How to treat thrush

With thrush faced by most modern women. And statistics show that 60% of them prefer when symptoms occur read the messages on the Internet, and do not seek medical attention. And what is truth, what is fiction — we are not always able to tell the difference.

I was lucky at the conference I met Vsevolodovna Irina Kuznetsova, MD, Professor and Chief Scientific Officer Department "Women's Health" research and educational center of the First Moscow State Medical University named after IM Sechenov, and decided to ask her. Still, we were not in the office, and you can ask anything. I have collected the most frequently asked questions. Look, I hope you it could be useful.

What is the most difficult to treat?

Two major problems can be described today in the treatment of thrush. The first of them — later to a doctor, trying to self-treat or treat "on the phone" without a preliminary microbiological examination. The second problem — an abundance of drugs, in choosing among them is lost even a doctor.

— But now a lot of information on the Internet …

— I'm not against the Internet itself and advise women on different sites. But never the Internet and the most experienced virtual doctor will not be able to replace the examination if less experienced physician, supported by diagnostic studies. Internet is the only source of information about your alleged illness and how to treat and diagnose and select a particular type of therapy should only doctor at internal communication. And we need to follow the doctor's recommendations, even if the chosen method seems long or difficult to implement.

— And what did happen, it is necessary to take medicine for a long time?

— Unfortunately, yes. Any chronic disease is treated with a prolonged course of therapy for at least six months. This position is fully applicable to chronic thrush (recurrent vulvovaginal candidiasis).

— But still! Simply, we now know from the media — just one capsule. And many a little disappointed when it turns out that all the more difficult.

— To avoid disappointment, it is necessary to see a doctor in time and properly treat acute episode of thrush, for which, indeed, the missing one, a maximum of three, with an interval of 72 hours1, fluconazole capsules *. But if repeated episodes of thrush four or more times a year, such a chronic, form should be treated long course, * taking fluconazole 150 mg once a week for six months2.

— I would, of course, did not ask on the forum. But you must admit, it is quite difficult to follow …

— Why do not you ask in the forum? There you can find and support, not just criticism of doctor's appointments. On the Internet you can find and recommendations of international expert organizations that recommend exactly what is the treatment of recurrent vulvovaginal candidiasis — the first stage of treatment of exacerbations — receiving fluconazole capsules 3 in the 1st, 4th and 7th day, and on the course 24 capsules: 1 capsule once a week For six months1.Mode of long-term treatment of thrush — it's not a whim of a group of doctors or hospitals. This is a well-established international practice, confirmed by numerous studies. And she can be trusted. Regarding the difficulties of implementing the recommendations can not argue. Is it difficult times a week to take a pill? Agree, this is a feasible task. And on the road to recovery is always possible to find support from both close friends, your doctor, and the Internet.


* Fluconazole — active substance range of antifungal drugs

1. Kimberly A. Workowski, Stuart Berman. Sexually Transmitted Diseases Treatment Guidelines, MMWR, 2010

59 (RR12); 1-110, available at / mmwr

2.Sherrard J., Donders G., White D. European (IUSTI / WHO) Guideline on the Management of Vaginal Discharge,

International Journal of STD & AIDS 2011, 22: 421-429


* Instruction for use of the drug Diflucan (RU P number 013546/02, 02.02.12). DIF-13-02


About the possible contraindications consult a specialist

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