21st November 2015 | Author:

Thrush

Vaginal-Candidiasis-250x250

What is Vaginal Candidiasis?

Vaginal Candidiasis also known as vaginal thrush is one of the most common conditions experienced by females. Results have shown that this has affected approximately 80% of females at least once in their lives. Vaginal thrush is an infection which is caused by a type of yeast known as Candidia Albicans. This is naturally present in the vagina as the normal flora of the body, and therefore usually harmless. However when the vagina’s conditions is altered it results in thrush symptoms.

What are the causes?

  • Medications such as Antibiotics, oral contraceptive pills and oral steroid
  • Pregnancy: This fluctuates the hormonal balance of the body
  • Diabetes: Increased sugar levels enhance the environmental conditions needed for the bacteria to grow.
  • Immunocompromised patients such as those suffering from HIV (Human Immuno Deficiency Virus).
  • Clothing such as synthetic underwear and tights

Symptoms

  • Itchiness
  • Soreness
  • Red and swollen vulva
  • Creamy and thick discharge with no odour

Confusion tip:
This condition can also be mistaken with urinary tract infection, as patients suffering from vaginal thrush may experience Dysuria, which is pain on urination. This is mainly due to any scratching which could have removed the surface of the vaginal tissue, making it more sensitive and resulting in pain.

Treatment

Vaginal Candidiasis is treated with azoles. These include Flucanozole and Clotrimazole.
The following shows the two different type of medications and method(s) by which each can be applied.

Flucanozole Oral 150mg tablet taken singularly

Clotrimazole 2% external “topical cream”
10% internal “vaginal cream”
100mg, 200mg and 500mg pessary

Treatment Advice tips:
Topical cream is mainly used for temporary relief of the itchiness, whilst the oral, vaginal cream and pessary are mainly used to clear the infection.

Prevention

  • Use of cotton underwear instead of nylon
  • void tights
  • Avoid soap and foam baths
  • Avoid vaginal deodorants
  • Always wipe from front to back to prevent spread of Candida from anus to vagina.
  • egular eating of live yoghurts as through research it has been found to have elevated the levels of lactobacilli in the gut. This can also be applied topically onto the vulva or directly into the vagina using a tampon.