A candid look at candida

How is it diagnosed?
Diagnosing candida from symptoms and examination alone is not always accurate, as other conditions such as bacterial vaginosis cause similar problems and need different treatment. If you have genital symptoms, it is best to visit a genito-urinary medicine clinic (GUM clinic) for full screening and proper diagnosis.

Standard Treatment
A variety of anti-fungal treatments are available over the counter and on prescription. Some antifungal agents (for example, clotrimazole and miconazole) are used as creams or pessaries. Oral antifungal drugs (fluconazole and itraconazole) are also available for those who prefer swallowing a capsule rather than inserting a pessary.

Whatever treatment you use, it can take two or three days for symptoms to improve, as the soreness has to resolve after the yeast is eradicated. During this time, you will find it helpful to wash the area with a soothing acid-balanced treatment wash such as Lactacyd, which is available from pharmacies. Lactacyd wipes are helpful, too.

Avoid sex until all symptoms have gone. If you find sex keeps triggering thrush, see the tips on prevention. It may also help to wear a condom.

Alternative treatments
Some women find it helpful to smear the affected area with natural yoghurt containing a live bio culture of lactobacillus acidophilus. This bacteria colonises the vagina and may help to prevent overgrowth of candida. Bio yoghurt is particularly helpful if thrush is a result of antibiotic treatment. Taking a probiotic supplement to replenish intestinal levels of friendly digestive bacteria will help to suppress candida overgrowth in the gut ,which is believed to act as a reservoir for recurrent vaginal infections.

One of the most successful herbal remedies is Lapacho - also known as Pau d'Arco. Lapacho is an unusual Brazilian tree with carnivorous flowers that feed on insects, keeping the tree free from infection. Extracts from Lapacho bark can increase resistance to infection and are especially active against candida.

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