Thrush: get rid of or put up?

Author:Irina Kuznetsova Vsevolodovna, prof.,Department. Obstetrics and Gynecology, SEI SPE RMAPO Health Minister

Burning and itching of the vulva, white cheesy vaginal discharge, pain during sexual intercourse, pain during urination — about three-quarters of the female population of the planet at least once in their lives experienced the result of uncontrolled breeding of the vagina fungi Candida. It seems to be not so terrible thrush, serious threat to health can not be held to the same, the assurances of commercials, thrush can be very easy to treat — three days and it "is gone!" And a month later the symptoms again and again taking the pill, or a candle, and it again "as not at all! ". And then life becomes a bad dream in which you are more and more immersed in the problem of discomfort most intimate areas of the body, avoiding sex, you begin to hate your unlucky organism that can not cope with such a trifle.

That's where flies host of traditional healers and counselors of all samples, and say the right words to the effect that we need to increase the body's defenses, and suggest ways of anti-inflammatory herbal charms and spells to. Something on time helps, but it takes several weeks and renewed itch with cheesy discharge herald the beginning of another victory won by fungi.

Maybe see a doctor? But how often out of the mouth of a gynecologist sound the same recommendations, we know from commercials, the advice of friends, the Internet and other sources of medical information and Semi-Medical. This is the final disappointment in the fight against thrush often leads us to a dead end. Is the medicine is powerless even to solve a simple problem?

Of course, not all women with thrush, or, as it is called in medical circles, vulvovaginal candidiasis, are described by the circles of hell. But in 10-20% of cases of vulvovaginal candidiasis is a complicated character, and fungi of the genus Candida, are entitled to life as part of the normal flora of the mouth, vagina and colon, has consistently reproduce, leading to re-emergence of symptoms of yeast infection. If such acute symptomatic episodes of illness for the year recruited at least four, the doctor must diagnose "chronic vulvovaginal candidiasis." But who will take the frequency of episodes of thrush? A patient self-help. Prompt gynecologist, that he is dealing with mushrooms, well seasoned in battles with other microorganisms and medicine, so deal with them in the usual way would be impossible.

Meanwhile, the way of disposing of a chronic, recurrent four or more times a year, there vulvovaginal candidiasis. He is described in the scientific literature can be found in international clinical guidelines and proven effective in numerous studies, both in Russia and in other countries. It is not complicated, but in order to use it, you must really want to get rid of a yeast infection.

There is an effective preparation, suppresses the growth of fungi in single dose for most women. It is well-known and widely prescribed fluconazole (fluconazole original — "Diflucan ®»).

Sometimes (when expressed symptoms of thrush) requires a "heavy artillery" — namely, to enhance the therapeutic effect, it is recommended to increase the duration of treatment for fluconazole (Diflucan drug ®) — this means taking a second capsule 150 mg orally 3 days after the first. If we are dealing with a chronic thrush caused by fungi Candida albicans, is the return of symptoms, it is recommended even stronger "strike at the enemy," and for the drug Diflucan ®, as a rule, effective reception 3 capsules 150 mg orally every 3 days (1 4 and 7).

But that's not all! The problem is that the complete removal of the fungal organism can not be achieved by any drug, and not necessary, since they can — it is an integral part. The suppression of excessive growth when taking one or even two or three capsules of fluconazole achieved for 1-2 weeks, followed by a gradual resumption of population begins mushrooms, ending with recurrent thrush. But you can not wait for this new recurrence, and support the growth inhibition of fungi weekly fluconazole in the hope that the fungi, in the end, bowed his head to a strong and patient adversary. The time an overwhelming medical terminology for "suppressive therapy", worked out by years of research, and is now the recommended course of weekly fluconazole is 6 months.

The main result of the treatment is not recognized as the absence of episodes of vulvovaginal candidiasis in the application of the drug, how long, for a year or more, the lack of renewal of thrush after treatment. Insidious this situation with recurrent VVC caused by C.albicans, is that the symptoms of yeast infection in most cases, already beginning to fade after the first capsule on the second day and go most of the third after taking Diflucan capsules of 150 mg on day 7 of treatment, we call this step therapy "Attack". But to extend "life no recurrence, "thrush after the" Attack ", it is important not to throw treatment, and to continue the so-called" suppressive therapy ", we call this phase of the treatment-phase of the" Cruise ", since otherwise the efforts may be in vain and obsessive repeat episode of illness does not take long. It should be well understood, as any of us psychologically difficult to force yourself to drink regularly drugs to prevent something, when we are feeling is normal, and it treatment only to avoid problems in the future. As already mentioned, the phase "Cruise" lasts 6 months for drug Diflucan ® 150 mg weekly requires reception during this time period. To help us as a reminder that we are in the modern pace of life adhere to prescribed medical regimen, Pfizer is offering to send e-mails and / or sms-notification. For these alerts enough to subscribe for sms-mate online

This, of course, not limited to the necessary measures that would curb the fungus Candida. We know that they contribute to the growth of abnormal eating habits (sweet tooth), antibiotics, abrupt climate change, severe emotional stress, diabetes, bacterial and viral infections. Therefore, a healthy lifestyle, proper diet, timely treatment diseases will also help to contain fungi. But some of these measures, without suppressive therapy is not enough. First, we need to demonstrate their permissible limits of fungi growth, and only then to maintain the achieved results.

So, get rid of the fungus is not possible, but to get rid of a yeast infection in our power. In the end, we allow the fungus to settle in their body, but has the right to require them to comply with our interests, and not to turn organism a testing ground for periodic military action, it is better once and for all one course of suppressive therapy to learn to live peacefully mushrooms to provide them space.

There are contraindications.  Should consult a specialist.

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