using bacteriological culture;
• consultations with specialized specialists (immunologist, urologist, gastroenterologist, endocrinologist).

Therapy for chronic recurrent vaginal candidiasis has the following goals:

• stopping the activity of candida fungi;
• eliminating the root cause of the development of vaginal candidiasis;
• strengthening the immune system;
• restoration of the microflora of the vaginal lining;
• treatment of the sexual partner.

Frequent thrush in women is treated according to the following regimens:

• usage ;
• taking systemic antifungal drugs and;
• complex therapy using vaginal suppositories and antibiotics.

Regardless of the chosen course, control diagnostics are carried out every week.

There are a huge number of antifungal drugs, long-term use of which gives good results. The use of Nystatin, Fluconazole, Diflucan is effective. Positive dynamics are observed in the case of the use of antifungal ointments and other local funds, including Ketoconazole, Hexicon, Gynoflor, Livarol.

To prevent thrush from returning, you can use additional immunomodulatory drugs and agents designed to eliminate dysbiosis. These include any probiotics, as well as Lactofil and Linex.

Frequent relapses of thrush can be prevented. To this end, it is necessary to eliminate the impact of unfavorable factors and overcome a number of diseases.

1. Increased protective functions of the body. The recurrent course of the disease is often provoked by suppressed immunity. Such disorders may be caused diabetes mellitus, chronic allergic or infectious processes and cachexia. Even wrong mode day, excessive physical activity and mental stress negatively affect the immune system.
2. Refusal long-term use antibacterial drugs. The use of such funds is allowed only in exceptional cases and only as prescribed by a doctor. Medicines in this group destroy both pathogenic and beneficial microflora, but do not affect the fungus. Due to this, the infection begins to progress, and women often develop thrush.
3. Fight with hormonal imbalances. The use of contraceptives and pregnancy can provoke disorders. Often this process occurs due to ovarian dysfunction, changes in the functioning of the thyroid gland and obesity.

The cause of thrush may be poor nutrition. Increased quantity carbohydrates in the diet leads to the fact that signs of candidiasis reappear. Women are advised to completely avoid or minimize the consumption of fried, salty and spicy foods.

Particular attention should be paid to personal hygiene. To prevent the disease from recurring, regular use of sanitary pads should be avoided. You need to wash yourself twice a day, but use not soap, but special means intimate hygiene. You should also choose your underwear carefully. It is not recommended to wear tight models made of synthetic materials. The choice should be made of cotton fabrics and loose tailoring.

To prevent thrush from returning and often reminding itself, you should also stop drinking alcoholic beverages. It is better to give preference to teas based on medicinal herbs, effectively affecting the body as a whole.

Candidiasis is back: is the husband to blame for cheating?

If you are diagnosed with thrush, a relapse may occur after sexual intercourse, but this is not yet a reason to suspect your partner of cheating. A man is a carrier of infection and may not even know it.

During treatment, antifungal drugs should be taken by both partners. Thrush constantly returns in cases where the course of therapy is carried out unilaterally. The husband remains a carrier of the infection, since fungi that belong to the Candida group remain in his body, and the disease may return.

In addition, factors that provoke the appearance of signs of the disease, the main one of which is itching, may be inflammation of the mucous membranes, suppression of the immune system, damage to other infections and failure to comply with personal hygiene rules. This creates a favorable environment for the development of candidiasis. Accordingly, you should not blame your spouse for the fact that the thrush has returned. There are a huge number of reasons why relapses occur.

Treatment of frequently occurring candidiasis should be carried out exclusively by a gynecologist. A woman who does everything in accordance with his recommendations will have a minimal risk of relapse. Therapy is carried out comprehensively. Not only the symptoms of the disease are eliminated, but also the factors that provoke its recurrence.