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Vaginal candidiasis (ICD – B37)

Vaginal candidiasis (ICD – B37)

Vaginal candidiasis is a disease of the vaginal mucosa caused by a fungal infection and spreading to the mucous membrane of the external genital organs. Typical symptoms are itching in the groin area, burning sensation, discharge. To cope with the problem, it is necessary to carry out a diagnosis that includes several studies.

Currently, candidiasis is successfully treated with modern drugs..

Vulvar and vaginal candidiasis (vaginal candidiasis)

Vaginal candidiasis is a common condition that often occurs in women. Its causative agents are fungal pathogens. In particular, candidiasis occurs due to the microscopic fungus Candida Albicans.

Another name for the disease is thrush. This name was given to the problem due to a characteristic symptom – white cheesy discharge. Almost every woman faces them during her life.

Statistics show that vaginal candidiasis is diagnosed in 75% of the fair sex.

Diagnostics and treatment of vaginal candidiasis in Nearmedik on Botkinsky.

When contacting the Nearmedik clinic on Botkinsky, a woman will be assigned all the necessary studies to clarify the diagnosis. The signs that have arisen are not always evidence of thrush; we can talk about other female diseases. Diagnosis begins with a routine gynecological examination using a speculum speculum. It detects the following problems:

swelling of the mucous membrane; hyperemia; the presence of a cheesy discharge.

The doctor will take several smears for microscopic examination and bacterial culture. Tests are also performed to determine the type of fungus and its drug resistance. This allows you to choose the optimal treatment regimen. In about half of cases, candidiasis can be diagnosed with a regular smear, since the pathogens are clearly visible under a microscope.

If it is not possible to do this, then sowing is carried out, the result of which will be revealed within two days.

After establishing the diagnosis, the doctor will prescribe a treatment regimen. It is performed on an outpatient (home) basis.

The causes of candidiasis.

Opportunistic fungi live in the body of many women. They live on the genitals, in the gastrointestinal tract, in the mouth. They do not cause concern as long as the provoking factors do not arise.

The defenses that restrain the growth and reproduction of fungi weaken, after which the development of the disease begins.

Common provoking factors are:

Taking antibiotics. Against its background, vaginal candidiasis often develops. Pregnancy.

During the carrying of a child, strong hormonal changes occur in a woman’s body. Immunity decreases. Diabetes.

High blood sugar can cause thrush.

Thrush can develop for other reasons. For example, candidiasis often results from the use of a product. If a woman suffers from a food allergy, then the risk of the disease increases..

Symptoms of candidiasis.

If a woman is only a carrier of candida, then she does not show any symptoms. They occur during exacerbation of the disease. The symptoms of thrush are quite unpleasant, so a woman usually notices them right away. Typical symptoms include:

cheesy discharge, which is sometimes very copious; itching; burning; redness of the vaginal mucous membranes; painful sensations in the lower abdomen.

Itching and burning are aggravated during menstruation, during hygienic water procedures and physically active activities. Often during intimate contact, a woman experiences painful sensations.

If the disease has become



chronic, then the symptoms may not be so pronounced. There is no discharge. The mucous membrane becomes flabby, the entrance to the vagina narrows, and rashes may appear.

Chronic form persists for many years without treatment.

It is worth noting that candidiasis is usually manifested by a combination of the described symptoms. If only one symptom occurs, the cause may be a different infection. But with any appearance of suspicious signs, you must contact a good gynecologist who will conduct a detailed diagnosis and correctly determine the disease.

Risk factors.

Thrush is more likely to develop if a woman is exposed to risk factors. The more of them in life, the higher the susceptibility to disease. There are the following factors that increase your risk of developing thrush:

Taking antibiotics. These drugs destroy microorganisms, including disrupting the microflora of the vulva. Because of this, fungi begin to actively develop. Increased levels of sex hormones. Statistics show that vaginal candidiasis develops more often in patients with high estrogen values.

Diabetes mellitus, during which a woman does not control her blood sugar levels. If the patient treats herself more carefully, then the risk of developing thrush is not too high. Decreased immunity. It usually occurs against a background of long-term illness. Often seen in women with HIV and other serious problems.

Increased sexual activity. Despite the fact that candidiasis is not a genital infection, it can be transmitted through intimate contact. This is especially true for women who often change partners. Pregnancy. Waiting for a child puts a great strain on the body.

This leads to surges in hormones and the consequences in the form of thrush. Abortion. Wearing tight and uncomfortable underwear. Failure to comply with hygiene rules.

Taking birth control pills.

If a woman is faced with one or more of the listed factors, then she should be more attentive to her condition. It is also necessary to minimize their impact, if possible..

Types of candidiasis.

There are two types of candidiasis: complicated and uncomplicated. The choice of treatment regimen depends on what type of disease the woman has. Uncomplicated candidiasis is caused by the fungus Candida Albicans. The disease is characterized by not too vivid symptoms and the absence of complications. It can usually be managed with antibiotics and topical medications.

Too long treatment is not required.

Complicated candidiasis is a more serious problem. It is accompanied by pronounced symptoms that greatly disturb the patient. Also, with this type of thrush, relapses constantly occur. In other words, some time after recovery, an exacerbation may occur again. This greatly torments the woman and requires a more thoughtful approach to treatment.

Complicated candidiasis is often caused by other fungi. Therefore, it is necessary to determine their type and select medicines that can destroy pathogens..

Treatment of uncomplicated candidiasis.

To date, there are a large number of topical drugs that have antifungal effects. They come in different forms:

cream; ointment; candles; pills.

The drugs are applied topically, that is, they are applied to the vaginal mucosa or inserted inside. Antifungal agents such as clotrimazole, miconazole, itrocanosol and others are now known. Usually the doctor will prescribe a course of treatment for 1, 3 or 7 days. The disadvantage of local preparations is a slight burning sensation or irritation.

If such side effects are severe, then you should consult a doctor to change the medication..

In addition to local preparations, oral agents are used. A single use is usually prescribed. If the symptoms are too severe, then a second dose may be necessary.

The second pill is taken three days after the first.

If after the treatment the symptoms persist, then it is imperative to contact the clinic. A visit to the doctor will also be needed if the thrush has passed, but after a couple of months it reappeared.

Treatment of complicated candidiasis.

To eliminate a complicated type of disease, the same drugs are used, but the treatment will be longer. So, local antifungal agents should be used for at least 7 days. The maximum treatment period is two weeks.

As for oral medications, a single use is no longer necessary. Usually you need to take them two or three times..

In addition to the listed funds, supportive therapy is prescribed. It involves the use of special drugs that should be started after the main course of treatment. They inhibit the growth of fungi and prevent relapses.

The drugs can be both topical and oral.

Supportive therapy is an important part of successful treatment. According to statistics, in women who refused it, a second disease occurs in 70% of cases. This happens within six months after recovery..

Preparations for the treatment of candidiasis.

There are many drugs that can help you cope with thrush. This includes, first of all, antifungal agents: itraconazole, miconazole, flucytosine, clotrimazole. They come in a variety of forms. Itrakanazole is a capsule that is taken by mouth.

Miconazole is a topical cream formulation. Flucytosine is available as a solution for intravenous infusion. Clotrimazole is available in several forms: ointment, cream, suppositories.

The doctor prescribes the appropriate drug based on the severity of the symptoms and the type of pathogen. All of the listed funds are antifungal, they destroy pathogens quickly enough.

In addition to these drugs, a private gynecologist may prescribe probiotics. They are substances with live bacteria. The main task of probiotics is to improve the microflora and strengthen the immune system.

Their use increases the effectiveness of treatment and brings recovery closer. Probiotics are available in several forms: suspensions, emulsions, capsules, powders, tablets. Liquid forms contain really live bacteria, which immediately enter the body, begin to develop and do useful work. In dry probiotics, live microorganisms are absent, but they contribute to the production of lactic acid, in which new beneficial bacteria begin to develop rapidly.

There is no consensus on probiotics yet. Treatment is effective both when monotherapy with antifungal agents and when probiotics are included in the regimen.

Prevention of candidiasis.

To avoid such an unpleasant disease as vaginal candidiasis, you need to take care of preventive measures. They imply the elimination of conditions for the development of fungi. This includes the following actions:

Wearing loose cotton underwear. The use of too tight panties leads to additional irritation of the mucous membrane, which sometimes provokes the multiplication of a fungal infection. Also, the risk of disease is increased due to synthetic fabric. Wet clothing should be changed to dry immediately.

For example, this applies to visits to the pool. You cannot walk in a wet swimsuit for a long time, you should immediately change clothes, having previously taken a shower. In a humid environment, fungi multiply much faster. Do not take hot baths often. Unjustified use of antibiotics should be avoided.

Such drugs should be prescribed only by a doctor and only in case of serious illnesses..

In general, there is nothing difficult in prevention. If suspicious symptoms arise, then you should not delay the visit to the doctor, as neglected vaginal candidiasis can lead to additional problems..

If you suspect, call the clinic!

Appointment with an obstetrician-gynecologist.

You can make an appointment with an obstetrician-gynecologist at Nearmedic on Botkinsky by calling in Moscow +7 (495) 161-911-1 or by filling out the “Make an appointment” online form on our website. Our doctors work on weekdays, weekends and holidays.

We accept bank cards VISA, MASTERCARD, MAESTRO.

The full price list can be found at the reception or ask a question by phone +7 (495) 161-911-1.

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