Vaginal Fungus

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Vaginal Fungus
Vaginal Fungus
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Video: How To Stop Vaginal Yeast Infection & Itching | Vaginal Thrush Treatment | Is White Discharge Normal 2023, February
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Vaginal fungus

Vulvovaginal candidiasis is a fungal infection in which there is a pathological colonization of the vagina with yeasts, predominantly with Candida fungi (in 80 to 90 percent Candida albicans, more rarely other Candida strains). Vaginal yeast disease is diagnosed based on the typical symptoms. The infection can be passed on to the male partner during sexual contact.

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  • What are the causes of vaginal thrush?
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  • How is the diagnosis made?
  • ">">How is vaginal thrush treated?

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  • Whom can I ask?
  • How are the costs going to be covered?

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What are the causes of vaginal thrush?

Candida fungi are widespread and occur in small numbers in the normal flora of the skin and mucous membranes in many people without causing any problems. 20 to 50 percent of adults carry Candida albicans in their mouth and digestive tract without causing a problem. It is estimated that three out of four women develop vaginal yeast infections at least once in their lives. About five to ten percent of the sick suffer from chronic recurrent vaginal thrush, which is defined as having at least four recurrences within a year.

Under certain conditions, the fungi can multiply massively, causing inflammation. For example:

  • weakened immune system (e.g. HIV / AIDS)
  • Basic diseases such as diabetes mellitus etc.
  • hormonal situation (pregnancy, cycle, age),
  • general health,
  • excessive hygiene,
  • Taking medication (e.g. antibiotics, cortisone, chemotherapeutic agents).

The influences mentioned can lead to a disruption of the healthy vaginal flora. This includes the natural colonization of the vagina with various germs, especially lactic acid bacteria (lactobacilli), which play an important role in the defense against pathogens. The infection can be passed on to the male partner during sexual contact. Although men suffer from a fungal infection much less often due to the completely different anatomical conditions, it is absolutely necessary to rule out a vaginal infection in the partner if the glans are infected.

How to prevent vaginal thrush

  • Avoid tight, abrasive and especially synthetic clothing.
  • Wear underwear made of breathable materials, e.g. cotton, to avoid moisture and heat build-up.
  • Do not let wet swimwear dry on your body, but change your clothes immediately after swimming.
  • Do not practice excessive, but regular and careful genital hygiene. Use pH-neutral or slightly acidic products ("syndets") or only pure water instead of alkaline soaps or shower gels, and avoid intimate sprays and vaginal douches.
  • Showering is cheaper than a full bath.
  • For toilet hygiene, always wipe from front to back, never the other way around - this can allow fungi to get from the intestines into the vagina. However, the value of this route of infection is somewhat controversial.
  • In sensitive women, tampons can promote fungal infections because they dry out the vaginal lining. Change the tampons regularly to prevent germs from multiplying. For the fading days, extra small tampons are cheaper.
  • Do not use panty liners with a plastic coating, as these lead to a build-up of heat and moisture.
  • Do not use scented napkins, since the fragrances can irritate the mucous membrane.
  • If you are infected, you should change your laundry, towels etc. daily and wash them at 60 degrees Celsius with a heavy-duty detergent. If this is not possible, you can possibly wash with a special detergent from the pharmacy, which kills the fungal spores.
  • Avoid taking antibiotics unless absolutely necessary for medical reasons. Frequent antibiotic use is the most common cause of a yeast infection.
  • Clarify a tendency to allergies. This can also be a reason for recurring complaints with yeast infections in the genital area.

What are the symptoms?

A yeast infection can be mild to severe. It begins with the typical symptom of itching, with increased, thin discharge, which later becomes cheesy, and clearly reddened and burning vagina. In severe cases, it can lead to massive vaginal inflammation.

How is the diagnosis made?

Vaginal yeast disease is diagnosed based on the typical symptoms. To do this, the vulva and vagina are examined. Furthermore, a microbiological examination of the vaginal secretion should be carried out, as there are other reasons for itching in the genital area that must be clarified in detail.

How is vaginal thrush treated?

  • Treatment of women: Acute vaginal candidosis can be treated locally (with the active ingredients nystatin, amphotericin B, imidazoles, ciclopiroxolamine) or systemically (triazoles). The vaginal tablets or ovules should be inserted deeply into the vagina for one, three or six consecutive days (depending on the drug). If the vulva is inflamed, a yeast-effective antifungal ointment or cream should be applied to the affected areas once or twice a day. The symptoms usually disappear within a few days.

    If the local treatment alone does not lead to the desired success or if symptoms recur, systemic treatment with oral triazoles (fluconazole, itraconazole) is recommended.

    Therapy can be divided into acute therapy and long-term prophylactic treatment to prevent recurring fungal infections.

  • Partner therapy: Clinical studies have shown that local and systemic partner therapy in acute vaginal candidiasis does not significantly improve the cure rate. In the case of chronic relapses, however, the partner's penis and sperm should be examined. If the same type of yeast is detected as in the partner, oral fluconazole therapy can be considered alongside local treatment.
  • Bowel Treatment: Usually "bowel treatment" is not required. If vulvovaginal candidiasis recurs and there is evidence of identical types of yeast in the vagina and mouth or stool, a corresponding attempt at therapy can be carried out. An "intestinal rehabilitation" is not possible and not necessary, since the Candida albicans colonization of the stool is a normal finding in a low number of germs and in people with a healthy immune system. There is no scientific evidence for the effectiveness of a so-called "antifungal diet" - eg a sugar-free diet.

Actions in Pregnancy

Candida albicans is practically always pathogenic for the newborn in the first days and weeks of life. The motto is “Every newborn has the right to a fungus-free birth path”.

Therefore, the following recommendations apply to pregnancy:

  • Creation of a mushroom culture from the vagina from the 34th week of pregnancy.
  • Intravaginal fungal treatment no later than one week before the start of labor if fungal infection is detected, regardless of clinical symptoms.

Whom can I ask?

You can contact the following offices:

  • General Practitioner,
  • Specialist in gynecology and obstetrics,
  • Specialist in dermatology and venereology.

Since itching and discharge can also be the result of a bacterial or other genital infection, the actual cause should always be clarified by a dermatologist or gynecologist. Mushroom outpatient clinics are also available for this purpose, in which all examinations are carried out.

How are the costs going to be covered?

All necessary and appropriate therapies are covered by the health insurance carriers. Your doctor or the outpatient clinic will generally settle accounts directly with your health insurance provider. However, you may have to pay a deductible with certain health insurance providers (BVAEB, SVS, SVS, BVAEB). However, you can also use a doctor of your choice (ie doctor without a health insurance contract) or a private outpatient clinic.

For more information, see Costs and Deductibles.

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