I have had frequent bouts of vaginal thrush over the last year and wonder are there any ways to prevent it recurring?
Conventional remedy: Vaginal thrush, sometimes called yeast or candida infection, is caused by the over-growth of the organism Candida albicans. This organism normally lives, along with other organisms, in the vagina, causing no harm. However, when the balance is disrupted, an over-growth of candida can give rise to uncomfortable and persistent symptoms. These include: itching, irritation, soreness and swelling of the vaginal area, discomfort during intercourse, pain when urinating and a thick, white discharge.
The reasons why thrush develops are many and varied. Diabetes, hormonal changes experienced during pregnancy or a course of antibiotics for another condition can all trigger thrush. Other factors that can contribute to the condition are: wearing nylon underwear, tight jeans, humid weather, bath products and the use of oral contraceptives.
Recurrent attacks may be the result of hormonal changes leading to some women experiencing monthly attacks.
An episode of thrush can be treated with a cream, tablet or pessary form of an anti-fungal preparation. As thrush is contagious is it advisable for your partner to be treated at the same time, in case you are reinfecting each other.
Avoid using bubble bath or other soap products which may alter the balance of organisms in the vagina. Shower instead and make sure to dry carefully and thouroughly after washing. Wear cotton underwear and avoid tights and restrictive clothing. Do not use vaginal douches, deodorants or powders as they may cause irritation. Applying live natural yohgurt may help ease discomfort during an attack.
Dr Muiris Houston
Alternative remedy: Many women get occasional bouts of thrush (candida) throughout their life which respond well to conventional treatment. However, a significant number who are prone to persistent or recurrent thrush - sometimes after antibiotic treatment or the contraceptive pill - may require individualised treatment.
Recurrent thrush may be associated with a variety of other symptoms including irritable bowel syndrome, increased premenstrual tension, dry eyes, anal irritation, cystitis, fluid retention and dermatitis. Many patients also notice a general decrease in energy and well-being. While not scientifically proven, some patients with recurrent thrush appear more likely to have infections and allergies.
The broad principles of a complementary approach include a diet which restricts the intake of refined carbohydrates (e.g. chocolates, biscuits, cakes, alcohol - particularly beer and wine - and yeast products) especially during the initial weeks of treatment.
Homoeopathic medicines and supplements and good quality probiotics (including acidophilus and bifidus) are generally included. One of the theories for recurrent thrush is the presence of an intestinal reservoir of candida and appropriate anti-fungal medication for this may also be required.
As improvement takes place, the need for a careful diet and taking supplements/natural medicines will lessen. Use of antibiotics in the future should be minimal and if required a combination of probiotics, B vitamins and diet may be included for a short period.
Dr Brendan Fitzpatrick
Dr Brendan Fitzpatrick is a medically-qualified doctor who includes homoeopathy and dietary advice in his treatment approaches.
He is a member of the Irish Medical Homoeopathic Association. Tel: 01-2697768