Gynaecology

The Science of Women

Candidiasis


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Candidiasis is a yeast infection of the vagina. It is not a sexually transmitted disease. It is a common infection affecting 3 out of 4 women in some point of their lifetime. About 10% of women have recurrent Candidiasis, that is, having 4 or more infections in a year. Despite its recurrence, Candidiasis is highly treatable and does not lead to cancers.

 

Causes Of Candidiasis

Candidiasis arises when the balance of normal Lactobacillus bacteria in the vagina is overcome by an overgrowth of Candida. This happens in
❖ pregnancy
❖ antibiotic use or douching
❖ estrogen hormone intake
❖ uncontrolled diabetes or impaired immune system
❖ use of tampons, bubble baths, feminine sprays that increase the vaginal pH.

 

Symptoms Of Candidiasis

Mild candidiasis may not cause any symptoms. The most common symptoms are
❖ itch and irritation in the vagina and at the entrance
❖ thick, white, odour-free vaginal discharge with cottage cheese appearance
❖ burning sensation during intercourse and while urinating
❖ redness, soreness, swelling and pain at the vaginal entrance

 

Treatment of Candidiasis

❖ Anti-fungal (eg. Clotrimazole, Miconazole, Nystatin) in the form of creams, vaginal pessaries or oral tablet. A one time treatment of 2-7 days is effective in 80% of cases. For recurrent cases, weekly treatment for 6 weeks, or around the menstrual period, may be needed.
❖ Anti-itch medication and gentle feminine washes.
❖ Probiotics and supplements to reduce the vaginal pH.
❖ Treatment of your partner is not needed unless there are similar symptoms.

 

Prevention Of Candidiasis

The frequency of Candidiasis can be reduced by
❖ avoiding douching, using scented tampons, bubble baths and feminine sprays
❖ wearing cotton underwear and loose fitting pants or skirts
❖ avoiding tight fitting underwear, pantyhose or jeans
❖ changing out of wet clothing as soon as possible
❖ taking a balance diet with some probiotics & yogurt with Lactobacillus.