Thrush after ovulation is a fairly common phenomenon. It was during this period that certain changes occurred in the female body. During the release of the egg, cervical mucus of viscous consistency, having a white color, starts to stand out from the vagina. These changes and some other factors directly affect the development of vaginal candidiasis.
The main causes of thrush
Vaginal candidiasis, or thrush, is a disease caused by the uncontrolled reproduction of yeast-like bacteria in the body. The latter, in the course of their vital activity, change the vaginal flora, which is why the woman has discomfort. The disease is characterized by the following symptoms:
- abundant cheesy vaginal discharge,
- unpleasant smell
- itching and burning in the genital area,
- pain in the abdomen,
- redness of the external genitals.
The reasons for the development of the disease can be several: from the banal stress suffered by a woman to the development of venereal diseases in the body. In some women, thrush begins before ovulation or immediately after ovulation, and as soon as menstruation begins, it disappears. If this happens systematically, then the woman is better to find out the cause of the failure in the body.
Vaginal candidiasis after ovulation
Very often, women are interested in the question of why a thrush began after ovulation. Some believe that this is a deviation from the norm, while others, on the contrary, see nothing wrong with that. There is also the view that thrush with ovulation is a sure sign of pregnancy. But is it really, and why did experts come to this conclusion?
Ovulation and thrush in most cases are inextricably linked to each other. The cells of the mucous membrane of the vagina produce gluten - a substance that controls the proliferation of bacteria. In the first phase of the menstrual cycle, an increase in the level of estrogen is observed, which contributes to the development of vaginal secretions. As the egg in the blood begins to produce progesterone, responsible for fertilization and further development of the embryo. At the same time, the function of gluten begins to be inhibited. Uncontrolled reproduction of bacteria begins in the vagina, and this is the reason for thrush after ovulation.
Despite the absence in this case in the female body of serious pathological processes, candidiasis should be treated. And to seek medical help a woman should immediately. Otherwise, over time, the disease can become chronic, which is much more difficult to treat.
The main methods of treatment and prevention
Why should thrush be treated immediately during ovulation? Firstly, the disease gives the woman discomfort, and secondly, the advanced stage is difficult and expensive to treat. In addition, thrush sometimes indicates the development of diseases such as diabetes, and this requires immediate consultation with a specialist in the field of medicine. The statement that thrush started during or immediately after ovulation is a clear sign of pregnancy is wrong. The disease in the first weeks of pregnancy worries only a small part of women. Such a reaction may be associated with hormonal disruption, which often feels the female body at an early stage of pregnancy.
Treatment of vaginal candidiasis is prescribed only by the attending physician. In this case, self-medication is inappropriate. However, a woman can take care of her own health and take preventive measures to prevent the development of the disease. For this you need:
- stop taking antibiotics during ovulation (if possible),
- monitor nutrition, control the consumption of sweets and salty foods,
- do not abuse douche
- wash regularly (it is better not to use all sorts of gels for intimate hygiene),
- drink enough water and fresh juice.
By following these simple rules, a woman protects not only her health, but also her partner, since candidiasis is a sexually transmitted disease. Moreover, the appearance of the disease in women is associated with a violation of the vaginal microflora. Vaginal candidiasis, which began after ovulation, has nothing to do with pregnancy. If, for some women, such an organism reaction does manifest itself, then this indicates either an individual reaction of the organism to changes, or is simply a coincidence.
Thrush and ovulation - how are they related
Vaginal candidiasis, or thrush, is a very common occurrence among women. I must say that the fungi of the genus Candida should be normally present as a mandatory component of the microflora. However, under the influence of some factors, the growth of fungi becomes excessive, and then they talk about the development of thrush.
Proves the link "exacerbations" of thrush with ovulation. Ovulation is one of the phases of the menstrual cycle, which ends with the maturation and release of an egg cell ready for fertilization. When this happens, a change in the hormonal background and progesterone predominates in the woman's body.
Enhanced progesterone production to some extent suppresses the immune defense. This is necessary in order to create favorable conditions for possible fertilization. However, along with this, favorable conditions are created for reproduction of pathogenic microflora of the vagina, in particular, candidal fungi.
The active growth of fungi stops with the next change of the menstrual cycle.when estrogen begins to predominate again. At the same time, the number of lymphocytes in the vagina increases and, as a result, the processes of cellular immunity increase.
Why candidiasis occurs after ovulation
The main reason for this lies in the hormonal adjustment of the female body. During ovulation, progesterone production is enhanced, which suppresses cellular immunity. Strangely enough, but it is the most important condition for the onset of pregnancy, because progesterone creates favorable conditions for the fusion of the egg with the sperm and reliable fixation of the embryo in the uterus.
In parallel with the decrease in immunity, active growth of the pathogenic microflora that lives in the vagina begins., including fungi that cause thrush. It lasts until a change in the phase of the menstrual cycle occurs and progesterone prevails in the woman's body again.
Causes of candidiasis before and during ovulation
The growth of Candida fungi can be associated with the following causes.:
- Immunodeficiency diseases (eg, infection with human immunodeficiency virus (HIV).
- Transferred infectious diseases.
- Long-term or uncontrolled intake of antibacterial drugs.
- The presence of chronic diseases (especially for urinary tract infections).
- Taking some contraceptive drugs.
- Promiscuous sex life.
- Hypothermia Very often, this mechanism is a trigger for the exacerbation of thrush.
- Frequent wearing of linen made of synthetic fabric.
Common symptoms and manifestations of thrush
Vaginal candidiasis is accompanied by a number of very unpleasant symptoms that reduce the quality of life of any woman:
- Itching and burning in the genital area and inside the vagina. Itching may increase after taking a hot bath or shower.
- The appearance of a large number of cheesy or milky discharge. Initially, the discharge is not accompanied by an unpleasant odor. However, as the disease progresses, the growth of pathogenic microflora may increase, with the result that the discharge will emit an unpleasant "fishy" smell.
- Rezi and burning during intercourse. Often, such manifestations become an obstacle to the conception of a child.
- Discomfort during urination.
- The appearance on the surface of the external genitalia of the white film, which subsequently dries out and, together with rubbing underwear, can cause macerations and wounds.
Thrush before ovulation
If symptoms of thrush occur before ovulation, it is imperative that you consult your gynecologist. The gynecologist will inquire in detail about the complaints, clarify the phase of the menstrual cycle, conduct a thorough examination, take smears to identify the microflora, and prescribe appropriate treatment. Sometimes additional examination is required, including colposcopy, gynecological ultrasound, etc.
Vaginal candidiasis is treated with antifungal medications.. They can be used both locally (syringing, compresses, candles), and systemically (taking pills). The choice of a particular drug is carried out individually for each patient.
Thrush during ovulation
It happens that thrush occurs during ovulation. In this case, women complain of itching, dryness or a burning sensation in the vagina, notes the appearance of cheesy or flaky discharge. The last sign, as a rule, almost with 100% probability indicates the appearance of thrush.
The doctor of the women's clinic, first of all, talks in detail with the patient: complaints are detailed, the time of onset of the disease is specified. Often, during a conversation, it is possible to identify the specific causes of the disease (for example, long-term antibiotic therapy or hormonal contraceptives).
If you suspect vaginal candidiasis you need to pass smears on the flora. Thrush is not always manifested characteristic cheesy discharge. In addition, under the guise of thrush can occur and other diseases associated with dysbiosis (violation of the composition of the microflora) of the vagina.
Thrush after ovulation
Most often, exacerbation of thrush occurs during the period after ovulation. It has already been mentioned above that this is due to the change in the hormonal background of the woman and the predominance of progesterone. This is the physiological response of the body, which creates favorable conditions for fertilization and the onset of pregnancy.
The appearance of thrush after ovulation is marked by such symptoms: like a flocculent or cheesy vaginal discharge, itching and burning in the genital area, aggravated by urination, sexual intercourse, etc. These symptoms violate the quality of life of women, worry them and, accordingly, become a reason for a visit to the gynecologist.
Treatment of thrush after ovulation is carried out with the use of antifungal drugs. The modern pharmaceutical industry offers us a wide range of antifungal agents that are produced in the form of ointments, tablets, vaginal suppositories, pessaries, gels. Such a large range of tools allows you to select the drug for each woman individually, taking into account the characteristics of the course of candidiasis and the presence of concomitant pathology.
Thrush and pregnancy
It often happens that the appearance or exacerbation of thrush occurs during pregnancy. This is easily explained by the fact that during the childbearing in the woman’s body, the hormonal background changes repeatedly, which is characterized by the alternation of the predominance of estrogen and progesterone.
Thrush aggravates pregnancysuch as itching and burning in the vagina, the appearance of abundant cheesy and milky-white discharge, etc. The appearance of these symptoms may scare the expectant mother, but do not worry. With timely access to a gynecologist, vaginal candidiasis is not harmful to the health of the baby.. Currently, there are drugs for the treatment of thrush, which is not dangerous to take during pregnancy.
It should strictly adhere to the rules of personal hygiene. An important role in this is played by the wearing of linen from natural fabrics and the use of quality products for intimate hygiene.
Features of the disease
When a woman plans to get pregnant, she starts eating right, leading a more healthy lifestyle. If she has thrush after ovulation, then it is shocking, why is this happening?
Signs indicating the appearance of the disease:
- Highlight white and cheesy.
- Fetid odor.
- Itching and burning in the vagina.
Most women think that this indicates pregnancy, in order to understand this, it is necessary to clarify what influences the appearance of thrush.
During the period of maturation of the follicle, begins the growth of estrogen, which in turn increases the growth of vaginal secretions. Immediately after the egg has left the uterus, progesterone levels rise. It is necessary for the woman’s body to fertilize, attach the egg and further develop the pregnancy. Naturally, in the course of this, the habitual microflora of the vagina changes and a thrush appears.
To identify this disease, it is necessary to make a bacterioscopy. To do this, the gynecologist during the examination takes a smear from the urethra, uterus and vagina. After they are given to the laboratory for research.
Signs of thrush
Thrush with ovulation is manifested by the following symptoms:
- There are abundant discharge, do not stop, a long period of time, become viscous, can change color and smell unpleasant.
- Intolerable itching appears immediately after intercourse or after menstruation.
- Abdominal pain, in which a woman may feel cramps, discomfort during urination, and in some cases, body temperature may rise.
- On the mucous membrane of the vagina, white plaque may form, which will eventually become hard, wounds will appear later.
- In rare cases, all this is accompanied by severe itching, nausea, bowel disorder.
- In the case when the disease does not occur in the first, it can be argued that it has turned into a chronic form. And all because the woman does not go to the doctor for proper treatment. Self-treatment does not produce results, since only the elimination of symptoms occurs, and the main cause is not eliminated. However, every woman should understand that such a situation will not lead to anything good, there may be various complications, even infertility.
- If, after the end of ovulation, a woman observes certain symptoms, it is necessary to urgently consult a specialist. Only a doctor can reliably indicate the presence of the disease. Such symptoms may also indicate hidden diseases. Because some have almost the same symptoms.
Now it is clear that thrush after ovulation occurs because, in a woman's body, progesterone begins to be produced quickly, and the balance of hormones changes.
Now it is safe to say that progesterone is “to blame”.
- It acts on lymphocytes, and they must protect the vaginal microflora from the action of Candida fungus. And during the period of ovulation, its activity increases many times, and it can also be affected by weak immunity. At this time, the body can not resist, so there is a thrush.
- Due to progesterone, the fungus becomes more active, and has a direct effect on the vaginal mucous tissue, at the same time, it can penetrate it completely. Such a habitat is the most suitable for him.
- Progesterone also has an effect on glycogen, which is responsible for balancing the vaginal microflora. Due to the fact that it is broken, there is a thrush.
Ovulation and thrush can start at the same time, and the reasons are:
- Low immunity.
- Infectious or chronic diseases.
- Viral genital infections.
- Metabolic disorders.
- Age-related hormonal changes.
- Sexually transmitted diseases.
- Unsuccessfully performed surgery.
- Various impacts from the outside.
- Improper use of contraceptives.
- Use of antibiotics.
- Early pregnancy.
Progesterone can provoke the body so that thrush appears during ovulation. And this happens because:
- The immune system is blocked and lymphocytes stop multiplying. Therefore, the body can not stop the abnormal reproduction of Candida fungus in time. If the body is not exposed to progesterone, then the cells that protect the body that are in the vagina are able to suppress the fungal spread. After ovulation, the balance is disturbed, and thrush occurs.
- Progesterone helps the fungus to gain a foothold on the walls of the vagina, in addition, helps it penetrate the tissue. If a woman has thyroid problems or diabetes, then the fungus can stay there after ovulation.
It cannot be said that progesterone is the only reason why thrush occurs, although it is the main factor.
Remember, you can not self-medicate, so if certain signs appear, consult a specialist, only an experienced doctor can correctly diagnose and prescribe an effective treatment. Thrush is an unpleasant disease, but fortunately treatable. Only this should be done very carefully, and the solution of this problem should be approached with all seriousness.
At first, we said that many people think that thrush after ovulation indicates a pregnancy, but this is not so. As we have learned, thrush occurs due to hormonal imbalance.It has been proven that this occurs in one-third of pregnant women and it is impossible to let everything take its course, it is better to start therapy in a timely manner, and do this after consulting with a specialist.
If the disease manifested itself after ovulation, it was due to the high level of progesterone, and if pregnancy occurs, it will not decrease, but it will be the same. When the fertilization of the cell has not come, the level of progesterone begins to decrease only just before the beginning of menstruation. When he is at a minimum, menstruation begins.
Therefore, we can not say that thrush after ovulation indicates the onset of pregnancy. Just there was a violation of the microflora of the vagina.
Thrush, as well as cystitis is not a sign of fertilization for doctors. But if, nevertheless, she appeared during fertilization, then it is necessary to start treatment as early as possible in order to avoid various troubles for mother and child.
So that ovulation does not occur thrush, you must:
- Before planning a pregnancy, consult with a specialist, undergo an examination and donate a smear if a fungal infection is detected, undergo effective treatment.
- Do not take any drugs, ate only finished a course of antibiotics, then fertilization should be delayed for about six months.
- Tidy up your diet and lifestyle.
- Strictly observe personal hygiene.
By following these uncomplicated rules, you can protect the howling of the body about the occurrence of thrush.
If the thrush appeared before ovulation or immediately after it, then several factors simultaneously affected it. Therefore, there has been a change in the microflora of the vagina, and this is already an environment that is favorable for the reproduction of Candida fungi. The appearance of thrush after ovulation in no way indicates fertilization of the egg.
Chronic thrush in women
How to treat thrush: remedies for candidiasis
Preparations for the treatment of thrush in women
Thrush during menstruation
Can there be a delay due to thrush
Why does not pass thrush?
Treatment of thrush during breastfeeding. Drugs
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. With a decrease in the level of lymphocytes, the number of colonies of parasitic fungi increases, and the symptoms of the disease worsen. Due to the manifestation of such factors, the body can not cope with 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, the role of which 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 receiving special preparations. And you should also follow the simple rules of hygiene, follow the sleep pattern, eat right (monitor the amount of sweets) and don’t forget to contact a gynecologist at the first 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 started during ovulation, the discharge will be quite abundant, which is typical for this period, but with white creamy patches, 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.
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, there are others 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, then it cannot get into the internal tissues. With problems with the thyroid gland, diabetes mellitus, sexually transmitted 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 think 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 hormone level 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 disturbed 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 clear to everyone. Performing them regularly, you can avoid the 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.
- It is desirable to refuse douching, as this procedure contributes to the leaching of useful substances and provokes the growth of the fungus Candida.
When planning conception, you should definitely refuse to take drugs, especially antibiotics. This should be done in advance. 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, you should adjust your diet. It is necessary to reduce the consumption of sweets, 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 the 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 observed 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.
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 acute or uncomplicated form, in which there are acutely developing symptoms: itching, burning, cheesy discharge from the genital tract, an 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 secretions or their complete disappearance is noted.
Thrush can also 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 candidacy. 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 an 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 in 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.
The current 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 the symptoms of the disease persist, the application is also repeated after 7 days.
Another drug approved for use during pregnancy, and more specifically in the second trimester of pregnancy, is Terzhinan. It 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.
Еще одним современным препаратом является Нео-Пенотран форте Л, содержащий в своем составе, кроме активного действующего вещества, лидокаин. Препарат быстро снимает болевые ощущения и зуд. 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 beneficial effect on the vaginal epithelium. Apply 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 Hospital 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.