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Simple ways to help prevent vaginal thrush

Vaginal thrush is a common health condition that affects most people with a vagina at some point during their adult years. In this article, we’ll explore its symptoms, causes, and practical tips to help treat and prevent it.

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Candidosi vaginale is a non-sexually transmitted yeast infection usually caused by an overgrowth of fungus in the vagina and vulva.

According to Dr Pamela Tambini, a double board-certified physician in internal medicine, there are two primary types of vaginal thrush.

These are categorised by their level of severity and the type of yeast involved:

  • Uncomplicated vaginal thrush - this is the most common type caused by the fungus Candida albicans. Its symptoms are usually mild to moderate and it generally responds well to treatment.

  • Complicated or recurrent vaginal thrush - this is defined as four or more infections in a year. It often involves less common yeast species, known as non-albicans Candida, such as Candida glabrata, which can be more resistant to standard treatments.

Tambini says that recurrent vaginal thrush may also be linked to underlying conditions such as diabetes or weakened immunity.

What are the symptoms and causes of vaginal thrush?

Symptoms of vaginal thrush often include:

  • Itching, redness, soreness, and swelling in your vaginal area.

  • A thick, white discharge with a texture like cottage cheese.

  • Pain during sex and when peeing.

Tambini explains that Candida albicans infections typically present with classic symptoms such as itching and discharge.

"Infections with non-albicans species - such as Candida glabrata - may cause less discharge but more persistent discomfort and irritation," she adds.

According to Tambini, vaginal thrush can be caused by various factors such as:

  • Hormonal shifts - pregnancy, menopause, or oral contraceptive use can disrupt your vaginal microbiome.

  • Antibiotic use - broad-spectrum antibiotics can kill good bacteria, making it easier for yeast to overgrow.

  • Weakened immune system - conditions such as diabetes or certain medicines such as steroids increase your chance of developing thrush.

  • Fattori legati allo stile di vita - wearing tight, synthetic clothing or a high-sugar diet can create an environment promoting yeast growth.

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Natural ways to help prevent vaginal thrush

If you're experiencing symptoms of vaginal thrush, your doctor or pharmacist will suggest a course of treatment. However, in many cases, preventing thrush can be as simple as making a few lifestyle adjustments.

1. Cut back on sugar

Eating less sugar may relieve and limit your chance of developing vaginal thrush.

"Yeast thrives on sugar," says Tambini. "So reducing your intake could help."

This is true if you have diabetes, as there is an increase in sugar in your pee. However, it may not have such an impact if you do not have diabetes. In general, a diet low in sugar is a healthy lifestyle change to make.

2. Wear breathable fabrics

Wearing tightly fitted clothing can increase your chance of vaginal thrush, because it creates warm, moist conditions where yeast thrives.

Tambini suggests wearing breathable fabrics, loose-fitting clothes, and underwear made from cotton to reduce the build-up of moisture.

3. Steer clear of irritants

Avoiding certain irritants can help relieve your symptoms and support a healthier environment for your vagina.

According to Tambini, these irritants can include douching, scented soaps, or feminine sprays that may disrupt the natural pH of your vagina.

It's recommended you also limit your use of disposable feminine hygiene pads - such as panty liners - for spotting between periods.

4. Less is more

To keep your vagina healthy, gentle care is key. Over-washing or using harsh soaps can disrupt the natural balance of bacteria, leading to dryness and potential infections.

Instead, opt for water or a soap substitute, and remember to pat the area dry after washing.

5. Don't douche

Vaginal douching involves cleaning your vagina with a liquid solution. People do this thinking it's for hygiene purposes, to prevent or treat infections, or to clean your vagina following your period or after sex.

However, douching is a harmful practice that can disrupt your vagina's natural bacterial balance. This could cause unfriendly bacteria to thrive, which may trigger thrush.

It may also irritate the sensitive tissues around your vagina, making them more prone to infection.

Give natural remedies a miss

Current UK guidelines advise against the use of natural remedies - such as tea tree oil, other essential oils, and topical or oral probiotics - for the treatment of thrush.

The effectiveness of these remedies lacks scientific backing, and they may end up doing you more harm than good.

What else can treat thrush?

A doctor or pharmacist can recommend the most suitable medicine based on your specific healthcare needs.

In the UK, you can buy:

  • Antifungal creams - to be used externally for itching.

  • Pessaries - to be inserted into your vagina to help clear the infection.

  • Oral antifungal tablets - to treat the infection at the pharmacy. These oral tablets should not be used by people who are pregnant.

If your symptoms do not improve within a week or become worse - especially with the use of antifungal treatments - you should seek help from a healthcare professional.

"Persistent symptoms despite treatment could indicate a resistant yeast strain, such as Candida glabrata, which requires specialist care," advises Tambini.

Tambini adds that the following symptoms could indicate a more serious health issue:

  • Severe itching, pain, or swelling that doesn’t improve with over-the-counter treatments.

  • Recurrent infections - four or more in a year.

  • Yellow-green discharge or foul smell - this may indicate bacterial vaginosis or another infection.

  • Fever or pelvic pain - this could suggest a more severe issue. In cases such as these, you would need to see a health professional immediately in the hospital emergency department - especially if you also have a foul smelling, green, or blood stained discharge.

It’s important to seek help from your doctor promptly if you experience any of the above symptoms.

Vaginal thrush is a common infection that can be effectively treated with antifungal medicines.

Tambini advises that if you experience frequent or severe symptoms, don’t hesitate to seek medical advice.

"A tailored approach can make all the difference in finding relief and preventing recurrence," she says.

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