Candidiasis is a common disease that interferes with a woman’s normal daily life. If the cause is not eliminated, the thrush will quickly increase the area of the lesion and recur regularly.
In some patients, the trigger for recurrence is the end of ovulation. The appearance of thrush can be affected by poor nutrition, poor functioning of the immune system, violation of personal hygiene, and infectious diseases (especially those that are sexually transmitted).
Why there is a thrush during ovulation, many patients are interested. The manifestation of symptoms of thrush affects many factors. The first reason may be the lack of a protective mechanism, when the body is completely weakened and the woman does not allow him to recover from colds. Against this background, parasitic fungi are much easier to spread to mucous membranes.
The immune system weakens when taking potent antibacterial drugs, for example, for the treatment of cystitis (Ciprofloxacin). Therefore, when self-medication can not only get rid of the inflammation of the bladder, but also become the owner of other unpleasant symptoms.
But this is not the only cause of the disease. Chronic diseases can affect the development of thrush. In this case, therapy is carried out to eliminate the signs of candidiasis and its further prevention.
Candida colpitis is manifested when taking pharmacological agents for emergency contraception. The fact is that drugs of this kind affect the hormones and cause not always an adequate reaction of the body.
The cause of candidiasis may be the action of an allergen. Allergic reactions also affect the hormones, as well as infections that are sexually transmitted. For example, hepatitis B, HIV syphilis, gonorrhea, trichomonasis, chlamydia. All of these factors weaken the body’s defenses and contribute to Candida parasitism.
Ovulation of thrush should not be provoked directly, this condition is not the norm. Despite the fact that in the middle of the cycle hormonal changes take place in the body, vaginal secretions change, the body of a healthy woman must cope with this and prevent the development of inflammation.
The cause of thrush after ovulation can be successful fertilization, that is, pregnancy. This cause of candidal colpitis is more common than infectious diseases.
After fertilization within a week, the embryo moves from the fallopian tube into the uterus and is implanted. From this point on there are changes in a woman’s body. Hormonal background is rebuilt, and immunity is reduced, which is necessary for the successful course of gestation. The consequence of such changes may be a recurrence of thrush a week after ovulation.
Why does thrush appear during ovulation? As mentioned earlier, the disease is associated with changes in the hormonal background. When a fetus is born, hormone problems arise due to the production of progesterone. Pregnancy hormone affects the colonies of Candida Albicans, which were previously contained in the body in small quantities.
In addition, progesterone helps to reduce the number of lymphocytes in the blood. The main role of these elements is to protect the body, including the mucous membrane of the external genital organs. By reducing the level of lymphocytes, the number of colonies of parasitic fungi increases, and the symptoms of the disease are exacerbated. Due to the manifestation of such factors, the body can not cope with the protection against thrush, especially before ovulation.
A pregnancy hormone can create a favorable environment for fungi with an increase in blood glucose levels. In addition, progesterone affects glycogen, whose role is to control the vaginal microflora.
From all this we can conclude that the main trigger of thrush is not the pregnancy itself, but progesterone. Therefore, when planning conception, special attention should be paid to the prevention of candidiasis. To do this, you can consult with your doctor for the reception of special drugs. And you should also follow the simple rules of hygiene, comply with sleep patterns, eat right (monitor the amount of sweets) and do not forget to contact a gynecologist at the first signs of symptoms.
The characteristic symptoms of thrush in ovulation are white cheesy discharge with an unpleasant odor, plaque, burning sensation, pain when urinating, changes in basal body temperature, irritation of the surface of the external genital organs and anus.
Healthy secretions during ovulation are mucous, transparent and viscous, similar to egg white. If thrush began during ovulation, the discharge will be quite abundant, which is typical for this period, but with white creamy blotches, curd-like.
If you do not treat the disease, it can become chronic and cause infertility or affect the current pregnancy. This complication may occur as a result of self-treatment. When using drugs without a doctor's recommendation, you can get rid of the symptoms for a while, but then they reappear and become more pronounced. In addition, the reception of pharmacological agents without the knowledge of the doctor can give a number of complications:
- reduced immunity
- development of thrush during ovulation,
- Colds, flu,
- infection with infections
- hormonal imbalance,
- severe lower abdominal pain, accompanied by cramps,
- an increase in the area of infection,
- menstruation changes.
If, after ovulation, symptoms that are characteristic of thrush began, then you need to sign up for a consultation with a gynecologist for further treatment. The doctor will first examine the patient's history, conduct an examination and prescribe tests to differentiate the disease.
The doctor gives a referral to a vaginal smear, complete blood count, coprogram, urinalysis. These data help determine the cause of candidiasis and confirm its presence. Since thrush is similar to the herpes virus, chlamydia, clap, vaginal trichomonas activity, it is very important to conduct an examination.
To finally get rid of the symptoms of the disease, you need to undergo a course of treatment for both partners at once.
Who causes thrush?
The causative agent of thrush are yeast-like fungi, of the genus Candida. From modern literature, more than a hundred species of Candida fungi are known, but Candida albicans predominantly causes the infection.
Fungi are opportunistic and can occur in the oral mucosa, on the skin, in the human intestine. When favorable conditions appear, they begin to actively proliferate with the development of an infectious process.
Fungi have sizes from 6-10 microns, oval or rounded, and may have an irregular shape. They multiply, like all other mushrooms, by budding. Candida albicans are supplied with oxygen breathing.
Due to its ability to produce enzymes, endotoxin, fungi can penetrate and develop not only in the tissues of the body, but also live on foreign bodies in the body (intrauterine device, prostheses, vaginal septum and others)
Conditions for the development of thrush
Favorable conditions for the growth and reproduction of yeast-like fungi in the body are: first of all, weakening the body's defenses, which can be caused by background diseases (diabetes, endocrine diseases, thyroid disorders, tuberculosis, obesity), medication: antibiotics, cytostatics, glucocorticoids, observed in HIV-infected, during pregnancy, during menstruation.
Thrush is so different
Thrush or vulvovaginal candidiasis can occur in an acute or uncomplicated form, in which there are acutely developing symptoms: itching, burning, cheesy discharge from the genital tract, unpleasant sour smell.
In addition to these symptoms, you can also note discomfort during urination, pain during intercourse. When the process is chronized, atrophy of the mucous membrane, reduction of discharge or their complete disappearance is noted.
As well as thrush can occur in a complicated form or it is called recurrent vulvovaginal candidiasis. This form of the disease occurs with less severe symptoms, in which the discharge in the form of whiter is minimal or even absent, and the disease recurs more than 4 times a year.
It should be said about another form, called candidature. In this form, the symptoms of the disease are completely absent, however, in a laboratory study, yeast-like fungi are found in the body. This condition does not require any treatment.
Vulvovaginal candidiasis is not sexually transmitted and has been excluded from the list of sexually transmitted diseases. The elimination of the pathogen in the genital organs occurs from the intestine, with the presence of predisposing factors, it begins to actively multiply with the development of the infectious process.
Above, we have listed symptoms that are familiar to every other woman who has had thrush, but these symptoms do not characterize only thrush, as they can be observed with other infections.
Therefore, the diagnosis is confirmed by the discovery in the vaginal secretion of yeast-like fungi. The main diagnostic method is microscopy.
We will treat thrush
Treatment of thrush today is not an easy task, given the appearance in yeast-like fungi of a "protective shell", which is called biofilm.
Schemes for treatment of thrush and phased therapy have been developed. Oral antimycotics are prohibited during pregnancy, due to their possible teratogenic effects. Therefore, preference is given to local antifungal drugs that are not absorbed into the blood.
A modern drug approved during pregnancy is the drug butoconazole nitrate, or, in Russia, it is called Gynofort. The drug is a vaginal cream. It is highly active against Candida fungi, due to its active fungicidal effect.
The drug is introduced into the vagina once a day, regardless of the time of day, evenly distributed into the vagina and retains the effect for 7 days. After this period of time, if the symptoms of the disease are still present, the administration of the drug is repeated.
Another modern development is the drug sertaconazole, or, in Russia it is called Zalain. These are vaginal suppositories, which are also highly active against Candida fungi. Apply the drug vaginally, once, preferably at night. The drug is approved for use during pregnancy. If symptoms persist, use is also repeated after 7 days.
Another drug approved for use during pregnancy, and more specifically in the second trimester of pregnancy, is Terzhinan. This is a broad-spectrum drug that is active not only against fungi, but also other microorganisms. It is a vaginal pill. It is applied on one vaginal tablet in a vagina, previously having moistened it with water. The course of treatment is 10-14 days.
Another modern drug is Neo-Penotran Forte L, containing in its composition, in addition to the active active ingredient, lidocaine. The drug quickly relieves pain and itching. Available in the form of oval candles. Apply 1 suppository 1 time per day for 10 days.
We restore microflora
Given that antifungal drugs kill not only fungi, but also beneficial microorganisms of the vagina, it is necessary during antimycotic therapy or after it, to prescribe drugs containing lactobacilli, in order to restore the vaginal microflora.
These drugs include: - modern drug Gynoflor E, which contains not only lactobacilli, but also estriol, which has a positive effect on the vaginal epithelium. Use the drug in 1-2 vaginal tablets for 6-12 days. It should be noted that the drug is also allowed for use during pregnancy.
In addition to drugs, to maintain the vaginal biocenosis, you can also use dairy products, such as yogurt, kefir line Activia.
I work in the specialty since 2010. She graduated from Saratov State Medical University in 2008 with a degree in medicine. She completed an internship in emergency medical care in 2009, in 2010, an internship in obstetrics gynecology, 2014 advanced training in the specialty reproductive specialist, primary specialization in ultrasound diagnostics. 2009-2014 - Maternity Home No. 3 of the city of Ufa, Republican Perinatal Center of the city of Ufa, Department of Assisted Reproductive Technologies from 2014 to the present. Specialization: reproductive health, ultrasound diagnostics.
Why does thrush arise?
Considering the reasons why the Candida fungus becomes active, first of all you need to say about weakened immunity. Decrease in the body's defenses can be associated with past infectious or catarrhal diseases, taking antibiotics. As a result of the fact that the body is not able to deal with negative effects, symptoms of candidiasis appear. However, besides this main premise, others are known that affect the growth of the fungus after ovulation:
- Various chronic diseases and poor health cause candidiasis. In this case, first of all, it is necessary to begin treatment of the internal organs with a chronic course of the disease.
- The appearance of cheesy discharge, itching and burning may be affected by the use of contraceptive drugs. As a result of their impact, hormones are disturbed, which leads to the activation of the Candida fungus.
- Immediately after ovulation, the composition of hormones begins to change. Especially this process is accelerated in the case of fertilization. There is a restructuring of all body systems, the immune system is weakened, there is a thrush.
Hormone failure most often occurs at puberty, as well as before menopause. Also, candidiasis after ovulation may appear as a result of active progesterone production. How does this happen?
Progesterone is to blame
Progesterone reduces the amount of estrogen in the blood. In addition, it affects the immunity of women. Because of this hormone, the number of lymphocytes in the blood decreases, the body's defenses are reduced. Indeed, one of the functions of lymphocytes is to resist the fungus of the genus Candida. When they become smaller, their protective reaction to various fungi also decreases. Those, in turn, begin active reproduction.
Hormone progesterone, the production of which increases sharply immediately after ovulation, helps to strengthen the pathogenic microorganisms on the walls of the vagina. It is proved that if the Candida fungus does not remain on the mucous membrane, it will not be able to get into the internal tissues. With problems with the thyroid gland, diabetes mellitus, venereal diseases, the use of a large number of sweet, flour, baked products, a high level of progesterone further contributes to the activation of thrush.
Ovulation is the period when there is a restructuring of the body between cycles: one of them ends and the other begins. This explains the manifestation of the symptoms of thrush. In any of the cases described, great importance is given to hormones. They also affect the female body during pregnancy, so staying in an interesting position is also a possible cause of candidiasis.
Some tend to believe that the ovulation period is the cause of thrush. However, it is not. As mentioned earlier, the most important role is assigned to a high level of progesterone, which does not decrease during fertilization of an egg and the onset of pregnancy.
If conception did not occur, then in the second phase of the cycle the level of the hormone gradually decreases. With its minimum rates, menstruation begins. Thus, thrush after ovulation does not depend on whether the pregnancy has occurred. The main reason is impaired microflora.
Prevention of thrush
The fact that in the 2 nd phase of the cycle an increase in the amount of progesterone occurs cannot be changed. However, to prevent the development of infections and weakening of the immune system is quite real.
All preventive measures are very simple and understandable to everyone. Performing them regularly, you can avoid the appearance of unpleasant symptoms of candidiasis:
- If pregnancy is planned, then before ovulation it is necessary to consult a doctor. A gynecologist will definitely prescribe a vaginal microflora test (smear) to rule out the presence of pathogenic microorganisms.
- Even if it is not yet certain that the conception has occurred, it is recommended to wash away with means for pregnant women.
- От спринцеваний желательно отказаться, так как данная процедура способствует вымыванию полезных веществ и провоцирует рост грибка Кандида.
Планируя зачатие, обязательно следует отказаться от приема лекарств, в особенности антибиотиков. Делать это нужно заранее. If you do not take them only on the day of ovulation and immediately after it, the negative consequences of this will affect the unborn child. This is due to the fact that many of the medicinal substances are capable of accumulating in the body. Therefore, a sufficiently long period of time is required for their removal.
What to do?
If thrush appeared during ovulation or after it, it is worth adjusting your diet. It is necessary to reduce the consumption of sweet, various salting. At the same time in the diet should be as much as possible fruits and vegetables, meat, low-fat varieties, dairy and dairy products, cereals. Juices, fruit drinks, fruit drinks are best for drinks. It is important not to forget about sufficient consumption of clean water.
In cases where, despite all the precautions, immediately after ovulation symptoms of thrush appeared, you should immediately consult a doctor. The gynecologist will conduct the necessary examination and, on the basis of analyzes, will confirm or refute the presumptive diagnosis. The fact is that the signs of candidiasis are very similar to other diseases (chlamydia, gonorrhea, herpes). Only after the diagnosis is prescribed treatment.
Since the thrush in the second phase of the cycle may still indicate conception, the expectant mother should take care of her health and the health of the baby. Before birth, candidiasis must be cured, because there is a risk that the baby will become infected with fungus. In addition, the disease can cause complications during childbirth. Self-healing is prohibited. As has already been said, preventive measures should be followed before ovulation, and if the disease develops during pregnancy, it is imperative to contact a qualified specialist.
So, the thrush in the post-ovulation period can seriously concern women, especially those who are planning a pregnancy. However, do not panic. Having dealt with the causes of the disease, the doctor will select the necessary and, if necessary, gentle treatment.
What is thrush?
The disease in the genitals develops due to the presence of yeast-like fungi. The disease manifests itself in the form of a cheesy secretion or discharge of a light color, similar to a peculiar plaque. Often, along with it, the immune system is weakened, an imbalance of the microflora of the mucous is observed.
There are three stages of the disease, based on the degree of neglect:
- candidal colpitis (initial),
- candidal vaginitis (mucosal lesion),
- Candida pyelocystitis (infection penetrates deep inside).
The development of pathology gives the patient discomfort and inconvenience only when the acute stage begins. All the features of its course are purely individual. They depend on the general condition of the body. Usually observed:
- severe burning,
- heavy discharge of cheesy mucus,
- sour smell secretion
- pain during sexual contact
- discomfort when urinating.
It turns out a huge impact on hormones. Exacerbations are recorded approximately 10 days before the next menstrual period, when progesterone surge occurs. Symptoms can be aggravated if the patient wears an uncomfortable synthetic underwear, because it interferes with normal air circulation.
An important role is played by personal susceptibility to the fungus. An allergic reaction is often manifested: the external parts of the genital organs swell.
We offer you to watch a useful video on the topic:
Causes of appearance at various stages of the cycle
It is believed that after ovulation, thrush as a sign of pregnancy makes itself felt. In the second phase of the MC, it is a consequence of hormonal adjustment. When the egg has matured, there is a surge in progesterone, which plays a key role in the fertilization process. It is with this element that specialists associate the activity of the fungus.
Progesterone surge has a negative effect on immunity. In particular, lymphocytes and leukocytes can stop being produced in the body.
When their number is below the norm, it becomes more vulnerable to the ingress of bacteria.
After the release of the egg, the adhesion of harmful substances to vulnerable mucous membranes is triggered.
It is primarily about sticking. That is, the fungi settle on the walls of the vagina, where they begin to multiply.
Can there be thrush during ovulation? Physicians answer this question positively. Thrush and ovulation occur simultaneously due to the following factors:
- there are chronic problems
- taking heavy drugs
- contraceptive use
- hormonal disbalance,
- pathology of the urinary system.
It must be remembered that candidiasis can not run, you need to fight it. This is especially true of those who are planning to become a mother or are already in the position. Often the infection affects the fetus. Sometimes it causes spontaneous abortions and preterm birth.
Reference: There are primary and secondary stages of thrush before ovulation. Most gynecologists agree that it has an impact on the exit process of the JC. The vaginal microflora is often disturbed, and this contributes to the proliferation of fungal substances.
Is there a mid-cycle hazard?
In the middle of the MC, thrush makes itself felt when:
- hormonal changes,
- the development of sexually transmitted diseases,
- metabolic disorders,
- reduced immunity.
- consequences after surgery.
Thrush is a signal for any violations. Ignore these symptoms can not, because it may affect the unborn child. In medical practice, there were cases when they became the cause of infertility.
If there is a pregnancy with candidiasis, then doctors prescribe treatment only in the second trimester. In particular, apply sparing medical devices. On the initial lines, medications are used only when there is a threat to the fetus.
In many cases, pregnancy and fungal infection are two inseparable concepts.
In the first weeks after the successful consolidation of the embryo begins its development. Get rid of the unpleasant sensations of future mothers can not before the birth itself.
By this the reason cheesy discharge is considered one of the characteristics of successful fertilization.
Due to the increasing filling of the pelvic elements with blood, secretion increases. In addition, estrogen production is increasing. Thus, a favorable environment for the development of the disease.
Doctors urge not to explain the cheesy discharge by successful fertilization. If they are observed for a long time, then you need to contact a gynecologist.
A timely trip to the medical facility will help to correct the situation as soon as possible. All funds should be prescribed exclusively by the doctor on the basis of test results. When it comes to acute form, it is customary to use ointments, creams, vaginal suppositories and tablets in therapy.
When the relapses are fixed in the middle of the cycle, it is recommended to use drugs orally. In parallel, the doctor may attribute antifungal, antibacterial, antiseptic and sedative drugs.
Important! Those women who are planning to realize their reproductive functions, taking pills is not recommended. The problem must be dealt with through creams and ointments.
As for the candles, they have an excellent effect, acting on the focus of the disease. These tools are used in a horizontal position. Relief the woman will begin to feel several days after the start of therapy.
Features and signs of the disease
At the planning stage of pregnancy, every woman tries to streamline her life: she watches for food, puts in order healthy ones in order to safely have a healthy child. And therefore, when thrush appeared after ovulation, it causes shock. Now take a closer look at this phenomenon.
The appearance of thrush immediately after ovulation there is a very rational explanation
Why did a thrush appear
Thrush is caused by a fungus of the genus Candida, and therefore the medical name of the disease is candidiasis. It is characterized by such signs:
- abundant white cheesy discharge,
- unpleasant sour smell
- accompanied by unbearable itching
- irritation of the skin and vaginal mucosa.
Many believe that thrush after ovulation is a sign of early pregnancy. To find out if this is the case, consider the factors that influence it most often.
Factors occurring immediately after ovulation
In the vagina, mucosal cells produce glycogen. It keeps in balance all the microbes that live there, monitors cleanliness and does not allow the disease to develop.
An increase in the amount of estrogen before ovulation and its sharp replacement with progesterone immediately after the release of the egg promotes the emergence of the disease.
In the first phase of the cycle, when the follicle matures, the level of estrogen increases, which activates the growth of vaginal secretion. Immediately after the release of the egg, progesterone begins to rise in the blood. It is responsible for fertilization, the normal implantation of the ovum and the development of the embryo, but at the same time, it suppresses the action of the hormone of the first phase. The microflora in the vagina also changes accordingly, which can cause thrush immediately after ovulation. For its determination, bacterioscopy is most often used. In this case, during the examination, the doctor takes smears from the urethra, vagina and cervix, which are then examined by a laboratory assistant. With timely analysis it is possible to detect the fungus at an early stage.
For the diagnosis of thrush is better to consult a doctor for bacterioscopy.
Causes and prevention of thrush
A thrush appearing after ovulation may have the following causes:
- hormonal changes when the vaginal walls become more loose,
- decrease in immunity, which occurs with increasing progesterone, which reduces the protective properties of the vaginal walls,
- the use of annoying procedures (frequent use of douches and scented soaps),
- excessive consumption of sweets, flour and spicy foods,
- antibiotics, etc.
Thrush and pregnancy
Therefore, those who claim that thrush after ovulation, a sign of pregnancy are wrong. We found out that the cause of the disease lies in the hormonal changes. According to statistics, this phenomenon is observed in only 30% of pregnant women, and you should not joke with such a condition, but start treatment under the supervision of a doctor as soon as possible.
If thrush began immediately after ovulation, this is due to the high level of progesterone, which will be preserved upon the occurrence of pregnancy. In the case of failed conception, a decrease in the hormone of the second phase occurs from the 12th day after the cell leaves, when the corpus luteum develops backward, that is, before the menstruation. When its level reaches a minimum, "critical days" begin.
The thrush speaks about violation of microflora, it has nothing to do with a possible pregnancy.
So, thrush after ovulation pregnancy does not confirm, but rather indicates a violation of microflora. Like cystitis, it is not considered by doctors as a sign of fertilization, and a timely diagnosis helps to heal it without harm to mommy and the fetus.
Causes of thrush after ovulation
The main reason that causes the occurrence of pathology, is considered a decrease in the protective forces of the female body. The functioning of the immune system can be disrupted by various pathological processes and allergic rashes, as well as a consequence of oncology and AIDS.
In the vagina under the influence of mucosal cells, glycogen production occurs. It is thanks to him that the balance of microbes living in the body is maintained. In addition, glycogen is responsible for purity in the vagina and prevents the development of pathogens
In the first phase of the ovulation cycle, when the follicle matures, the level of such a hormone as estrogen increases significantly. It is under his influence that the growth of the secret in the vagina is enhanced. After the release of the egg in the blood of the female body increases the amount of progesterone. This hormone is actively involved in fertilization, implantation of the ovum into the uterus and the normal development of the fetus. In addition, progesterone inhibits the action of the hormone of the first phase.
In the vagina of a woman, its microflora changes significantly, which can become the cause of the development of candidiasis immediately after ovulation. The release of an egg from the follicle is accompanied by a change in the hormonal background of the female body. Progesterone disrupts the production of lymphocytes and leukocytes, which is accompanied by a decrease in immunity. This makes the body more vulnerable to many types of infection, and such hormonal changes can lead to illness.
Malfunctions in the functioning of the immune system contribute to the fact that Candida fungi simply stick to the walls of the vagina and begin the process of active reproduction. It is with this factor in mind that thrush after ovulation is considered to be a completely acceptable phenomenon and requires effective therapy.
The following additional reasons may provoke the development of candidiasis after ovulation:
- metabolic disorders in the body,
- venereal diseases,
- unsuccessful surgery,
- antibiotics and contraceptives.
If a disease is detected during pregnancy, it is imperative that treatment be given, since the risk of infecting the child during labor is high.
The dangers of thrush with ovulation
The appearance of thrush in a woman during ovulation is the first sign that not everything is smooth with the female body. In no case should such a symptom be ignored, and a specialist should be consulted as soon as possible. Further progression of thrush can be dangerous for a potential pregnancy and a developing fetus. Often the fungus that provokes the disease can cause infertility.
In the event that a woman’s thrush is already revealed during pregnancy, it is allowed to start effective therapy only in the second trimester. The future mother is allowed to use only benign drugs that do not pose a danger to the fetus to eliminate the pathology. It is categorically not allowed to carry out treatment in the first months of pregnancy, since there is a high risk of developing various complications.
The earliest signs
Candida is a conditionally pathogenic fungus, since the disease begins its development when favorable conditions are created. Candidiasis appears only if the level of the fungus significantly exceeds the norm in the composition of the microflora. The symptomatology of the disease can be manifested especially brightly or be of a mild nature. This is due to the state of the immune system and the body's ability to withstand various pathologies.
The disease is characterized by the following features and signs of the disease:
- redness and swelling of the vaginal mucosa, and the formation of white on it,
- the appearance of sour smell and heavy discharge,
- staining of mucus in yellow or white color, the appearance of lumps in it,
At the onset of menstruation, manifestations of candidiasis are significantly reduced and this is due to the alkaline microflora of the vagina. In such conditions, the fungi are not able to multiply, but they do not die, but remain in the upper epithelial tissues.
Symptoms of thrush
Usually, the oily discharge after ovulation becomes well pronounced if the woman is wearing too tight underwear and often uses personal hygiene products. Itching and burning may be aggravated by sitting in the “leg by leg” position.
A woman can be tormented by pain in the lower abdomen, and they are especially pronounced in the process of urination. The appearance of spasms and rise in body temperature. In the absence of effective treatment, the cheesy plaque becomes hard and thereby causes wounds and cracks to form on the walls of the vagina. In rare cases, the course of thrush can be supplemented by nausea and vomiting.
It is possible to speak about the chronic course of the disease if thrush appears after menstruation with a certain frequency. This usually happens when the visits to the gynecologist are ignored and effective therapy is not carried out.
Diagnosis of candidiasis
If suspicion of thrush occurs, smear the contents of the woman's vagina. Using bacterioscopy can determine the composition of microflora and the presence of pathogens in it. In the laboratory, the contents are examined under a microscope and the presence of immune cells of leukocytes and bacteria is determined.
In some situations, they resort to sowing microflora on special nutrient media. This procedure allows you to determine what kind of fungus Candida provoked an inflammatory process. In addition, this analysis allows you to choose the most effective drugs, to which such microorganisms have the highest sensitivity.
An informative method of research is a procedure such as colposcopy. During her examination of the vagina is carried out using a special device-kolposkopa. На стенки влагалища наносится раствор Люголя, под воздействием которого образуются вкрапления в виде манной крупы.
If there are indications, additional studies such as an STD analysis, fecal dyscosis, diabetes mellitus, and an immunogram can be prescribed.
Treatment of candidiasis
Treatment of thrush in women should be carried out under the supervision of a physician, since there is a high risk of difficulties with conception. To eliminate the acute form of pathology are usually assigned:
In the event of a recurrence of thrush before and after ovulation, oral administration is indicated in tablet form. In parallel with them, antiseptic, antibacterial and antifungal drugs can be prescribed. Good effect in the fight against the disease give medication in the form of cream and suppositories.
Candles in the treatment of thrush
Candles in the treatment of thrush is prescribed if the lesions are not deep and the woman has no complications. The most effective drug in the form of suppositories is considered:
- Gyno-Travogen Ovulum
The effectiveness of vaginal suppositories and suppositories lies in the fact that they directly affect the inflammatory focus. They must be entered in a horizontal position and preferably at bedtime. Already a few days after the start of treatment, the patient will feel a significant relief from the unpleasant manifestations of the disease.
Cream and ointment
Special ointments and creams in the treatment of thrush are prescribed for severe itching, burning, and severe swelling of the genital organs. With their help, it is possible to slow down the spread of the fungus and restore the damaged mucosa. The most effective drug is:
After the treatment, the patient must always visit the doctor who will conduct control tests.
To eliminate the pathology at home, you can use the following folk remedies:
- It is possible to cope with discomfortable sensations due to soda solution, which is prepared from 0.5 liters of water and a teaspoon of soda.
- To cope with inflammation and accelerate the healing of erosions, you can use tampons with sea buckthorn oil. It is necessary to make a tampon from gauze, soak it with the preparation and place it in the vagina at night,
- If there is no allergy to honey, it is recommended to dissolve it in water in the proportion of 1:10 and lubricate the inflamed parts of the mucous with this solution.
Despite the high effectiveness of alternative therapy in combating pathology, it is allowed to apply it only after prior consultation with a specialist.
Personal hygiene rules for thrush
A special place in the treatment of candidiasis is the correct care of the genitals. His disregard inhibits recovery, which affects the condition of the woman. Experts recommend to follow the following rules:
- wash hands thoroughly before each washing, which will prevent the penetration of bacteria from the skin into the genitals,
- To prevent infection, an individual towel should be allocated to each family member,
- need to wash twice a day and do it in the direction from the pubis to the tailbone,
- when choosing a means of intimate hygiene is obliged to study its composition, avoid dyes and fragrances,
- do not wash yourself with simple or antibacterial soap, and use soft toilet paper,
- every day to change underwear.
When thrush, a woman is not allowed to use tampons, because in such conditions the fungus develops particularly rapidly. Experts do not welcome the use of panty liners, which are an ideal breeding ground for Candida fungi.
Symptoms of the disease
Thrush has a fairly pronounced clinical picture in women and passes almost unnoticed in men. Symptoms of the disease is as follows:
- Itching and burning in the vagina,
- Sensitivity, redness of the vaginal walls,
- Pain during urination,
- White heavy discharge thick consistency,
- When complications are possible blood impurities in the urine.
Sometimes candidiasis is asymptomatic and in women, and it can only be determined after taking a smear for bacteriological culture. Treatment of candidiasis should begin as soon as possible, since the chronic form of the disease is difficult to treat and can worsen with any decrease in immunity.
Causes of candidiasis
The causes of the disease are in the excessive reproduction of the fungus of the Candida family. When the vaginal microflora changes under the influence of external or internal factors, the reproduction of the fungus is not regulated by the immune system.
Other risk factors:
- Decreased immunity due to illness or seasonal changes,
- Promiscuous sex,
- Change of sexual partner,
- Long-term antibiotic treatment
- Using hygiene products with an acidic pH,
- Wearing close linen made of synthetic fabrics,
Often, thrush develops precisely because of weakened immunity, as it loses control over the microflora of the vaginal mucous membranes.
Connection with ovulation
Thrush after ovulation is not a normal healthy state. To determine the reasons why the thrush after ovulation begins to show its symptoms, you should study the mechanism of ovulation.
Ovulation is the release of an egg cell by the dominant ovarian follicle into the fallopian tube. The egg cell is ripe and ready for fertilization by sperm. All these processes are regulated by hormones:
- Follicle-stimulating hormone
- Luteinizing hormone
The level of these hormones can vary dramatically depending on the phase of the cycle. Accordingly, before ovulation, the concentration of hormones reaches a peak, and then gradually decreases. Such hormonal changes can lead to qualitative changes in the microflora of the vagina, and thrush after ovulation will manifest itself especially in those who are chronically suffering from this disease.
Relationship to pregnancy
Many women believe that thrush is a sign of pregnancy, and with the slightest delay, they regard it as a sure sign. On the one hand, the appearance of thrush can be triggered by fertilization of the egg, as well as hormones and the immune system begin to work differently.
During pregnancy, the immune system works to preserve the fetus, because the maternal organism is protected to a lesser extent. For this reason, thrush can develop in any woman at the beginning of pregnancy.
On the other hand, thrush as a sign of pregnancy is considered only when there are other signs of pregnancy at an appropriate time.
How to regard thrush
Candidiasis can not act as a direct consequence of pregnancy. Its development will be triggered by pregnancy through the influence on hormones and the immune system. Since the immune system will direct its work to protect the fetus, the regulation of the microflora of the vaginal walls is less.
Hormonal changes can lead to qualitative changes in the composition of the microflora, as a result of which the number of lactic acid bacteria will decrease, opening up access to fungi and infections.
Another reason is the so-called thrush syndrome among pregnant women. Abundant discharge of white color from the vagina may indicate the formation of a vaginal plug to hold the fetus. And only if they are accompanied by itching and burning, you can suspect the presence of thrush.
Thrush after conception can be regarded as a symptom of pregnancy only if there are other symptoms:
- Delay of menstruation from five days,
- Increase in basal body temperature,
- Pulling sensations in the abdomen and lower back.
Sometimes a woman does not feel any symptoms, in other cases emotional instability, a change in taste preferences, and a high sense of smell are added.
Thrush in most cases is a result of reduced immunity and changes in hormonal levels. It is possible to answer affirmatively the question whether it can become a symptom of pregnancy before a delay, only if there are associated symptoms.
If, in addition to thrush and delayed menstruation, other symptoms are present, it makes sense to perform the diagnosis of pregnancy yourself. The most accurate ways to determine pregnancy at the beginning of the first trimester:
- Analysis of hCG in the urine using rapid tests,
- Analysis of hCG in the blood in the laboratory,
- Measurement of basal body temperature.
HCG in the urine is determined using pregnancy tests, and even a weak second strip may indicate a positive result. HCG in the blood is determined laboratory, for this fasting you need to donate blood from a vein - each period of pregnancy corresponds to a certain range of concentrations of hCG in the blood.
Basal body temperature is measured in the rectum immediately after waking up. It is easier to evaluate it for those who kept the temperature chart, but an increase to 37 ° C may also indicate pregnancy.
Sometimes rapid tests show a negative result, and later it turns out that a woman is really pregnant. To obtain reliable results, use test strips that have not expired, and also conduct several tests.
Obtain reliable results only in the first three days of the delay, until that time the concentration of hCG is still too small to be displayed on the test results.
On the seventh day of delay, a repeated test is carried out - the concentration of hCG in the urine reaches a level that can be determined. To diagnose pregnancy even before the delay is better to donate blood.
Finding the symptoms of thrush on the background of the delay, you should pass a blood test for hCG. The reasons for this diagnosis are as follows:
- The possibility of infection of the fetus, if a woman is pregnant,
- Elimination of complications that could cause a delay
- The construction of treatment tactics depends directly on whether the patient is pregnant or not.
Delay and thrush may not always be a sign of pregnancy. Complications of thrush on the ureters and bladder, manifested in cystitis, can lead to delayed menstruation. In this case, the result of the blood test for hCG will let the doctor know which treatment to choose:
- Therapy of cystitis and thrush, as the root causes
- Therapy of thrush on the background of pregnancy.
Independently make decisions about treatment is strictly prohibited, since during pregnancy it is possible to harm the fetus and cause miscarriage of inadequately prescribed drugs.
Treatment on the background of pregnancy
If candidiasis is detected, both partners must be examined. Men may be carriers of the fungus asymptomatically, whereas after each sexual intercourse a woman will again be disturbed by recurrences of thrush. Men are diagnosed with a smear and bacteriological seeding. When confirming the disease, the treatment is carried out with ointments and tablets.
Women during pregnancy is contraindicated in most traditional drugs. Prescribe the drug should be a gynecologist after receiving the results of sowing and examination. Permitted drugs and methods of treatment:
- Natamycin-based suppositories - Pimafucin, Primafungin,
- Suppositories on the basis of Nifuratela and Nystatin - McMiror complex,
- From the second trimester - Nystatin, Clotrimazole,
- A solution of sodium tetraborate in glycerin,
- Ginofort vaginal cream,
- Douches decoction of chamomile with calendula.
Other drugs contain contraindications for pregnant women, since they are based on hormonal components or anti-mycotic substances that cross the placental barrier.
Treatment outside of pregnancy
Since thrush is the cause of the delay in complicated cases, the treatment is carried out systemically. The same drugs are prescribed as for pregnant women, but can also be used:
A diet low in sugar and other carbohydrates, wearing only free linen from natural materials and using only neutral hygiene products is shown.