What to do if vaginal thrush becomes chronic?

Itching and burning in the genital area as well as increased discharge are typical symptoms of a fungal infection of the vagina. Some women suffer from it permanently or repeatedly. The reasons for this can be manifold.

In the case of a chronic vaginal thrush disease, proven antifungal agents often no longer help in the long run. In this case, going to the gynecologist is an absolute must. Why vaginal thrush sometimes becomes chronic – and what helps against the stubborn disease in the intimate area.

Fungal pathogens in the vagina are normal

Fungi, such as the yeast Candida albicans, naturally colonize the vaginal mucous membranes of most women. A healthy vaginal flora, or rather its acidic pH value, easily keeps fungi in check. If, on the other hand, the natural vaginal environment is weakened, the fungus can spread – and become morbid. Doctors speak of vaginal mycosis or vulvovaginal candidiasis. If vaginal thrush keeps coming back at short intervals, it is a chronic vaginal thrush infection, also called recurrent vaginal mycosis.

“The yeast Candida albicans is responsible for the majority of vaginal thrush infections,” says Dr. Frank Thieme, specialist in gynecology and obstetrics and state chairman of Saxony-Anhalt of the professional association of gynecologists e. V. (BVF). “About 70 percent of all women will develop vaginal thrush at least once in their lives. Symptoms include itching, burning, reddening, swelling, whitish curd-like or crumbly discharge and pain when urinating and during intercourse. A whitish coating can also be seen on the vaginal mucosa. ”

What weakens the vaginal flora?

There are several risk factors that can weaken the vaginal flora, including

hormonal influences such as taking the contraceptive pill,
genetic factors,

excessive personal hygiene
a weakened immune system,
taking certain medications, such as antibiotics
and the use of topical contraceptives.
These are the factors women should consider if they are plagued by vaginal thrush. A dry vagina also increases the risk of vaginal thrush. Women going through menopause in particular often struggle with vaginal dryness.

Recurring vaginal thrush caused by a partner’s fungal infection
“In the case of chronic vaginal thrush infections, women should always think about possible fungal colonization of their partner,” says Thieme. “Fungi are contagious. A man’s penis can also be colonized by yeast fungi. An examination provides clarity.”

Intimate hygiene should also be considered. Not only too much washing weakens the intimate area. Fungi can also be carried from the anal region into the vagina, for example when wiping from back to front on the toilet or through certain sexual practices, such as anal sex.

Oral sex as a cause of chronic vaginal thrush

What many women also don’t know: fungi can also colonize the oral mucosa – and be transmitted to the genital area via oral sex. It can therefore not be ruled out that oral sex plays a role in recurring vaginal thrush.

Diabetes mellitus increases the risk of vaginal thrush

Women with diabetes mellitus also often have to struggle with recurring fungal infections of the vagina. The reason: According to the current guideline “Vulvovaginal candidiasis” of the German Society for Gynecology and Obstetrics (DDG), the Austrian Society for Gynecology and Obstetrics (SGGG) and the Swiss Society for Gynecology and Obstetrics (SGGG), increased glycaemia in the vaginal tissue increases fungal growth . On the one hand, because the yeast fungi are nourished by the increased blood sugar level. On the other hand, because the natural defenses of the vagina are weakened. “People with diabetes should make sure that their blood sugar levels are well adjusted,” advises Thieme.

With vaginal thrush symptoms to the doctor

If women have vaginal thrush symptoms, they should consult their gynecologist. “Vaginal thrush is treated with antifungal agents, so-called antimycotics. The fungus can usually be successfully combated within a few days,” explains the gynecologist. “If the vaginal fungus keeps coming back, the doctor and patient should research the cause. Only if the triggering factors are counteracted can further infections be prevented.”

Six hygiene tips against vaginal thrush

To prevent vaginal thrush, women should also heed the following tips:

Avoid synthetic underwear. Cotton is more breathable and ensures a better “intimate climate”.
Do not use airtight pads or panty liners. A warm and humid environment increases the risk of fungus.
Wash your underwear at at least 60 degrees to kill fungal spores.
Clean your intimate area with warm water. Soaps, shower gels & Co. weaken the sensitive intimate area.
Pay attention to hygiene during sex. Also, never use sex toys for “front” and “back” at the same time. After sex, clean it with a designated disinfectant.
If women suffer from vaginal dryness, you should ask your gynecologist which remedies can help.