Statistics say that every 7 women suffer from thrush. In the pharmaceutical market in the presence of a variety of tools that fight women's disease. Thrush is treated quickly and efficiently.
- Quick navigation on the article:
- Why microflora is disturbed
- Why restore microflora
- Prevention of dysbiosis
After a full course of taking medications from thrush, requires restoration of the vaginal microflora. For the procedure there are available a variety of drugs, the most effective are candles. Gynecologists recommend starting the restoration of microflora immediately after the complete treatment of thrush.
Why is microflora disturbed after thrush?
Thrush increases overall dysbacteriosis. This leads to the fact that the microflora does not perform the functions that protect the female reproductive system.
Every 7th woman experiences discomfort associated with thrush. After treating this disease, you need to restore the vaginal microflora.
The microflora maintains the acid environment of the vagina. Protects against the penetration of pathogenic bacteria, viruses. Enhances the synthesis of proteins.
The ingestion of viruses, bacteria in the genitals leads to the active state of blood cells. After thrush vaginal microflora delays pathogenic bacteria for a long time. Block the normal functioning of the vaginal system.
Why restore the microflora after thrush?
Without the acidic environment of the vagina, there is a smell and a greater amount of active secretions that are not associated with the menstrual cycle or Beli. Thus, in violation of the microflora, the bacteria again cause thrush or candidiasis.
Best of all vaginal microflora restore candles.
Note, that the violation of the menstrual cycle on the female calendar signals the problems of normal microflora.
Maintaining the vaginal flora completes the treatment for thrush
There is a certain risk of relapse. It is about 5.5%.
Candles to restore the microflora after treatment for thrush
Principle of flora normalization: the introduction of bifidobacteria of varying degrees. Contained in probiotics. Restore the natural level of beneficial bacteria of the vaginal microflora. They create an antiseptic and cleansing action. Introduced in the form of candles, drops, tablets, acid solutions. The most high-quality and effective are candles.
Important to remember, Drug medications, including suppositories, for the restoration of microflora after treatment for thrush, are prescribed only by a specialist doctor.
The diagnosis is made according to the result of flora analysis. Then treatment begins.
After completing the course, a second analysis is taken. It turns out the level of dysbiosis. If more than 25%, the gynecologist prescribes a repeated treatment to accelerate the recovery of microflora.
The drug, which includes Calendula tincture. Heals, strengthens the immune system, microflora. Maintains acid levels are normal. Available in the form of candles. Placed daily, at night, after taking a shower. The course is 7-14 days.
Candles "Vagilak" restore microflora and strengthen the immune system.
No special contraindications. but during the application should be forgotten about alcoholic cocktails, cigarettesand also refuse sexual intercourse. It is not recommended to use the considered candles for pregnant women.
Herbal preparation in the form of candles. The composition is based on field chamomile. Disinfects, eliminates dryness and burning in the vaginal area. The treatment takes 10-14 days. When relapse is reappointed for 7 days. Used on 1 candle in the morning and evening.
While taking the drug "Ecofemin", doctors recommend not smoking and not drinking alcohol.
Contraindicated in diseases of the heart, nervous system, also pregnant and newly born girls. Habituation does not cause. During treatment, it is recommended to give up all bad habits.
Gynecologists write chamomile tincture with the drug "Ecofemin" to reduce the risk of recurrence. It is necessary to drink tincture 2 times a day, in the morning and in the evening on an empty stomach.
Available in the form of candles. the main thing active ingredient - bifidobacteria. Restore the acidic environment of the body due to reproduction and detrimental effects on candidosis bacteria. Replenish the supply of beneficial bacteria of the vagina.
Candles contribute to the active purification of microflora. They are also used to restore intestinal microflora. The drug is prescribed for the treatment of thrush. The course of reception is 10 days. It is administered 3-4 times a day, but with the indication of a specialist doctor. Assigned to pregnant girls after 8 weeks for the prevention of candidiasis.
Do not use antibiotics and antipyretics during treatment.
It is prescribed after treatment for thrush. Available in the form of candles. It supports metabolism, strengthens the immune system. Improves the concentration of the acid environment of the vagina. Promotes disinfection microflora.
Lactobacterin is prescribed to restore microflora
To restore the use of 14 days, 2 candles 3 times a day. In addition, this drug is prescribed 10 days before delivery. The drug is allowed during lactation. It is also recommended to take droplets.
It is important to know, that a lactobacterin is contraindicated in a minor girl.
Candles "Vaginorm C"
Release form - candles. A drug contains a large amount of ascorbic acid. It maintains the vaginal acid environment. Eliminates bacteria, viruses that cause irritation of the epithelium of the uterus. It has an antiseptic effect.
The course of treatment involves 10 or 14 days on an individual basis. Apply 1 candle per day. For effective results Doctors-gynecologists recommend drinking more water.
With relapse, the period of use is 2-3 months. The drug is contraindicated in minor girls. Allowed in 1 semester of pregnancy. Special indication: do not use with antibiotics.
The active substance of candles - interferon, taurine - cleans the walls of the vagina. In addition, disinfects the urinary system. Supports local immunity.
Genferon can be used during lactation
The concentration of the active substance in the body is negligible. Treatment is 20-30 days, 1 candle is designed for use 3 times a day.
After every 10 days it is necessary to take a smear of flora
Gynecologists prescribe "Genferon" for the treatment of thrush. Apply after pregnancyduring lactation. Candles for the restoration of microflora, “Genferon” - are allowed to be taken by underage girls. Compatible with other drugs.
Available in candle shape. The active substance is lactobacillus and lactic acid. Restores the acid indicator of the vagina. Destroys bacteria parasitic in the uterus.
Comprehensive treatment is prescribed with drops "Vagikal." The course lasts from 10 to 14 days. Introduced 1 candle 3 times a day or on the recommendation of a gynecologist.
It is also used 7 days before conception, if previously candles were used to restore the microflora after the treatment of thrush. PMotivational for pregnant, underage girls. With antibiotics compatible.
Not recommended for use in diseases of the uterus, intestines. The drug is available on prescription.
Prevention of dysbiosis after thrush
Important to remember about the prevention of dysbiosis after thrush. The body is still weak. Candles to restore microflora after treatment of thrush are suitable as prevention.
Sich to restore the microflora must appoint a gynecologist. It is not recommended to self-medicate.
To do this, reduce the amount of the drug. It is enough to take drugs against thrush 1 time in 2-3 months.
It is recommended to follow the rules for the prevention of dysbiosis:
- Keep track of personal hygiene. Take daily, morning and evening, a warm shower, wash external genitals with antibacterial soap. During the menstrual cycle to use the shower more often. Change pads every 3 hours, tampons - 7 hours. Use antibacterial personal care products.
- Proper nutrition. Mostly consume dairy products. For example: cottage cheese, milk, sour cream, sourdough, ryazhenka, kefir.
- Exclude fatty foods. Increase the amount of fruits and vegetables. From meat the preference is given to beef, chicken. Soak potatoes for 3 hours before use. Steam cooking. Remove from the diet bread, sweets, spirits, spicy types of cheese and vegetables.
- Use contraception. After intercourse take a warm shower. It is necessary to drink medicines against thrush before sexual intercourse. Conduct a clinical examination of a partner for the presence of candidal fungus. Start prevention of male thrush.
- Choose cotton underwear. It is durable, does not cause an allergic reaction, detains dust and external bacteria.
- Take vitamin complexes to strengthen the body's immunity.
- Visiting a gynecologist 3-4 times a year. Give blood tests, urine, smear on flora. If you have symptoms of thrush, immediately contact a gynecologist.
- Carefully wash underwear with baby washing powder.
Candles, to restore microflora after treatment for thrush, are prescribed by a gynecologist. The range of choice is huge.
Each drug has individual treatment properties. You need to know about the prevention of thrush, dysbiosis. Monitor your health daily. For unpleasant sensations, be sure to contact a gynecologist.
This video will tell you how to overcome thrush using traditional methods for pregnant girls:
The following video tells about the products that help in the treatment of thrush:
This video will tell how to treat thrush after taking antibiotics:
Features of microflora violation
In the process of treating a disease, antibiotic therapy is used. That is, there is the destruction of pathogenic elements that multiply uncontrollably. After treatment of thrush often dysbacteriosis is formed. He faces not only unpleasant feelings, but also the recurrence of candidiasis.
Often dysbacteriosis is not accompanied by acute symptoms. The woman simply does not know that she has problems with the vaginal microflora. However, such violations can provoke serious consequences: infertility, complications when carrying a child.
Is it necessary to restore microflora?
Some experts believe that special restoration of microflora after thrush is not required. It is justified by the fact that violations are minor. Preferred natural process of recovery, without drug load on the body. However, this recommendation is not universal. Only a doctor can determine the need for therapy. To do this, perform a vaginal smear. Based on this analysis, you can determine the indicators of bacterial background. If they are relatively normal, you can do without drugs. If the deviations are significant, the doctor prescribes therapy.
Independent restoration of microflora after treatment of thrush is not recommended. Therapy is prescribed exclusively by a doctor. When self-prescribing candles with lactobacilli is likely the risk of high acidity of secretions. This process is accompanied by the following symptoms:
- Discharges with fermented milk smell.
- Skin irritation.
These symptoms are similar to the manifestations of thrush. However, in this case it is impossible to drink anti-fungal drugs in any case, since the problem is only getting worse. How to restore the microflora after thrush? Usually the doctor prescribes candles. They have a mild impact. It is possible to use drugs for prophylactic purposes.
Recommendations for dysbacteriosis
The problem can be neutralized by following these simple guidelines:
- Rinse required twice a day. For the first washing, neutral pH soap is used, for the second - a decoction of herbs. For cooking broth, you can use chamomile, calendula.
- Linen must be made from natural materials.. It should be free, not constricting.
- Linen and pads change regularly.
- It is not recommended to use gaskets and intimate hygiene products with flavoring ingredients..
It is important to follow a therapeutic diet.. Consider the basic recommendations on nutrition:
- Need to avoid sweet, alcoholic beverages, yeast based products, baking.
- Should increase consumption of fruits, vegetables, milk and dairy products.
All these recommendations will not help with significant violations, but they will not aggravate an existing problem.
Usually the doctor prescribed drugs lactobacilli. This is due to the fact that the basic component of the vaginal microflora is lactobacilli. The following forms of drugs can be distinguished:
- Vaginal suppositories and capsules.
- Tampons soaked in a mixture containing probiotics.
Recovery from thrush involves the participation of a doctor. Dosage regimens are prescribed based on smear results.
Why do we need candles for dysbacteriosis?
Candles for the restoration of microflora after treatment of thrush have a direct impact on the pathological focus itself. Consider their advantages:
- Ease of use.
- No side effects.
- Possibility of use during pregnancy.
- Leave without a prescription.
The problem is fixed rather quickly.
How do candles work?
Candles that restore the microflora after thrush include lactobacilli and bifidobacteria. The concentration of beneficial elements in the preparations may be different. Their exact ratio is determined on the basis of their ratio in the microflora of the woman's vagina. Consider the mechanism of their impact:
- A candle is inserted into the vagina. Under the influence of heat, it melts. There is a uniform distribution of the active components on the walls.
- The entire vagina is permeated with blood vessels. After a minimum time, the active components enter the circulatory system. After 15 minutes, the drug begins to act.
- The acidic flora of the vagina is restored.
It is important to use the medicine on a regular basis.. A single capsule does not give a noticeable effect.
How to choose the right drug?
Candles for the restoration of microflora after thrush are offered in a large assortment. Independently to find the right tool is almost impossible. The choice of drug is performed by a doctor based on the following factors:
- A form of pathology.
- The degree of development and severity.
- The presence of concomitant infections.
- The presence of inflammatory processes.
If dysbacteriosis is accompanied by infections and inflammations, probiotics alone will not be enough. Inflammatory processes are accompanied by destruction of the upper layer of the epithelium, which provokes the rapid withdrawal of active components. Therefore, therapy should be supplemented with drugs with a complex effect. They contain active ingredients and also contribute to the restoration of the epithelium. As a result, lactobacilli are firmly fixed on the walls of the vagina, which is important for effective treatment.
Candles with lactobacilli
Vaginal probiotics, which include lactobacilli, have a good therapeutic effect. Means can be complex. Such drugs restore the genital epithelium, as well as supply beneficial microorganisms. The following probiotics with lactic acid bacteria can be distinguished:
Facilities can be used for both treatment and prophylactic purposes. As a rule, the duration of therapy is a week. If symptoms do not disappear after seven days, Vaginorm C candles are prescribed by a doctor. They are necessary for normalizing acid-base balance. The drug is necessary for a healthy vaginal microflora. The course of taking Vaginorm C is also a week. Additionally, Bifidumbacterin or Lactobacterin suppositories can be administered. The course of their admission is 10 days. Suppositories restore microflora after candidiasis and improve local immunity. Means differ in usability. To achieve the effect you will need one candle at night.
With lactic acid
Candles for the normalization of microflora after thrush with the content of lactic acid can reduce the risk of recurrence of fungal disease in 10-12 times. Capsules are usually used in the morning or at night. It is most convenient to use them at night to reduce discomfort: candles, under the influence of heat, begin to melt, and therefore the occurrence of discharge is likely. Often the use of the drug is accompanied by the ingestion of bifidobacterial concentrate. The following medications containing lactic acid can be distinguished:
- Vaginorm S. Helps to normalize the indicators of acidity. The medicine contains ascorbic acid. It contributes to the suppression of pathogenic microorganisms. The reproduction of healthy microorganisms is also activated.The course of treatment is a week. Used one suppository for the night. The cost of the drug is quite democratic.
- Femilex. The tool helps to suppress the pathogenic flora. Also reduced rates of pathogenic microorganisms. The active component of the suppository is lactic acid. It forms an acid reserve, which prevents the reappearance of candidiasis.
- Lactobacterin. Required for the normalization of indicators of vaginal pH, improving local immunity. There is also a normalization of metabolism. The drug has a low cost.
All specified Candles are affordable. The course of their reception is small.
Use of Bifidumbacterin
Consider the mechanism of action of the drug. The composition includes bifidobacteria. They find themselves on the mucous membranes, multiply rapidly. There is a displacement of pathogenic microorganisms. As a result, accelerated growth of the acidic environment is observed. There is a stimulation of the immune system, and therefore the body itself begins to fight with pathogens. There is a natural and safe purification of microflora.
It is important to be examined by a doctor before using Bifidumbacterin. The drug helps only from the effects of candidiasis. If the symptoms are not caused by thrush, the medication in question may cause gardnerella or bacterial vaginosis. In the process of therapy, the remedy is used twice a day: in the morning and before bedtime. The course is 10 days.
Suppositories with nystatin
Before use, the allocation of secretions is assigned to analyze the sensitivity of fungal microorganisms to the active component of suppositories. If the sensitivity is zero, the doctor selects another drug. Nystatin is a delicate and benign remedy that restores microflora and destroys pathogenic microorganisms. Can be used for preventive purposes. Has contraindications:
- Individual intolerance.
It is recommended to use candles after the menstrual period. One course is 2 weeks. For the effect enough 2 capsules per day.
The restoration of microflora after thrush in women is usually a quick process. However, treatment will be transient only if the examination is completed before the therapy. The drug should be appointed in accordance with the individual characteristics. In the opposite case, it will not be effective.
The cost of candles varies considerably. It is determined depending on the manufacturer, the concentration of the active component, the characteristics of the impact. For example, complex drugs are more expensive than tools aimed at solving one problem. The cost can vary from 100 to 500 rubles and above.
If the doctor prescribed expensive treatment, you can always replace the prescribed drugs with their counterparts.
Broken microflora is a problem arising from thrush and its treatment with antifungal agents. It is characterized by an asymptomatic course. Usually dysbacteriosis is detected during the examination. In some cases, problems with microflora are characterized by specific manifestations: discharge with a sour smell, skin irritation. Dysbacteriosis is aggravated when infectious and inflammatory processes are attached to it. In this case, prescribed drugs with complex effects.
The most popular means to improve the microflora - candles. Differ in simplicity in application, safety, lack of side effects, democratic cost. The composition of the funds may be different. Prescription drugs depends on the severity of the problem, individual characteristics, sensitivity of fungal microorganisms to the active components of the drug. The course of therapy is 7-10 days.
1.1. Obligate bacteria
Under normal conditions, they do not cause any diseases and contribute to the protection of the vagina from pathogens. These are lactobacilli, bifidobacteria, Leptotrichia, Atopobium, Megasphaera.
Doderlein sticks are a whole family of lactobacilli, among which L. acidophilus, L. brevis, L. plantarum, L. casei, L. cellobiosus, L. crispatus, L. jensenii and L. fermentum are the most common.
They are united by the fact that they produce lactic acid from the glycogen of epithelial cells, which supports the acid reaction of vaginal secretions, and many of them also produce hydrogen peroxide, which suppresses the reproduction of pathogens.
In this case, the following pattern was observed: with normal microflora, about 60% of such rods produce hydrogen peroxide, in the case of the boundary state - less than 40%, and with severe dysbacteriosis - only about 5%.
Lactobacilli are found in 98-100% of smears with normal microflora.
1.2. Transient bacteria
This is the flora that enters the vagina from the outside, for example, when syringing, inserting tampons, using sex toys, during unprotected sexual intercourse.
These microorganisms can be both safe and pathogenic. Normally, they should be no more than 3-5% of the vaginal microflora.
These include more than 20 species, among which the most common are G. vaginalis, Vibrioes Mobiluncus, yeast-like fungi Candida.
Their number increases with bacterial vaginosis and other infectious diseases, thrush (candidiasis).
Yeast-like fungi can also be found normally. They talk about it in cases where Candida albicans is only a small part of the total number of microorganisms.
If the vaginal flora is normal, but there is a multiplication of yeast-like fungi (> 10 in the fourth degree), then they speak of a conditionally normal variant and decide on treatment.
1.3. Optional bacteria
Usually they are present in small quantities. But in case of imbalance, when the acidity of the vagina moves to a neutral or alkaline environment, they actively multiply and cause dysbiosis (dysbiosis) and vulvovaginitis.
These are peptostreptokokki, enterococci, corinobacteria, mycoplasma, vaylornell and so forth. Their number should not exceed 5-8%.
1.4. How does the flora change during life?
As a rule, in the first hours after birth, the vagina of the girls is sterile, but in the first days lactobacilli, bifidobacteria and corinobacteria, as well as other bacteria that inhabit the intestines, including cocci, penetrate there.
There is a lot of maternal estrogens in the blood of a newborn, so the vaginal cells create an acidic environment, accumulate glycogen and then break it down into lactate. The flora is similar in composition to that of adult healthy women.
After 21 days, the maternal hormones are eliminated, which leads to a change in both the vaginal epithelium (it becomes thinner, and the environment of the vagina is neutral) and the microflora: cocci prevail, and the amount of lactobacilli decreases.
At 9-12 years of age, the proportion of lactic streptococci and acidophilic bacteria increases. After the onset of menstruation, lactobacilli become the dominant microorganisms.
In the climacteric period, the level of estrogen in the body decreases again, which affects the state of the vaginal microflora: the total amount of lacto-and bifidobacteria decreases, and the environment becomes neutral.
During pregnancy, as a result of the hormonal adjustment of the body, the vaginal epithelium grows and the acidity of the secretion increases.
The acidic environment promotes the growth of normal flora and inhibits the growth of pathogenic. During this period, the number of lactobacilli increases 10 times, and the level of colonization of the cervix decreases.
In the vagina of a healthy woman, using modern molecular genetic methods, about 300 species of microorganisms are detected, and in practical medicine only a few dozen are used to diagnose dysbacteriosis.
Based on a simple smear on the flora of a woman, 4 types of biocenosis state are determined.
2. Causes of dysbiosis
All causes of violations of the vaginal microflora are conventionally divided into 2 large groups - internal (endogenous) and acting from the outside (exogenous).
Promiscuous sex and unprotected sex.
Sexually transmitted diseases
Under the influence of these factors, vaginal dysbiosis occurs:
- 1 Compensable, when by laboratory changes in the smear are determined, but the woman does not present any complaints, does not describe any symptoms.
- 2 Decompensated with local signs inflammation of the vagina (vulvovaginitis).
- 3 Decompensated with generalized inflammatory reaction (spread of infection with blood). It is rare in immunocompromised patients (for example, against the background of HIV infection).
3. How to restore the vaginal microflora?
The main directions in the recovery of vaginal microflora are:
- 1 Elimination of pathogenic microorganisms.
- 2 "Settling" of the vaginal mucosa by representatives of the natural microflora and the creation of conditions for their life.
- 3 Strengthening local and general immunity.
- 4 Normalization of hormonal levels.
The first stage is carried out with the help of antimicrobial and antifungal agents, which can be administered topically in the form of suppositories, ovula or systemically (tablets, suspensions).
After elimination of the main manifestations, elimination of the symptoms of inflammation, drugs containing lacto- and bifidobacteria are prescribed (second stage).
It is important to understand that this group of medicines is under study and research.
As mentioned above, there are a huge number of species of lactobacilli, so two different women usually live in different species. At the moment it is impossible to colonize the mucous membranes of the lactic acid bacteria that live in a particular woman.
Individual incompatibility can be attributed to the symptoms of lactobacillus, which often occur when using candles with lactic acid bacteria.
It is characterized by abundant, watery secretions with a characteristic sour smell that frightens a woman.
In case of hormonal disturbances and decrease in immunity (the third stage), a corresponding correction is carried out, which includes the treatment of associated diseases, normalization of lifestyle and nutrition correction.
In case of genital infection, both sex partners (both female and male) undergo treatment.
It is a broad-spectrum antibiotic that successfully works against opportunistic and pathogenic vaginal flora.
Allows you to significantly reduce its quantity and gives a chance to multiply beneficial lactobacilli. Contraindicated in the first trimester of pregnancy.
The pharmacy chain has different trade names and is available in the form:
- 1 Candles - Clindacin, Dalacin.
- 2 Creams - Clindamycin, Dalacin, Clindacin Prolong.
- 3 capsules for oral administration and solution for intramuscular injection.
It is active not only in relation to pathogenic microorganisms, but also in relation to the simplest, for example, Trichomonas.
Contraindicated in the first trimester of pregnancy and breastfeeding. List of release forms for the treatment of bacterial vaginosis:
- 1 Candles - Mistol, Flagil, Metronidazole, Metrovagin.
- 2 Vaginal tablets - Trichopol.
- 3 Vaginal gels - Metrogil.
- 4 Tablets and capsules for oral administration - Metronidazole, Klion, etc.
- 5 Combination preparations - suppositories Wagisept (metronidazole + fluconazole), Vagiferon (with the addition of interferons), Metromicon-Neo, Neo-Penotran (metronidazole + miconazole), vaginal tablets Klion-D (metronidazole + miconazole).
Nifurantel actively destroys bacteria, protozoa and fungi. In combination with nystatin, which has antifungal effects, its effectiveness increases even more.
In the pharmacy network, the combination of nifurantel and nystatin is known as the McMiror Complex (these are soft vaginal capsules). The drug is widely used in the first stage of the normalization of microflora. Contraindicated in the first trimester of pregnancy.
These are vaginal tablets containing ternidazole, neomycin, nystatin and prednisone.
Ternidazole and neomycin successfully destroy gardnerella and other microorganisms that are predominant in dysbiosis.
Thus, the drug changes the ratio in favor of beneficial lacto-and bifidobacteria. Nystatin affects yeast, and prednisone eliminates the inflammatory response.
Terzhinan is shown in the first stage of microflora restoration in case of biopagia, vaginitis.
Chlorhexidine has a detrimental effect on many bacteria, including gardnerella, chlamydia, bacteroids, and others.
When applied topically, it is practically not absorbed into the blood and has no systemic effect.
For use in gynecology, chlorhexidine is available in the form of suppositories (Hexicon, Hexicon D) and combination drugs (Depantol candles - dexpanthenol + chlorhexidine), which can be treated during pregnancy and breastfeeding.
Fluomizin has a similar effect.
Dequalinium chloride (the main active ingredient of the drug) is an antiseptic that is active against most gram-positive and gram-negative bacteria, fungi of the genus Candida and trichomonads.
Polyvidone-iodine is a complex of iodine and polyvinylpyrrolidone, detrimental effect on many pathogens, including yeast.
It is also used in the first stage of the recovery of the vaginal microflora. Povidone-iodine is often prescribed for the prevention of candidiasis.
The most common forms of release used in gynecology - candles Betadine, iodoxide.
It has antibacterial and antifungal activity. Used to treat bacterial vaginosis, thrush. Contraindicated in the first trimester of pregnancy.
It has various forms of release, of which gynecology is most often prescribed:
- 1 Vaginal tablets - Candibene, Kanesten, Clotrimazole.
- 2 Gels, vaginal creams - Candide, Klofan.
- 3 Combined candles - Vagiklin (clotrimazole + clindamycin), Klomegel (metronidazole + clotrimazole).
It is a natural antibiotic that has a detrimental effect on pathogenic fungi, including candida.
Its distinguishing feature is the almost complete absence of allergic reactions. Can be used during pregnancy and breastfeeding.
Appointed to restore microflora in thrush, as well as mixed forms of dysbiosis.
In gynecology, its dosage forms in the form of pessaries (Natamycin) and vaginal suppositories (Pimafucin, Pimafungin) are used.
5. Lactobacilli and Bifidobacteria
Lactic and bifidobacteria increase the acidity of the vaginal secretions, thus they inhibit the growth of pathogenic flora.
Preparations containing lacto-and bifidobacteria are indicated only after improvement of state of health, elimination of inflammation and normalization of smears. But with thrush their use is limited.
To restore the microflora of the vagina at the second stage of treatment can drugs from this list:
- 1 Bifidumbacterin (contains bifidobacterium Bifidobacterium bifidum). Appointed by the course in the form of vaginal suppositories and inwards (capsules, suspension). Duration not less than 14 days, sometimes up to 1-2 months.
- 2 Atsilakt (candles). These are live acidophilic lactobacilli Lactobacterium acidophillum actively suppressing cocci and other opportunistic pathogens. The drug is permitted during pregnancy, but is contraindicated in thrush, as it aggravates it.
- 3 Lactobacterin (vaginal suppositories + capsules for oral administration). Contains live lactobacilli that produce lactic acid and inhibit the growth of pathogenic bacteria. Increases the protective properties of the body, is contraindicated in candidiasis.
- 4 Gynoflor E (vaginal tablets). The drug contains lactobacilli and the hormone estriol, which improves the function of the epithelium. Normalizes the vaginal microflora, including during menopause, when there is a lack of estrogen. Can be used after a course of treatment of thrush.
- 5 Ecofemin, Lactoinal (vaginal capsules). They also contain lactic acid bacteria that normalize and maintain the physiological balance of the vaginal microflora. Contraindicated in candidiasis.
- 6 Vaginorm C (candles to restore the acidity of the medium). The main active ingredient is ascorbic acid. Designed to normalize acidity, after which the balance of the flora can be restored without the "sharing" of additional bacteria. The drug is contraindicated in vaginal candidiasis. Frequent side effect - itching and burning, if they occur, further use of the drug should be stopped.
6. Prevention of recurrent thrush
To restore the microflora after thrush, prophylactic courses of antifungal drugs are prescribed.
However, the most important factor in successful therapy is a combination of medicines and compliance with recommendations regarding lifestyle and diet.
Candidosis usually uses suppositories, vaginal tablets containing fungicidal agents such as miconazole, clotrimazole, butoconazole, econazole, as well as the combined remedies Terzhinan, Polygynax, McMiror and others.
For systemic therapy, fluconazole is used, the course of therapy with this drug is shorter than with suppositories. Efficacy is comparable with vaginal forms.
Чтобы лечение молочницы или дисбиоза влагалища оказалось эффективным, следует обязательно придерживаться рекомендаций, позволяющих укрепить иммунную систему и предупредить гормональный сбой.
- 1 Eat a balanced diet, get enough vitamins, proteins. Refuse aggressive diets (protein, Kremlin, and so on).
- 2 Avoid increased psycho-emotional overload, nervous exhaustion, use regenerating and relaxation techniques.
- 3 Sleep every day.
- 4 Observe the hygiene of the genital organs, wear clean underwear, wash properly, refuse to douche at home without a doctor's prescription.
- 5 When using tampons, diaphragms, be sure to monitor their cleanliness.
- 6 Refuse unprotected sex and promiscuity.
- 7 Get rid of bad habits: smoking, alcohol intake.
- 8 Lead an active lifestyle, with daily exercise and gymnastics.
- 9 Timely treat concomitant diseases, including gynecological.
To restore health or restore balance after thrush and taking antibiotics using folk remedies is not possible.
Causes of violation of the vaginal microflora
Normally, the vaginal microflora is represented mainly by lactobacilli (lactic acid bacilli), much less bifidobacteria and peptostreptokokk in it. Lactoflora serves as a natural barrier to the development of microbes and fungi. Due to the formation of lactic acid, the acid reaction in the vagina is preserved, which contributes to its self-cleaning.
When thrush occurs, enhanced reproduction of fungi of the genus Candida. This disrupts the balance of microflora, leads to the development of dysbiosis (dysbiosis) of the vagina. First of all, the number of lactobacilli decreases and the proportion of conditionally pathogenic flora increases.
These microbes (gardnerella, bacteroids, cocci, mycoplasmas) are normal in small quantities, but after a lack of acid, they begin to divide rapidly. The products of their vital activity further alkalify the contents of the vagina, causing inflammation and damage to the mucous membrane.
And here more about the treatment of bacterial vaginosis.
Who is at risk
Vaginal candidiasis does not always lead to severe dysbacteriosis. But when connecting external and internal factors, there is a violation of microflora. Vaginal dysbiosis is one of the factors for the transfer of thrush to a chronic, continuously relapsing disease.
External causes include:
- recent or frequent change of sexual partners,
- lack of nutrition of lactic acid products, vitamins, vegetable fibers,
- the use of antibacterial drugs for the treatment of gynecological infections or related diseases of internal organs,
- venereal diseases,
- use of contraceptives in candles with nonoxynol (Patenteks), condoms with a lubricant that contains this spermicide,
- regular contraception hormonal pills,
- frequent douching
- constant wearing of sanitary pads,
- use of tampons during menstruation,
- hygiene of the genitals with perfumed or overly alkaline intimate soap,
- wearing squeezing synthetic underwear, especially strings.
Factors affecting the vaginal microflora
Changes in the composition of microflora also cause internal processes:
- reduced immunity
- viral or bacterial infections,
- stressful situations
- physical overstrain
- chronic inflammatory processes,
- intestinal dysbiosis.
In all these cases, the use of drugs that restore the content of lactobacilli in the vagina for prophylactic or therapeutic purposes is required.
For how to quickly cure candidiasis, see this video:
Manifestations of vaginal dysbiosis
Disruption of the microbial composition is not a harmless condition. It can manifest itself as a discharge with an unpleasant smell of gray or white color. Women are concerned about itching in the perineum, burning, pain or discomfort during sexual intercourse, urination.
If the disease is not promptly identified and the course of treatment is not completed, then the setting of the intrauterine device, abortion, and delivery can be complicated by inflammation of the uterus, its appendages, and cystitis. Dysbacteriosis during pregnancy is especially dangerous. It is possible to give birth before the term, fetal oxygen starvation of the fetus, infection of the child during childbirth.
Restoration of microflora
In order to restore the normal composition of the vaginal microflora, it is recommended to make adjustments to the diet, lifestyle, and use local preparations with lactic acid bacteria and supplement the course with an internal intake of probiotics.
In order to “colonize” the vagina with lactobacilli, you need to ensure their intake with food. It is important to drink a daily minimum of 250 g of fermented milk drinks. For therapeutic purposes only fresh (up to 3 days) from the time of manufacture, not containing sugar, dyes, flavors, are suitable. The best option is to prepare yoghurt, narine, kefir at home with the help of starters, which are purchased at the pharmacy. They should also be drunk without fillers.
At the same time, it is recommended to adhere to these rules:
- exclude or sharply limit sugar and white flour in the diet, bread products containing yeast, sweets, desserts of factory preparation. as a sweetener, you can use honey in small quantities, date syrup or stevia extract,
- remove from the diet for the period of treatment (or a longer period) smoking, pickles, canned food, spicy and fatty foods, alcohol, ready-made sauces,
- reduce the use of instant coffee, replacing it with chicory,
- as much as possible in the menu should be fresh vegetables and fruits, berries, greens.
Candles with probiotics
For insertion into the vagina, candles are used, which include various combinations of microorganisms. The mechanism of action of drugs is identical, it consists of the following processes:
introducing a culture of lactic acid bacteria that are capable of active reproduction,
- the use of the combined effect (symbiosis) of several types of microorganisms (thermophilic streptococci, combined lactoflora), the addition of vitamins, organic acids,
- regulation of acid balance
- reproduction of pathogenic microbes and opportunistic bacteria (bacteriostatic effect),
- the formation of antimicrobial compounds by beneficial bacteria (bactericidal action),
- synthesis of folic acid, which is necessary for the growth of lactic acid sticks,
- restoration of the vaginal flora of its own and the activity of local immunity.
In gynecological practice using vaginal suppositories, capsules and tablets. They are administered mainly at night, as deep as possible into the vagina. As a rule, the course ranges from 10 to 14 days. If during the treatment there was an aggravation of infection, then the continuation of the introduction of suppositories with probiotics is possible after a course of antibiotic therapy or for 4-5 days from taking antibiotics.
During the period of use of candles it is not recommended to perform douching, especially with the use of antiseptics, since they destroy lactobacilli.
Among the most prescribed drugs are:
- Fermalak, Vagilak - vaginal capsules contain two types of lactobacilli and streptococci,
- Atsilakt, Laktonorm, Ekofemin - as part of Doderlein's acidophilic sticks,
- Bifidumbacterin (candles), Beefilis - live bifidobacterium bifidum,
- Vaginorm C - ascorbic acid in vaginal tablets to create an acidic environment
- Ginolakt - candles contain planarum lactobacilli,
- Femilex - candles with lactic acid,
- Laktozhinal, Laktobakterin, Bioselak, Vagisan - vaginal capsules with lactobacilli.
Medicines for the treatment of thrush
Preparations for internal use
Upon completion of the course of treatment with candles for prevention or a more complex effect on the microflora of the body, the doctor may recommend the internal use of capsules with beneficial bacteria: Linex, Bifiform, Baktusubtil, Yogurt in capsules, Lacidofil, Laktovit Forte, Enterol. They contribute to the improvement of digestion, the formation of certain vitamins, and the enhancement of immune protection.
And here more about the most popular vaginal suppositories for the treatment of thrush.
Restoration of normal microflora in the vagina after thrush is necessary for patients to prevent dysbiosis. This condition occurs when the adverse effects of external factors, concomitant diseases. Dysbiosis can lead to inflammation and chronic candidiasis. To maintain the physiological bacterial composition, it is necessary to make changes in the diet, lifestyle, undergo a course of treatment with probiotics.
For effective remedies for treating thrush see this video:
It is convenient and simple to use vaginal suppositories for thrush. It’s impossible to figure out which are the best and effective among them, which will help and can be used during pregnancy, as well as which pills need to be added.
Under the influence of Trichomonas parasites, Trichomonas vaginitis develops. The disease has unpleasant symptoms, brings a lot of discomfort. He also provokes urethritis. Treatment in women should be carried out as soon as possible.
Finding out the causes of the disease, we have to understand how to treat bacterial vaginosis. After all, the selection, as well as other diagnosed deviations from the norm do not give peace of mind. The treatment will help candles and other medicines. Be sure to comply with prevention so that there is no recurrence.
Vaginal candidiasis is quite common among adult women, but can also occur in girls. The reasons are quite extensive, it is not always possible to establish the source. The symptoms of thrush are the discharge of curd consistency and smell. Drugs than to treat the infection in an acute condition are selected by a doctor. But diet will help avoid complications.
How to return the microflora after thrush? 2
For the treatment of thrush, our readers successfully use Candiston. Seeing the popularity of this tool, we decided to offer it to your attention.
Read more here ...
For the treatment of thrush (candidiasis), there are many drugs that will cope with a pathogenic fungus in a short time. But to restore health and well-being completely, they are not enough. It is necessary to restore microflora after thrush. It will help you begin to feel comfortable and will not allow the recurrence of the disease.
Why does thrush provoke vaginal dysbiosis
Candida fungus is an integral part of the normal microflora of the vagina. Thrush occurs when he, under favorable conditions, begins to multiply uncontrollably. That is, the biocenosis of the vagina is already broken. After all, normally it is not candida, but lactobacteria and bifidobacteria that form its basis.
After the diagnosis of "candidiasis", treatment with antifungal drugs is necessary. These are antimycotic and antibacterial agents for ingestion or suppositories that destroy the fungus. But before that, he manages to damage the vaginal mucosa, as the acidity of the body increases. Antimycotic drugs and antibiotics cannot fight against this. Their use kills the fungus, but does not return to microflora. The number of beneficial bacteria remains at an inadequate level.
Recovery from thrush is required, which should consist in colonization of the vagina with the necessary microorganisms, regeneration of the mucous membrane, and normalization of acidity.
Medical ways to return to a normal environment.
After treatment, thrush women complain of dryness in the vagina, as well as the fact that the discharge from the genital tract has not come to normal.
This means that the treatment is not yet complete, it is necessary to take means that will help get rid of discomfort by stimulating the reproduction of beneficial bacteria, healing the organ mucosa. It should be supplemented with analyzes on the microflora. Actually, rehabilitation should be started with such a study in order to determine the most optimal drug.
This is usually a candle to restore the microflora after the treatment of thrush:
Whether it is necessary to artificially influence the microflora after candidiasis therapy
Not all women understand the importance of rehabilitation therapy after getting rid of candidiasis. And it is no less important than antifungal. If you ignore it, thrush can return after a candle treatment. Indeed, one of the factors favoring it is the weakness of local immunity, that is, an imbalance of bacteria in the vagina.
If it is not supported by appropriate means, it can return to the same features, that is, the anomalous presence of the candida fungus.
We recommend reading the article on thrush during menstruation. From it you will learn about the causes of the disease, the relationship of candidiasis with the menstrual cycle, methods of treatment.
How to restore the microflora after thrush, a specialist will tell you to go to regularly.
But there are necessary things that a woman should watch herself. This is a diet without excess fat and sugar, comfortable and hygienic underwear, cleanliness in intimate relationships. It is equally important to keep in tune the overall immunity with the help of vitamins. And the absence of stress only additionally will not allow the body to lose its own protection.
Ways to treat chronic thrush in women
- General principles of treatment
- Drug treatment
- Folk remedies
Thrush is a disease caused by the pathological activity of the fungus Candida. In women, it is manifested by itching in the vagina, by cheesy white discharge, redness and swelling of the external genitalia.
If you do not start treatment in a timely manner, the risk of the disease going from acute to chronic increases. Symptoms of the disease in this case become less pronounced. A woman notes the darkening of the genitals. Chronic thrush usually occurs a week before the onset of menstrual flow. Recurrences occur 4–5 times a year.
General principles of treatment
Treatment of chronic thrush should be comprehensive. The standard scheme includes reception:
- antimycotic (antifungal) drugs,
- tonic or immunostimulating agents,
- medications that normalize the microflora,
- vitamin complexes.
To pick up the medicines the doctor should on the basis of the carried-out analyzes. To confirm chronic thrush is not enough one swab. Additionally require a blood test.
Chronic disease cannot be cured quickly. The fungus can infect many organs, a long-term intake of antimycotic drugs is required. The average duration of treatment is several months.
The choice of drugs intended for the destruction of the fungus should be based on data on its sensitivity to each particular active substance. To do this, conduct additional analysis.
An important role in the treatment of chronic forms of thrush plays a special diet. Fungal growth stimulating products should be completely excluded. These include:
- blue cheese,
- products from yeast dough,
- smoked meat
Properly formulated diet will avoid frequent recurrences of the disease. In addition, you should follow the rules of personal hygiene. Supplement to the main treatment will serve as folk remedies.
It is necessary to treat candidiasis under the supervision of a physician. Independent use of folk remedies without prior consultation may exacerbate the situation. Relapses will begin to disturb more often. However, some recipes can serve as an excellent complement to basic therapy. The following remedies are most common.
- Many women use soda for relapses. Most often, sit-down baths, douching and washing.
- Sprinkling effectively infusions of various herbs. You can use chamomile, calendula, St. John's wort. Oak bark has proven itself well.
- You can use carrot juice inside, as well as use it for douching. This drink is rich in antioxidants.
It should be remembered that folk remedies are designed to relieve symptoms during relapse. Use them only for the full treatment is not allowed.
The restoration of microflora after thrush is a very important process, the success of which directly affects the health of a woman. Changing the state of the microflora in the vagina can lead to very serious and unpleasant consequences, up to the emergence and reproduction of pathogenic bacteria, which in turn can bestow on you new diseases that require medical treatment.
There are doctors who are convinced that candidiasis that violates the natural state of the vaginal microflora, appears when the immune system is weakened and the body can not resist the multiplied fungus. To restore the microflora after this unpleasant disease, you usually spend about a month.
It is also worth paying attention to the fact that if you have a permanent sexual partner, then you must necessarily undergo treatment at the same time so that there is no re-infection.
In order to fully restore the balance of bacteria in the vagina, you need not only to use the appropriate drugs, but also to apply an integrated approach to improve the condition of all systems and enhance immunity, that is, the body’s natural ability to resist the bacteria.
Very often it happens that a thrush occurs after a long period of taking antibiotics, and as a result of fighting for a long time and finally defeating it, you encounter a new problem, such as dysbacteriosis. In order to return the vaginal microflora to its former state, doctors prescribe to use vaginal probiotics based on lactobacilli. But there is one very significant "but."
When you have had candidiasis and treated it, the upper layer of the mucous membrane in your vagina was damaged, and even destroyed in some places, so the beneficial bacteria that make up the preparations that you use to normalize the microflora simply cannot attach to its walls and start to act for the benefit of.
After some time, they die, without bringing absolutely no result. But the fungus of the genus Candida, in turn, feels great in this kind of environment and multiplies with great pleasure, causing recurrences of the disease.
That is why probiotics are needed during the treatment of thrush. From the very beginning of treatment, their action will be aimed at maintaining balance, so that later you don’t have to restore it, which is much more difficult, longer and, moreover, will cost you a fair amount.
All of these probiotics, such as Linex or Vaginorm, contain lactobacilli, whose work is to maintain a balance of nutrients that are in the woman's vagina.
That is, to put it simply, drugs such as Linex help to increase immunity and do not allow the vaginal microflora to create a gap for the appearance of pathogenic bacteria. In this case, adherence to the rules of hygiene and procedures for improving immunity are among the most influential factors for a quick and painless disposal of thrush.
For the treatment of thrush, our readers successfully use Candiston. Seeing the popularity of this tool, we decided to offer it to your attention.
Read more here ...
What is the treatment of microflora disorders?
In order to restore the microflora, use drugs such as Linex or Vaginorm. Neither Linex nor Vaginorm help from thrush; moreover, the use of Vaginorm in the presence of large concentrations of Candida fungus is strictly prohibited. This is written in the instructions that you must read before taking any medication. Vaginorm C can provoke an increase in the disease if it is used for thrush. This should be remembered.
Linex - a drug that helps to normalize the microflora, it is often prescribed in those cases if you have a long medication and antibiotics. Then Linex acts as a prophylactic agent, which, judging by the reviews, does an excellent job with its work and does not allow the bacterial balance to be disturbed, thereby creating unpleasant consequences.
In addition to Linex and Vaginorm, there are many different suppositories, ointments and tablets in pharmacies that treat dysbacteriosis in the vagina. But, in the event that you have been undergoing treatment for thrush using such drugs as ginoflor, ecofemin or vagilak, many experts will advise you to fix the treatment with the course of taking Vaginorm C.
It is possible to take Vaginorm only when all the symptoms and manifestations of candidiasis completely disappear, when there is no discharge, no smell, no itching. Otherwise, you run the risk of provoking a relapse. If you use these vaginal tablets correctly, then vaginorm will have an excellent effect on the damaged vaginal microflora, normalizing the local level of acidity.
In addition to Vaginorm, after undergoing a course of treatment for candidiasis, you can also use various candles based on lactobacilli. These are drugs such as, for example, Bifidumbacterin or Lactobacterin, which need to be taken for about 10 days.
To be sure that all the effects of treatment are safely eliminated, you should be tested and examined by a doctor after you finish taking the reducing drugs.
All women respond to these drugs in different ways, which is why there are so many positive and negative reviews about the drugs Linex, Vaginorm, Lactobacterin and the like.
Many people believe that Linex and Laktobakterin are completely useless and doctors prescribe them because of cooperation with pharmacies, but this is completely untrue. To refute these speculations, enough feedback from women who were given these drugs helped keep the microflora in good shape while taking antibiotics, as well as women who underwent a regenerative course using Vaginorm strengthened their immunity and no longer recall candidiasis.
Consequences of the use, such as exacerbation of thrush, which some women describe, are only a sign of late use of the drug. After all, only having passed the tests at the doctor, you can be sure of whether it is possible to begin treatment with Vaginorm or similar drugs. Do not self-medicate, because, as you can see, in this case, it can significantly worsen the situation and force you to go through the whole complex of procedures to eliminate the fungus.
Prevention of microflora disorders in the vagina
Prevention methods in this case are to prevent the emergence of causes that can lead to the development of candidiasis and, accordingly, the violation of the state of microflora in the vagina.
But still, the first and foremost preventive method is to strengthen the immune system, since it is the immune system that protects our body from all sorts of diseases and infections. The causes of thrush can be infections, hormonal failure, chronic fatigue, overstrain, bowel and urinary diseases, and so on.
This list can be continued for a long time, therefore, in order to prevent excessive growth of the pathogenic fungus in your body, you must follow the rules of hygiene and monitor the state of immunity, always maintaining it "in good shape."
To do this, you need to take vitamin complexes, as well as a healthy diet, adding to your diet fruits, vegetables and nuts.
If you have had thrush at least once, and you have treated it with special means, then try not to make long breaks between visits to the gynecologist. The optimal period will be the trimester, after which you should visit a doctor for tests and examinations. This is necessary in order to identify a possible relapse in time, because candidiasis is a very stable disease, which is almost impossible to get rid of once and for all.
Moreover, the doctor will be able to see the complications that may arise due to the disease or its treatment. If you have cured thrush, you will notice other strange symptoms, immediately contact a gynecologist, because the easiest way to help a situation is when it is not out of control, that is, in the very early stages of the problem.