Candidiasis in the middle of gestation. Thrush during pregnancy: treatment by trimester Treatment of thrush in the 2nd trimester of pregnancy

According to statistics from the World Health Organization, 75% of women experience vaginal candidiasis at least once in their lives. Thrush during pregnancy is not uncommon - this is a risky period when a chronic infection may worsen or a new one may appear. Most often, she begins to bother with the approach of the moment of childbirth. Are there ways to deal with fungus safely and effectively? What is the threat of lack of treatment?

Progesterone works to maintain pregnancy, but it also reduces immunity. Therefore, up to 50% of women in the 3rd trimester, when the concentration of the hormone reaches maximum concentrations, go to the doctor with complaints of cheesy discharge. If treatment is started on time, then there is a chance that by the time of delivery the vagina will be sanitized and it will be possible to avoid infection of the baby when passing through the birth canal.

Those who are planning a pregnancy and have not treated thrush should be aware of the possible danger to the fetus. Conception should be postponed until a period of remission or complete recovery.

Causes of pathology

The most common cause of thrush in pregnant women is the yeast-like fungi of the species Candida albicans. But in 5% of cases, candidiasis is caused by other fungi, of which there are a large number, but they are conditionally combined into the Candida non-albicans group. Their feature is resistance to drugs traditionally used in the treatment of candidiasis.

Candida non-albicans is more common in women with additional pathologies that dramatically reduce immunity. It can be:

  • diabetes;
  • HIV infection;
  • oncological pathologies.

Fungi of the genus Candida are part of the normal microflora of the vagina, but are there in minimal concentrations. They like an environment rich in glycogen, which serves as the main substrate for their metabolism. But with a lack of glucose, mushrooms can switch to the processing of fatty acids, acetic and lactic acid.

Under normal conditions, candida reproduction is inhibited by the immune system. But with its weakening, fungi are able to multiply more actively. They usually do not penetrate deeper than the vaginal epithelium, which is the ideal environment. But with deep immunosuppression, candida can overcome the epithelial barrier, connective tissue and enter the bloodstream.

The following factors contribute to the onset of candidiasis:

  • use of sanitary napkins;
  • poor nutrition;
  • change of sexual partner;
  • uncontrolled antibiotic treatment.

Features of the development of thrush during pregnancy

During pregnancy, ideal conditions are created for the onset or recurrence of thrush. The woman's body works to preserve the fetus, but often against herself. The following factors contribute to the activation of the fungus.

  • Estrogen Along with progesterone, an increase in the concentration of estrogen is noted during the period of gestation. This leads to an increased accumulation of glycogen in the vaginal epithelium. Glucose should serve as a breeding ground for lactobacilli, which play a protective role. But the fungus also feeds on the processing of glycogen.
  • Immunity. A natural decrease in the body's defenses is necessary for bearing a child, which is 50% genetically foreign to the mother's body. But suppression of immunity leads to the activation of a latent infection.
  • Vaginal environment. The increased blood flow to the genitals leads to an increase in temperature. Also, in pregnant women, the amount of vaginal discharge may increase. A warm and humid environment is ideal for fungal growth.

In non-pregnant women of reproductive age, the symptoms of thrush are pronounced, distressing and uncomfortable. In pregnant women, the disease is usually erased, but with frequent relapses.

Forms

Depending on the reactivity of the body, thrush can occur in several clinical forms.

  • Carriage. Before pregnancy, this condition is considered a variant of the norm, but only in the absence of symptoms and detection of no more than 104 CFU / ml of fungi in the smear. In this case, the main flora should be represented by lactobacilli, there are no signs of inflammation. But such an analysis on early dates gestation should be a reason for increased attention.
  • Vulvovaginal candidiasis... The disease is characterized by a pronounced clinical picture. More than 104 CFU / ml of Candida is found in the smear, lactobacilli are normal (more than 106 CFU / ml), other flora is not detected.
  • Thrush and bacterial vaginitis... The disease is caused by a combined infection - a fungus and opportunistic flora. This form is most often observed during pregnancy: a decrease in immunity contributes to the reproduction of not only the fungus, but also the facultative flora.

Sometimes thrush is combined with bacterial vaginosis. Microorganisms create a special film on the surface of the vaginal mucosa, which protects them from the action of antibacterial agents.

By the nature of the course, three forms of thrush are distinguished.

  1. Sharp. The disease occurs once, the duration of the disease does not exceed two months.
  2. Chronic relapsing... There are more than four cases of exacerbation of thrush per year, despite treatment.
  3. Persistent. The woman is worried about the persistent symptoms of thrush, periods of improvement are observed only with the use of antifungal drugs.

Symptoms

The main symptom of thrush is discharge. They can be curdled, milky, or creamy. The amount ranges from moderate to abundant. Leucorrhoea usually has a sour odor.

Itching and burning in pregnant women may be absent or insignificant. Sometimes women do not attach importance to them. Symptoms may get worse after intercourse or hygiene procedures... Severe vaginal involvement is accompanied by dyspareunia. Sometimes the urethra is involved in the process, there is pain when urinating.

Dangerous complications

Thrush is dangerous during pregnancy with possible complications for the child and additional changes in the immune system. Fungi can be present in different forms - in the form of individual cells, filamentous forms. In response, B-lymphocytes are produced, which cannot produce specific immunoglobulins. Therefore, there is a gradual sensitization - an increase in sensitivity with the development of an allergic reaction.

Carrying out a pregnancy can be complicated by the following conditions:

  • termination of pregnancy (in the 1st trimester);
  • intrauterine infection;
  • hypotrophy and low fetal weight;
  • placental insufficiency;
  • premature birth (on later dates);
  • early rupture of amniotic fluid;
  • complications in childbirth (bleeding, trauma to the birth canal);
  • infection of the baby during childbirth.

Women who have not received treatment for thrush during pregnancy are more likely to develop postpartum endometritis. Newborns infected by the mother may develop oral candidiasis. Girls have vulvovaginitis, and boys have balanoposthitis. The increase in the number of sick children has led to the fact that, according to German standards of therapy, all pregnant women diagnosed with candidiasis must undergo antifungal treatment.

Best diagnostic methods

Non-pregnant women often go to a doctor for symptoms of candidiasis themselves. But in pregnant women, the clinical picture can be erased, so an examination is necessary.

  • Smear microscopy... Candidacy cannot be established using this method, but in the presence of symptoms, a smear can determine the presence of pseudomycelium of the fungus and individual cells. Associated flora and inflammatory response can also be identified.
  • Cultural research... If there are symptoms of candidiasis, but there is no pathogen in the smear, then this method allows you to grow fungal colonies on a nutrient medium. The method allows to identify Candida non-albicans, as well as to determine its sensitivity to antifungal drugs. The disadvantage of this method is the long wait for the result - at least three days.
  • PCR diagnostics. With its help, the DNA of the pathogen is detected in vaginal secretions. The method is highly sensitive and can be used in case of candidacy.

Modern real-time PCR technique allows not only to detect the genetic material of the pathogen, but also to determine its amount. This makes it possible to make the correct decision about the need for treatment.



Safe treatments

Treatment options for thrush during pregnancy are limited. It is necessary to take into account not only the sensitivity of the fungus to drugs, but also the risk of possible effects on the developing fetus. Medicines for thrush should have no teratogenic, toxic effects. Topical forms are used to reduce systemic exposure. Tablets are not used. But treatment should lead to full recovery in order to reduce the risk of thrush becoming a chronic process.

How to treat thrush during pregnancy can only be determined by a doctor, based on the diagnostic result and anamnesis. Most often, drugs of the following groups are used:

  • polyene antibiotics- drugs with natamycin;
  • imidazole derivatives- "Clotrimazole", "Miconazole", "Econazole";
  • triazoles - Terconazole.

Clinical guidelines indicate the primary use in pregnant women of "Pimafucin" suppositories based on natamycin. They have a fungicidal effect and are not contraindicated for pregnant women at any time. Home treatment lasts three to six days. One suppository is used per day at night.

A good effect in the treatment of acute and chronic forms is given by "Clotrimazole". But its use is allowed only from the 2nd trimester. According to reviews, the elimination of itching occurs after the first use of suppositories.

Another drug from the group of imidazole derivatives is ketoconazole, on the basis of which "Livarol" suppositories are produced. But their use is also limited to the second to third trimesters. The duration of the course is seven days. But with chronic recurrent candidiasis, the duration can be changed up to 14 days.

After giving birth, your doctor may decide on additional therapy. For six months, once a week for prophylaxis, one suppository of natamycin is administered or once a month for a suppository of "Clotrimazole".

When candidiasis is combined with another nonspecific infection, combined drugs are used. From the second trimester, treatment is allowed:

  • "Terzhinan";
  • "Polygynax";
  • "Neo-Penotran";
  • "Klion-D".

A similar approach to therapy continues in the third trimester.

Douching with soda, herbs and other folk remedies for pregnant women is prohibited. Before laying suppositories, you can use antiseptic solutions (for mechanical removal of secretions):

  • Miramistina;
  • Chlorhexidine;
  • Fluomisin;
  • Betadine.

How to supplement therapy with diet

For the successful reproduction of yeast fungi, a nutritious substrate is needed - glucose. With a sufficient amount of it, they can synthesize the rest of the necessary substances and maintain an optimal state of the environment for themselves.

An increase in the concentration of glucose in the blood (hyperglycemia) leads to its increased accumulation in tissues. For the vaginal flora, an excess of glucose is just as harmful as a deficiency. The acidity of the environment changes, the protective properties decrease, the number of lactobacilli decreases. They are gradually replaced by conditionally pathogenic flora, in particular - candida.

Chronic hyperglycemia lowers local immunity, impairs the processes of mucous membrane restoration. During pregnancy, the negative effect is complemented by an excess of progesterone, corticosteroids, estrogen and a lack of insulin.

To increase the effectiveness of treatment, you need to deprive the fungus of the substrate for reproduction. This can be done by changing the food type. The diet for thrush should be based on the following rules.

  • Prohibited foods... Simple carbohydrates, sugar-containing foods and fructose-based sweets, as well as alcohol, whole milk are excluded from the diet. Yeast-based products are prohibited - beer, kvass, baked goods. They contain maltose, which can be used by mushrooms along with glucose. Caffeinated drinks will dramatically increase blood glucose and should be avoided as well. The same applies to marinades, dyes, smoked meats, spicy dishes that irritate the digestive tract.
  • The basis of the diet. Fermented milk products should be the main ones. They contain acidophilic flora, which changes the state of the intestinal biocenosis, affects immunity and helps restore the vaginal microflora. There should also be enough fresh vegetables and fruits rich in fiber.
  • Antifungal products... They are able to influence the growth and reproduction of the fungus. First of all, fresh garlic. But it is used with caution in the presence of heartburn and gastritis, which is not uncommon during pregnancy.

The duration of the diet is at least three months without disruptions and indulgences. It must be combined with antimycotic treatment.

Before treating thrush during pregnancy, it is necessary to undergo a quality examination. If the cause of candidiasis is not Candida albicans, then this will require adjusting the therapy regimen in accordance with the sensitivity of microorganisms to antimycotic drugs.

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From this article you will find out: why during pregnancy, women often develop fungal infections, how they manifest themselves. Features of diagnosis, prevention of thrush during pregnancy in the 2nd trimester and its treatment.

Date of publication of the article: 03.09.2017

Date of updating the article: 27.11.2018

Thrush (candidiasis) is a fungal infection caused by fungi of the genus Candida that most commonly affects women in the vagina or mouth. These microorganisms are present in most healthy people without causing any symptoms.

Pregnancy is one of the factors that contribute to an increased risk of developing candidiasis. The clinical picture of thrush in the second trimester practically does not differ in any way from this disease in 1 or 3 trimesters of pregnancy. There are differences in treatment, since in the 1st trimester, when all organs and systems of the fetus are laid, the use of certain drugs is not recommended.

Compared to non-pregnant women, women who are carrying a baby are much more likely to have thrush. There are also features of treatment, dictated by the need to avoid the harmful effects of the drugs used on the developing fetus.

In most cases, or the vagina does not pose a risk to the health and life of a pregnant woman. It should be noted that with vaginal thrush, there is a risk of transmitting the fungal infection to the baby during childbirth. Timely treatment allows you to completely eliminate the disease and the risk of its complications.

Obstetricians-gynecologists are involved in the treatment of vaginal thrush in the second trimester of pregnancy, and oral candidiasis is dealt with by dermatologists or dentists.

Causes of thrush in the second trimester of pregnancy

Fungal infections are very common during pregnancy, including during the second trimester. They are most commonly caused by the microscopic pathogen Candida albicans, which is present in most people, including pregnant women.

It is the changes introduced by pregnancy to the body of women that enhance the growth of fungi and the development of thrush.

Pregnancy causes changes in the hormonal background with a predominance of estrogens, and is also characterized by a shift in acidity in the vagina to the alkaline side and an increase in the concentration of one of the forms of glucose (glycogen) in its lumen. These changes lead to disruption of the normal microflora of the vagina, and also contribute to the growth and reproduction of fungi in it. Vaginal candidiasis increases the risk of developing a fungal infection in the mouth. That is why thrush is so common in pregnant women.

Other factors that increase the risk of candidiasis during pregnancy:

  • Antibiotic use.
  • Chronic stress, poor sleep, poor diet, iron and zinc deficiencies.
  • Wearing synthetic underwear, tights, or stockings.
  • Using intimate deodorants.
  • Washing the vagina with a shower.
  • Diabetes mellitus or gestational diabetes.

Thrush symptoms

The clinical picture of thrush is the same for all periods of pregnancy. The symptoms of this disease are practically the same as those of non-pregnant women. The only difference is the high incidence of thrush in women carrying a child.

Symptoms of vaginal candidiasis

Most pregnant women have Candida in their vagina, but many do not cause any symptoms. The clinical picture develops with the uncontrolled multiplication of these microorganisms, which manifests itself:

  • A large amount of thick white discharge, resembling curd in appearance, from the external genital tract.
  • Itching in the vagina.
  • Redness and rash on the outside and around the vagina.
  • Discomfort or pain during sex.
  • Discomfort or pain when urinating.
  • Bad smell.
  • White spots on the skin of the labia.

Symptoms of oral candidiasis

Oral thrush is manifested by the following symptoms:

    Creamy white patches on the tongue, inner cheeks, and sometimes on the palate, gums and tonsils.

    Plaque slightly raised above the level of the mucous membrane, resembling cottage cheese in its appearance.

    Discomfort or soreness that can make it difficult to chew and swallow.

    Minor bleeding if injured while eating.

    Cracks and redness in the corners of the mouth.

    Deterioration in taste.

Diagnostics

The diagnosis of vaginal thrush is established by an obstetrician-gynecologist after examining a pregnant woman and performing a laboratory examination of a smear or vaginal discharge.

Oral candidiasis is confirmed by examination by a dentist or dermatologist, who may also take a sample of plaque for further laboratory examination.

Potential harm to thrush during pregnancy

Women who are carrying a child often wonder whether thrush during the 2nd trimester of pregnancy can harm the fetus. Most scientists and doctors agree that fungi with vaginal candidiasis cannot penetrate into the uterine cavity, where the fetus develops. However, there is a real danger that a fungal infection can be passed on to the baby during childbirth, causing oral candidiasis.

There have also been reports of a possible link between vaginal yeast infection and preterm labor, but this is not universally recognized. Scientists are investigating whether treating women with asymptomatic thrush can reduce the risk of this problem.

Treatment of candidiasis during pregnancy

Treatment of thrush during pregnancy has its own characteristics, which are dictated by the possibility of the harmful effect of certain drugs on the unborn child. In no case should you self-medicate or independently use any traditional medicine. If you find symptoms of thrush, you should immediately consult a doctor of the appropriate specialty, who will prescribe the necessary medications and tell you about the possible use of non-drug ways to combat candidiasis. The latter include a diet low in digestible carbohydrates and the use of probiotics.

Vaginal yeast infection treatment

If thrush is detected in the 2nd trimester, almost all pregnant women are treated. The need to eliminate a fungal infection from the vagina, which is part of the birth canal, is explained by the existence of the risk of its transmission to the child during childbirth. For this purpose, doctors most often prescribe topical medications - vaginal suppositories (suppositories), tablets (pessaries) or creams. The most common are the following antifungal drugs:

  • Imidazoles (clotrimazole, miconazole) are the most effective means for combating vaginal thrush in pregnant women, which do not have a harmful effect on the fetus when applied topically in the form of suppositories, pessaries and cream. These drugs are used solely as directed by a doctor who assesses the possible risks and potential benefits of their use. Clotrimazole or miconazole is administered into the vagina once a day, the usual duration of the course of treatment does not exceed 7 days. Possible side effects include headache, local reactions in the form of irritation, itching or discomfort in the vaginal area, allergies.
  • Nystatin is an antifungal agent used as an alternative to imidazols in the treatment of candidiasis in pregnant women. This drug can also be prescribed to a pregnant woman only by a doctor. The usual dose is 100,000 IU once a day, the duration of the course of therapy is 14 days. Side effects include allergic reactions, discomfort or itching in the vagina.

Sometimes, with a pronounced clinical picture of vaginal thrush, to quickly relieve symptoms, doctors prescribe combined preparations containing, in addition to antifungal agents, also corticosteroids. An example of such a drug is Terzhinan, which contains antibiotics (ternidazole, neomycin), nystatin, and the corticosteroid prednisolone. Terzhinan is prescribed for the treatment of bacterial, fungal and mixed vaginal infections. Pregnant women should use this drug only as directed by an obstetrician-gynecologist. Terzhinan is introduced into the vagina once a day, the course of treatment is 7-10 days.

When treating vaginal candidiasis in pregnant women, it is sometimes necessary to carry out a similar course of therapy and her partner (husband) in order to avoid re-infection with a fungal infection.

Treatment of oral candidiasis during pregnancy

Oral thrush during pregnancy is usually treated with an antifungal gel or spray that is applied to the lining of the mouth and not swallowed. A suitable agent is prescribed only by a physician who can assess the potential risks and possible benefits of using a particular drug.

It is necessary to follow the rules of oral hygiene:

  • Brush your teeth with a toothbrush at least twice a day and with a dental floss at least once a day.
  • Change your toothbrushes frequently until the fungal infection clears up.
  • Do not use mouthwashes or sprays without a doctor's prescription, as they can disrupt the normal microflora of the mouth.

Rinsing your mouth with saline can be helpful: dissolve 1/2 teaspoon of table salt in 1 cup of warm water to make it. After rinsing your mouth, spit it out, not swallow it.

Prevention of vaginal candidiasis

To reduce the risk of developing yeast infection in the vagina:

    Wear cotton or silk underwear, not synthetic ones, and change them daily.

    Wear stockings or tights as little as possible.

    Wash your laundry in hot, soapy water and then rinse it several times to remove any irritants from it.

    Quickly remove wet swimwear or gym clothing after swimming or exercising at the gym.

    Avoid using perfumed or deodorized pads.

    Avoid wearing tight clothing such as jeans, which creates a moist and warm environment for fungus growth and growth.

    Never use douching unless directed by your doctor. Douching can increase the risk of irritation of the vaginal lining and is not recommended during pregnancy.

    Do not use soap, bath salts, or perfumed talcum powder in the vaginal area.

    For vaginal hygiene, use special soap or clean water.

    After using the toilet, wipe the perineum from the vagina to the rectum (front to back). Do not use perfumed toilet paper or tissues, which can cause irritation.

Owner and responsible for the site and content: Afinogenov Alexey.

It is difficult to confuse thrush with some other disease, because the appearance of itching, burning in the genital area, cheesy discharge unconditionally indicates a defeat by yeast-like fungi of the genus Candida. Unfortunately, there are women. What is the correct way to fight the disease in such a situation?

Thrush during pregnancy is a common occurrence, because immunity is greatly weakened during this period and does not have time to control the growth of fungal infection. Stress, anxiety, overwork, frequent colds - all this and much more weakens the body's defenses, as a result of which it becomes vulnerable to attacks by an infectious agent.

Why is thrush dangerous to the fetus?

Is there any reliable information that would speak about how thrush affects the fetus during pregnancy? In fact, there is no evidence of harm being done.

In the body, everything is provided so that the child is protected by the placental barrier, which prevents the spread of fungal infection. Still, the child can be infected from the mother. How? During the passage through the birth canal. In order to avoid this situation, if during pregnancy you have had thrush, you should still undergo a course of treatment just before childbirth.

If, nevertheless, your child has become infected, then you will see white cheesy spots in his mouth and he will.

How to treat thrush in pregnant women

The question of how to get rid of thrush during pregnancy is difficult to answer unequivocally, it all depends on each individual case. Still, there are general guidelines that apply anytime, anywhere.


Despite the fact that the use of many medicines is prohibited or limited, candidiasis can and should be treated. You should not try to cure yourself of an ailment on your own, even using seemingly, at first glance, safe methods of traditional medicine.

Since the appearance of thrush is a clear sign of a decrease in the immune system, expectant mothers are shown healthy and balanced diet, poly reception vitamin complexes, good rest and sleep.

Particular attention should be paid to the condition of the digestive system. If intestinal dysbiosis has developed, then there is a high probability that the vagina will be further affected. That is why it is important for pregnant women to monitor the work of their intestines, to prevent constipation.

To do this, you need to consume fermented milk products, as well as foods rich in fiber. In some cases, you may need to take probiotics that contain beneficial bacteria.

You should refuse to wear synthetic underwear, as well as squeezing things. In addition, the sexual partner should also undergo a course of treatment, and during the treatment, intimacy should be abandoned.

A good auxiliary means are pads, which will absorb curdled secretions. But at the same time, do not forget that they should be changed more often, since they will be a source of infection.

Intimate hygiene

Treatment of thrush, especially during pregnancy, should be carried out strictly according to the doctor's recommendations. The fact is that different drugs can be used in each trimester, so you should not experiment and select them yourself.

Miconazole

Miconazole is a drug for both local and systemic treatment of fungal infections. During pregnancy, the agent is used in the form of vaginal suppositories. The active ingredient of the drug has antimycotic and antibacterial properties.

Thrush during pregnancy 1 trimester

Treatment of thrush in pregnant women in the first trimester is not an easy task, because the formation of the fetus has just begun, organs and systems are being laid. Usually during this period, topical agents are prescribed in order not to additionally harm the vaginal mucosa and the entire body.

Antifungal agents are prescribed only when absolutely necessary with a doctor's prescription, but if they can be dispensed with, then they are not used. Of course, many modern antimycotic drugs are of such a composition that minimal harm is caused to the health of the mother and the development of the fetus, but still you should not self-medicate. The choice of the drug, dosage, duration of treatment - all this is determined by the doctor himself.

Among the most popular drugs that effectively fight fungal infections is Pimafucin. The drug has no significant side effects therefore it can be used during any period of pregnancy, in particular in the first trimester.

Long-term studies of the use of the drug indicate high safety and good results. You can find full instructions for use on our website.

Betadine

This drug is prescribed by doctors even from the first weeks of pregnancy. Typically, the duration of treatment is about a week. The only restrictions on the use of betadine are serious thyroid disorders and hypersensitivity to iodine.

In the second and third trimester of pregnancy, this drug is not prescribed, because during these periods it becomes dangerous for the fetus. The active components of the drug are able to penetrate the protective barrier and cause disorders of the thyroid gland.

Pimafucin

Natamycin is the main active component of the drug, which practically does not enter the circulatory system from the digestive tract, is not absorbed from the mucous membranes and penetrates the protective barrier to the fetus. Therefore, the conclusion is obvious: Pimafucin cannot harm a child.

Treatment of candidiasis with this drug can be carried out from conception to childbirth, there are no restrictions. As for the duration of treatment, it is difficult to say that everything depends on the severity of the fungal infection and the body's defenses, for some, only three days of treatment are enough, for others at least nine days.

As a rule, pregnant women are prescribed a remedy in candles, which is administered one suppository every evening. In the first days of using candles, a slight burning sensation may appear, which should not be scared, it should go away on its own.

In more severe cases, a tablet dosage form is preferable - one tablet four times a day for a week.

Thrush during pregnancy 2 trimester

How to treat thrush during pregnancy 2 trimester? It is important to understand that this period is the time for the active formation of the fetus, which means that taking care of your health should be at the highest level.

Clotrimazole

The main active ingredient acts on the protective membrane of the fungal cells, as a result of which its permeability decreases and the cell dissolves. In small doses, clotrimazole slows down and stops the growth of yeast-like fungi, and large doses leads to their death. Complete instructions for clotrimazole can be found.

In the course of clinical studies, no harm to the development of the fetus was identified, but nevertheless, the doctor himself decides on the advisability of clotrimazole. As a rule, treatment is carried out for seven days, every day one tablet is inserted deep into the vagina without using an applicator before going to bed.

Itching and burning may appear, if such sensations do not disappear for several days, then the drug is changed, since there is a high probability of developing allergic reactions.

Thrush during pregnancy 3 trimester

How to treat thrush during pregnancy 3 trimester? During this period, many medications are allowed that are unacceptable in the early stages of pregnancy.

Terzhinan

This is a French drug that effectively fights fungal infections during pregnancy. The course of treatment lasts from one to two weeks. Before introducing a vaginal tablet, it must be immersed in warm water for half a minute.

If you inject the drug during the day, then after the procedure, you should lie down for twenty minutes. detailed instructions by preparation.

Traditional medicine against thrush

Many women are supporters of the use of folk recipes, because they have a number of advantages:

  • low cost;
  • no side effects;
  • availability, since there are "raw materials" for the preparation of non-traditional methods in almost every home.

Let's talk about such a well-known and affordable medicinal plant like chamomile.

Chamomile wash

Chamomile is a natural antioxidant and has strong anti-inflammatory properties. To prepare the solution, you need to brew a tablespoon of dried flowers with a glass of boiling water. After the product has been infused for twenty minutes, it must be filtered.

The strained broth in a warm form is used for washing. After the procedure, you should not rinse off the product with plain water, just pat it dry with a towel. We remind you that it is not recommended to carry out during pregnancy!

Still, one should not forget that alternative treatment also fights against, but such methods are not able to influence the fungal infection itself.

Pregnancy is an important and crucial stage in the life of any woman and one does not want to overshadow it with such a disease as thrush. Do not forget about the rules of personal hygiene, strengthen the immune system, and you will reduce the likelihood of an illness.

If, nevertheless, candidiasis has already developed, start treatment as early as possible, for this, contact your doctor and tell about your complaints. After the diagnostic examination a specialist will prescribe treatment based on the timing of pregnancy, the severity of the process and individual characteristics. Remember that thrush in pregnant women can be dangerous for the fetus, so consultation and examination by a doctor is necessary!

Thrush, also called candidiasis, is a problem that is familiar to many women. The manifestation of her symptoms becomes especially unpleasant during pregnancy, because most drugs are categorically not recommended for expectant mothers. To avoid thrush or get rid of it faster, in addition to medications or instead of them, you can use harmless folk remedies.

Causes of thrush in pregnant women

Thrush is caused by overgrowth of Candida in the vaginal environment. Normally, the limitation of the number of microorganisms of this type on the epithelium is supported by its own beneficial microflora. The fungus itself performs a specific function, creating an acidic environment favorable for conception in the woman's vagina.

The increased risk of thrush during pregnancy is associated primarily with changes in hormonal levels, which affect the condition of the vagina. Hormone therapy also affects the body in the same way.

In expectant mothers, there is often a decrease in immunity associated with changes in the body and exacerbation of chronic diseases during hormonal changes. Conditionally pathogenic microflora, which include Candida fungi, reacts to the deterioration of the body's resistance by intensive reproduction and growth.

Poor diet also increases the risk of developing thrush. Since expectant mothers are forced to consume more calories, they can compensate for the lack of sugary snacks and drinks. A sweet environment is optimal for the rapid growth of fungi.

Other reasons can also trigger the development of candidiasis:

  • like wearing synthetic underwear;
  • untimely change of sanitary napkins;
  • immunodeficiency states;
  • disorders of glucose metabolism.

Herbal decoctions for the treatment of candidiasis

Treatment of thrush during pregnancy with folk remedies becomes the best option for many expectant mothers, especially in the 1-2 trimester, when any medications are prescribed with great care because of the effect on the development of the fetus.

Collection number 1

Mix equal amounts of oak bark, juniper, yarrow, birch buds, calendula and dried celandine. Pour 1 tablespoon of dry mixture with 0.5 liters of boiling water. Insist for 4 hours. The ready-made broth is used for irrigation of the genitals after hygiene procedures. The collection has anti-inflammatory and antimycotic properties, allows you to relieve the symptoms of thrush (itching, redness, vaginal dryness) and reduce the abundance of secretions.

Collection number 2

Mix 1 part of a mixture of oak bark, oregano herb, thyme and calendula, 2 parts knotweed herb and 2 parts dry stinging nettle. Pour a tablespoon of the collection with 2 cups of boiling water, bring to a boil, hold on low heat for 5-7 minutes and insist for several hours. The finished product is used to irrigate the genitals and wash the vagina in order to eliminate inflammation. Traditional healers claim that such a collection helps to restore the mucous membrane.

One of the components of the collection - oregano - is traditionally considered a "female" plant due to its specific application. This is evidenced by one of the popular names for grass - motherboard. In addition to dried raw materials, plant oil can also be used in the treatment of thrush. To do this, 2 drops of the product must be mixed with 2 tablespoons of base oil (for example, olive oil). After dipping a tampon into the mixture, you need to inject the hygiene product into the vagina.

It is recommended to perform the procedure after thorough washing, before going to bed. Intravaginal administration of oil is complemented by its use in food: for this, 3 drops of motherboard oil are dissolved in a tablespoon of olive oil, and then in a glass of very warm water. You need to drink oil medicine once a day with meals.

Collection number 3

To prepare it, you need to combine 2 parts of oak bark and one part of rosemary, yarrow herb and chicory root (some recipes also include sage as an astringent and anti-inflammatory component). Pour 100 grams of the mixture with a liter of boiling water, bring to a boil and insist for several hours. The diluted broth is used to wash the genitals and douche (only with the permission of the obstetrician-gynecologist).

Ready-made decoctions are allowed to be stored for no more than 2 days in the refrigerator.

Trays for the treatment of thrush

Sitting baths are a convenient way to get rid of candidiasis in early pregnancy. A similar procedure is recommended before bedtime, after bathing and thorough washing.

The most effective recipes are based on ingredients such as:

  • soda (creates an alkaline environment in the vagina);
  • chamomile (serves as an antiseptic and anti-inflammatory agent);
  • iodine (disinfects the external genital organs);
  • calendula;
  • sage;
  • Oak bark.

Recipe number 1

Dissolve in warm water soda and iodine, based on the proportion of 1 tablespoon of soda and 3 drops of an alcohol solution of iodine per 1 liter of water. Immerse the genitals in the bath for 10-12 minutes. The course of procedures should be at least 4-5 procedures.

Instead of iodine, you can use sea salt. In this case, the proportion will be 0.5 tablespoons of salt and soda per 1 liter of warm water.

Recipe number 2

Pour 3 tablespoons of dried chamomile flowers with a glass of boiling water and leave for 35-45 minutes. Strain from raw materials and pour into a bowl with 2 liters of water. The course of procedures is 6-7 sessions. The bath can be taken daily. Chamomile broth can be used for both medicinal and prophylactic purposes.

Recipe number 3

Mix one part of dried juniper, yarrow, sage, eucalyptus and calendula and place in a dark place. Brew daily according to the proportion given for the chamomile broth. The course of procedures, subject to daily use, is 5-7 days. Instead of one of the components, you can use dried chamomile flowers or St. John's wort: the former have soothing and antiseptic properties, and the latter contains a large amount of tannins that eliminate inflammation.

The manifestations of thrush during pregnancy can be avoided if you follow the rules of hygiene, monitor the diet and resort to several tricks that traditional medicine recommends.

Douching, soda baths and medicinal tampons should not be used to prevent the disease, because herbal decoctions can provoke dryness of the vaginal mucosa and leaching of beneficial microflora, which will only increase the likelihood of Candida fungus reproduction.

Tips for preventing thrush:

  • Consume no more than 40 grams of white sugar per day (including those found in confectionery and baked goods). Replace industrial sweets with a small amount of dark chocolate and dried fruits. The potassium contained in dried apricots will help prevent edema.
  • Include carrot juice in your diet. ethnoscience recommends it not only as a means of prevention, but also for treatment: it is used in compresses on the genitals to relieve inflammation and restore the mucous membrane.
  • Drink at least 2 liters of fluid a day. Drinks with chokeberry, lingonberry, blueberry, cranberry, red and black currant are rich in vitamin C, which has a beneficial effect on the immune system and reduces the likelihood of candidiasis and other inflammatory diseases. In addition, cranberry is a natural antiseptic and diuretic, and its regular use helps pregnant women avoid pyelonephritis and kidney congestion.
  • Increase the proportion of fermented milk products on the menu. Sourdough, yogurt, kefir and cottage cheese desserts will not only deliver the calcium necessary for the growth of the fetus to the body of the expectant mother, but also enrich the microflora with beneficial bacteria. The beneficial properties of fermented milk products are also used directly for the treatment of vaginal candidiasis. For example, in folk recipes, it is recommended to moisten a hygienic tampon with kefir and leave it in the vagina overnight to create an alkaline environment that inhibits the growth of the fungus.
  • Do not use antibacterial soaps or products with an alkaline pH to wash your genitals. Ideal hygiene products in a period of increased risk of candidiasis are gels with a neutral acidity level for the vagina - 5.5.
  • Do not stop using folk remedies after the first symptom relief. A full course of douching, baths and other means will guarantee a low likelihood of thrush in the near future.

It should be noted that even during pregnancy, it is advisable to use folk remedies for thrush in addition to the prescribed gentle course of treatment and with the approval of the attending physician.

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  • Folk remedies for the treatment of thrush

The unpleasant disease "candidiasis" is a constant companion of expectant mothers. In the process of changing hormonal levels and weakening the immune system, the vaginal microflora is disturbed, which leads to an increase in the activity of Candida fungi.

You can get rid of adversity medicinal preparations local effects (creams, vaginal suppositories, gels, douching), pills and a special diet, but some remedies are undesirable to use during pregnancy. Here, time-tested and experience-tested "grandmother's" advice based on natural ingredients and safe methods comes to the rescue.

Herbal thrush treatment recipes

For the treatment of thrush, various herbal preparations are effectively used (celandine, chamomile and calendula flowers, birch buds, lingonberry leaves, sage, juniper cones, St. John's wort, etc.).

  1. St. John's wort is brewed in the form of a decoction (2 teaspoons per glass of boiling water). The resulting mixture is slowly boiled for 15 minutes. Used for douching and washing.
  2. We take chamomile flowers (2 tablespoons), dry collection of the cuff (1 spoon) and mix with 0.7 liters of water. Boil in a water bath for 20 minutes, cool and strain. The resulting broth can be washed and douched 2 times a day.
  3. Cinquefoil (2 tablespoons) is poured with 0.5 liters of boiling water and boiled for 30 minutes over low heat. Stir constantly and add 0.5 tablespoons of dry nettle when finished cooking. Cool the solution, filter it and make wet compresses and applications on the inflamed area.
  4. We mix yarrow, calendula and sage in equal proportions. We take 1 tablespoon of the mixture, combine with 2 cups of boiling water and insist under the lid for about 20 minutes. Then the solution should be filtered and used for douching and washing for 3 days.

We store ready-made decoctions in the refrigerator for no more than 2 days.

Treatment of thrush with oak bark

The medicinal plant is in first place in terms of the effectiveness of the fight against candidiasis. Be sure to combine with the main treatment therapy.

The bark has excellent astringent, antiseptic and anti-inflammatory properties. It helps to eliminate redness and itching, to heal ulcers. Also, the healing broth creates a thin protective layer on the mucous membrane, which keeps the spores of the fungus from penetrating deep into the tissues.

information Oak bark can be used for a variety of purposes. Prepare a warm bath with finely chopped bark, soak the area well for 15 minutes a day. Regular washing and douching also helps (use a weaker solution for the latter). For the treatment of neglected thrush, tampons soaked in a steep broth are used. They are left in the vagina during a night's sleep.

Honey against candidiasis during pregnancy

The natural properties of the product make it possible to actively fight against various pathogenic microorganisms. The emollient effect protects the mucous membrane from irritating fungal secretions, normalizes the microflora.

Douching with honey solution is most effective for 1-2 weeks. For preparation, we dilute honey with purified water (1:10) until it is completely dissolved. We treat the inflamed mucosa with the resulting solution 2 times a day. Swabs dipped in a honey solution are also helpful. They are placed in the vagina for no longer than 30 minutes, once a day. This will quickly reduce irritation and soreness.

Zelenka from thrush during pregnancy

Surprisingly, budgetary and affordable brilliant green helps to perfectly clean the mucous from the waste products of fungi. This will temporarily dull symptoms before starting adequate treatment.

We are preparing a special infusion for use. We take 3% peroxide and purified water in equal proportions, add 4 drops of brilliant green to the solution. Next, we wrap a bandage or gauze on the finger, dip it into the product and process the vagina from the inside, removing curdled discharge. Repeat the procedure until complete cleansing 1-2 times a day.

The best helper is oregano oil

A pleasant and fragrant remedy for getting rid of candidiasis. The essential oil contains organic acids, phenols and vitamins, which together suppress the activity of Candida fungi. For example, the fungus did not develop immunity to carvacrol in the oil, and thymol is effective in the fight against chronic candidiasis.

information For treatment, purchase a special oil (carvacrol content at least 50%). The product should be alcohol-free and used only in diluted form to avoid mucosal burns.

For external use, combine 2 drops of essential oil with 2 tablespoons of base oil (olive, flaxseed). Lubricate the genitals with the resulting product at night.

Tampons are used to treat acute thrush. Prepare a solution (50 ml of base oil and 2 drops of essential oil). Soak the small tampons well with the product and insert them into the vagina for 8-10 hours. The course of treatment is 2 weeks.

Treatment of candidiasis with essential oil tea tree

Antiseptic and antifungal properties contribute to the use of tea tree for the treatment of pregnant women. Buy only natural essential oil along with a base (olive, linseed, high-quality sunflower).

For use, combine 20 ml of base oil with 4 drops of essential oil. With the resulting solution, we can treat the vagina from the outside, or we use tampons for internal treatment. A similar product can be applied to intimate organs under the film for 20-30 minutes for intensive fight against bacteria. The tea tree oil treatment course is 1 week.

Salt-soda solution in the fight against candidiasis of pregnant women

Gynecologists often prescribe alternative treatment in the early stages of the disease or as an auxiliary therapy. The favorite remedy for doctors is soda solution.

information To prepare, combine 1 tablespoon of baking soda with a liter of boiled water. Add 1 teaspoon of iodine to the mixture. Pour the resulting solution into a basin with warm water and soak the intimate organs in it for 10-15 minutes, performing washing. It is enough to use a bath once a day for 3-5 days.

Soda effectively knits, normalizes the acidity of the vagina and helps to remove curdled secretions. It also eliminates itching, heals ulcers and reduces pain.

Harm folk treatment thrush during pregnancy

If the doctor's prescriptions are followed and there is no individual reaction (allergy) to the components, home methods will be a good auxiliary therapy that eliminates unpleasant symptoms.

However, most of the "grandmother's" recipes strengthen the alkaline environment of the vagina, which, of course, is effective against the fungus, but increases the risk of developing other bacteria, as well as sexually transmitted pathogens.

Also, folk remedies help to eliminate symptoms, which means that the effectiveness will be short-term. If treatment is canceled, the disease will return again with renewed vigor.

important There is another pitfall - some aggressive folk remedies. The use of essential oils, alcohol solutions and herbal tinctures can lead to a chemical burn of the mucous membrane and further aggravation of the disease. Many unknown herbs cause allergies.

To increase the effectiveness of folk remedies, use a therapy that is safe for pregnant women with pills and topical preparations. It is prohibited to self-medicate without the supervision of a gynecologist!

Treatment of thrush in pregnant women in the second trimester should be started immediately, otherwise the yeast-like Candida fungi, when entering the fetal bladder, can lead to premature discharge of amniotic fluid, and in newborns - many unpleasant symptoms. Candidiasis is often diagnosed in women when cheesy discharge begins to leave the genitals, and this is no coincidence. Immunity with the onset of pregnancy is completely unstable. Fungi under the influence of a number of provoking factors begin active reproduction and negative activity. In the 2-3 trimester, the likelihood of infection of the fetus is incredibly high.

Healing rules

The most difficult thing is to treat thrush in the first trimester, when the systems and organs of the fetus are laid. Even a slight ingestion of chemicals into the body can negatively affect the health of the baby. The lack of treatment for candidiasis, regardless of the cause and development, can eventually lead to infertility in women.

In the absence of the necessary knowledge of how to treat thrush during pregnancy, you need to understand that self-medication is excluded, because even harmless home methods can only worsen the situation. It is advisable to postpone treatment until the end of the 1st trimester. Only a specialist is involved in the development of a therapeutic technique, since the prescription of drugs can vary significantly at each week of pregnancy.

In the 2nd trimester, the baby's systems and organs are already formed, the fetus is actively forming, and there is no particular risk for development, but you cannot neglect the dosages when taking medications.

In the treatment of candidiasis in the 2nd trimester are applicable folk recipes(douching, sitz baths with the addition of soda or herbs), vaginal tablets, suppositories, creams that are unable to be absorbed into the bloodstream and affect the course of pregnancy. To carry out unnecessary manipulations at home, penetrating into the genital area, is not worth it. The development of the inflammatory process can only intensify and lead to severe damage to the vaginal mucosa.

The safest suppositories for thrush during pregnancy in the 2-3 trimester:

  • Zalain;
  • Terzhinan;
  • Pimafucin;
  • Clotrimazole;
  • Ketoconazole.
  1. Betadine in the composition with iodine and boric acid and it is better to choose a replacement, for example, for borax with glycerin or sodium tetraborate (20%) to suppress the fungal mass and cleanse the mucous membrane from their accumulations in the treatment of thrush in pregnant women in the second trimester.
  2. Terzhinan in the composition with prednisone, which helps to suppress the immune system.
  3. Flucostat, which can lead to fetal malformations during development.

The selection of medicines is individual, so as not to disrupt the course of pregnancy and in any way harm the fetus, cause allergies, recurrent candidiasis. At the same time, it is not always possible to cure thrush completely after undergoing the initial course of treatment.

What are the best medicines

In the second trimester of pregnancy, thrush is much easier for women. Certain medications are allowed for taking, but taking into account the dosages and the course of pregnancy. Such drugs are completely harmless to the fetus:

  1. Pimafucin (tablets, cream 2%). It can be taken regardless of the gestational age.
  2. Natamycin (tablets). No toxic substances in the composition, it is used for any period. This drug is an antibiotic, but it does not lead to absorption into the bloodstream, affecting only fungal microorganisms. By destroying the cell membrane, it prevents further dispersal of the fungus. The course of treatment is up to 6 days. Take 1 tablet at night by insertion into the vagina.
  3. Clotrimazole (vaginal suppositories, cream) with a treatment course of up to 7 days. Inserted into the vagina at night. Itching and burning may appear at first, but they should soon go away.
  4. Gynofort (vaginal cream) in the composition with butoconaol for enveloping the mucous membrane in the vagina, creating an impenetrable protective barrier against the penetration of microbes. The composition settles well on the walls of the vagina and completely suppresses pathogenic microflora within 3-4 days of use.
  5. Terzhinan (vaginal tablets). Suitable for severe thrush during pregnancy in the 2nd trimester. It is necessary to use 1 tablet by insertion into the vagina, but first immersed in water for 30-40 seconds. The treatment course is up to 2 weeks.
  6. Betadine (candles). Suitable for use in the first trimester, but with thrush in the 3rd trimester of pregnancy, it can become dangerous due to the possible penetration of the active substance through the placenta. Contraindications - an allergy to an iodine supplement, a malfunction of the thyroid gland. It is better to choose another analogue for the treatment of thrush.
  7. Livarol (suppositories) is a safe drug that acts exclusively on the mucous membrane of the vulva and vagina, not leading to absorption into the bloodstream. Suppositories are used in any trimester of pregnancy, 1 at night for 6 days.
  8. Epigen-intimate (spray). It is prescribed regardless of the duration of pregnancy and for the purpose of prophylaxis in case of exacerbation of thrush, transition to chronic form... It is necessary to spray the vagina using a special nozzle for up to 2 weeks.
  9. Vagilak as a probiotic using 1 capsule per day with a treatment course of 2 weeks.
  10. Fluconazole (tablets) with a treatment course of 1 week.
  11. Wobenzym IF-alpha in the composition with interferon - antifungal suppositories that do not lead to side effects, without toxic effects on the fetus. Can be used for thrush in the third trimester of pregnancy.
  12. Nystatin (vaginal tablets) is approved for use in the second trimester.
  13. Borax in glycerin is a new safe drug that can be used regardless of the trimester of pregnancy.

From thrush in pregnant women in the 2-3 trimester, Clotrimazole cream helps to lubricate the vagina.

A larger list of drugs is permissible only in the 3rd trimester of pregnancy. The doctor will prescribe an additional course to achieve a fixing effect so that the thrush does not come back again.

Healing herbs

It is best to treat candidiasis with unconventional methods during pregnancy. The acidic yeast microflora is detrimental to the immune system and quickly destroys the walls of the mucous membrane in the vagina, when it is no longer possible to do without a complex therapeutic effect.

Do not douch with herbal decoctions at home. You can only gently irrigate the vaginal cavity or do sitz baths:

  1. Chamomile (decoction) to provide antiseptic anti-inflammatory effects, eliminate burning and itching. 1 tbsp. l. dry herbs in 1 glass of boiling water, brew, insist, filter and use warm.
  2. Pour an ordinary cuff 20 g with boiling water (1 glass), boil for 10 minutes, strain, add baking soda, which will help neutralize the acidity in the vagina (1 tablespoon per 1 liter of water). Stir, cool, do douching or sitz baths for 10 minutes with the addition of iodine (1 tsp) overnight. After that, you can insert a pill or suppository into the vagina as directed by your doctor. The course of treatment is 7 days.
  3. Oak bark, chamomile (decoctions). Douching from thrush during pregnancy in the 3rd trimester until the unpleasant symptoms are completely gone.
  4. Calendula + chamomile + oak bark + lavender. The composition helps well to relieve itching and irritation, to heal cracks in the eaten mucous membrane in the vagina. Take 1 tsp, pour boiling water (1 glass), insist, strain.

Natural products for douching

With the permission of the attending physician, you can use improvised douching products at home at home:

  1. Garlic and onions are natural antiseptics and organic products, they can be used for douching at home. Take 1 head each, boil in boiling water for 15 minutes, add a handful of dry chamomile, mix. Strain, cool.
  2. Essential oils. Used as an antibacterial antifungal agent to relieve itching and burning of the vulva with candidiasis. For example, mix tea tree oil + calendula oil, make small syringes.
  3. Bifidokefir in order to restore the microflora in the vagina.
  4. Drinks with bifidobacteria in the composition.

It is necessary to use folk remedies, douching, rinsing the genitals at least 2 times a day.

Even after the treatment course and in the absence of complaints for women right up to the birth, it is important not to neglect simple preventive measures:

  • revise the diet with the exception of sour, spicy, salty and sweet foods;
  • change the gaskets more often or completely abandon them;
  • keep calm, do not be nervous;
  • exclude sex life for the duration of treatment;
  • eliminate unnecessary physical activity;
  • normalize sleep.

If thrush is not treated, the vagina, under the influence of the inflammatory process, will eventually become less elastic, loose and vulnerable. Thrush can lead to complications when the question arises of performing a caesarean section. Incisions, long healing of stitches after surgery and bleeding during childbirth are inevitable.

If bacterial vaginosis joins, then the risk of toxic damage to the fetus will increase significantly and the consequences are difficult to predict. Often, babies infected with thrush from their mother at birth lag behind in weight, height, and development. If infection occurs early in pregnancy, placental blood flow may be impaired. The threat of termination of pregnancy hangs over the woman, premature birth or outpouring of amniotic fluid.

Candidiasis is well treated and does not lead to complications, if you start the effect in a timely manner and as soon as possible when leucorrhoea and cheesy masses appear, visit a gynecologist.

Thrush in newborns is the most difficult to treat. Infection while passing through the birth canal can lead to serious complications. The best measure not to get infected is disease prevention, management healthy way life, adherence to simple hygiene standards. In order to avoid relapses, it is extremely important to start the treatment of thrush on time during pregnancy in the 2nd trimester.

Thrush is considered one of the most common diseases in women. Every year, millions of the fair sex are faced with this disease, and some have not been able to get rid of it for many years. The problem of thrush is especially relevant for pregnant women. When carrying a child, the mother's body is very vulnerable, and the immune system is in a weakened state.

What is thrush

Thrush is popularly called a disease that is characterized by cheesy discharge from a woman's genitals. Thrush is a fungal disease that has a strictly defined pathogen - candida fungi, so the correct medical name for this disease is candidiasis.

These microorganisms are present on the body of almost any person, localizing in the area of ​​the mouth, rectum, genitals or on the skin. If a woman's microflora is normal, and her immunity is stable, these fungi will not have a negative effect on the body. If health problems arise that lead to a decrease in immunity, candida begin to multiply actively, which causes the development of thrush.

Candidiasis is not for nothing considered one of the most common diseases of pregnant women. According to statistics, every third woman carrying a child receives such a diagnosis, and half of these cases occur in the period before the birth itself. Thrush can appear at any stage of pregnancy, and the longer the period, the more often the disease manifests itself.

The causes of thrush

Candidiasis is always a consequence of any failures in the work of the female body. The main one is lowered immunity, which is characteristic of all pregnant women.

For a woman's body, the fetus is partially foreign body... The human immune system is designed to prevent the influence of foreign genetic material. To prevent rejection of the fetus, the body of a pregnant woman temporarily reduces immunity, and this, in turn, dramatically increases the chances of thrush.

Other factors contributing to the onset of thrush are:

  • diseases of the digestive system and intestines;
  • diseases of the liver, kidneys, genitourinary system;
  • malignant tumors;
  • lack of trace elements and vitamins;
  • infectious diseases;
  • a long course of antibiotics or hormonal drugs;
  • diabetes;
  • diseases of the genital organs;
  • tuberculosis;
  • endocrine system diseases.

Thrush can also form as a result of vaginal microtraumas obtained during intercourse, as well as prolonged wearing of underwear made of synthetic materials.

One of the most important causes of thrush is hormonal changes that are common to any pregnant woman. Changes in the hormonal background are required in order for the bearing and development of the child to occur naturally. In the hormonal balance, this increases the level of gestagens, which favor the development of pathogenic fungi.

Video - thrush in pregnant women

Thrush symptoms

The first symptom of this disease is vaginal discharge, which usually has a cheesy consistency and has an acutely unpleasant sour odor. It is because of this that the disease is called "thrush". With the development of the disease and the multiplication of pathogenic fungi, the amount of secretions increases, they become thicker, and the vaginal mucosa begins to become inflamed, irritating the nerve endings located there. As a result, there are symptoms such as: burning, severe itching, redness and swelling, pain inside the vagina or on the labia.

These symptoms can worsen in the evening and at night, as well as in the following cases:

  • during or after taking a warm bath;
  • with an increase in body temperature;
  • while urinating or having sex;
  • when wearing warm clothing or tight-fitting synthetic underwear.

Sometimes candidiasis during pregnancy proceeds without pronounced signs, and in other cases - in an acute form, with severe painful sensations and frequent relapses. According to research, candidiasis is one of the main signs of a complicated pregnancy.

These symptoms are not always a confirmation of candidiasis. Many other infectious diseases of the genitourinary system have symptoms similar to thrush, including venereal diseases, which are much more dangerous than thrush. That is why it is so important to go to the hospital in time for an accurate diagnosis of the disease.

Diagnosis of thrush

It is quite difficult to independently determine this disease. An accurate diagnosis can be made only after a series of examinations, including:

Examination Description Vaginal swab It is examined under laboratory conditions and the presence of candidal fungi is detected Culture method It is used if all symptoms of candidiasis are present, but no fungi are found in the smear. In these situations, the vaginal discharge is placed in an environment that is favorable for the growth of fungi. If you have thrush, fungi will be detected within a few days.

The easiest way to identify thrush is to measure your basal temperature. If it exceeds the norm, i.e. above 38 degrees, the likelihood of an infectious disease is high.

Why is thrush dangerous during pregnancy?

The most important task of any woman during pregnancy is the preservation and maintenance of the health of the child being born. Since thrush is an infectious disease, it poses a serious threat not only to the mother, but also to the baby.

Candidiasis disrupts the structure of the vaginal mucosa, as a result of which it becomes less elastic, which leads to the development of uterine erosion and an increased risk of vaginal rupture during childbirth. Symptoms of the disease causing the mass unpleasant sensations, lead to the fact that the woman becomes more irritable, her sleep worsens, often suffers from headaches and pressure jumps. All this negatively affects the psychological state of the mother, which is very important for the normal development of the fetus.

Candidiasis is especially dangerous for a child. When passing through the birth canal, he can get an infection from the mother and himself become infected with the disease. Newborns are very difficult to tolerate any infectious diseases, and candida fungus can lead to irreversible damage to the internal systems and organs of the baby.

This is why it is so important to start treating thrush during pregnancy immediately when it is detected.

Treatment

At different stages of pregnancy, the treatment of thrush can vary greatly. The most difficult period is the first trimester. At this time, doctors generally do not recommend taking any medications, since the child is laying systems and organs that can be affected by the chemicals contained in the medications. Fortunately, thrush is extremely rare in the first months of pregnancy. With the second and third trimesters, everything is much simpler and much more drugs are allowed during this period.

It is strictly not recommended to select drugs for the treatment of candidiasis on your own. Only a doctor has the right to prescribe the correct course of treatment and dosage of drugs based on the individual characteristics of the course of the disease. The most common treatments for this disease are:

Remedy Description "Pimafucin" in the form of suppositories A very effective antifungal drug, which is most often prescribed for the treatment of thrush. It has almost no side effects that can affect the condition of the fetus and it is completely non-toxic, so it can be used at any period of gestation. "Betadine" in the form of suppositories is another drug approved for use even in the 1st trimester of pregnancy. "Betadine" can be contraindicated only if you are allergic to iodine, or if a woman suffers from a malfunction of the thyroid gland. This drug is undesirable to use in the 2nd or 3rd trimester of pregnancy, since the chemicals contained in it can disrupt thyroid function in the baby "Clotrimazole" This drug is prescribed in the form of a vaginal cream or tablets. It can be used in the 2nd and 3rd trimesters, in the first it is contraindicated. Sometimes vaginal tablets can provoke allergic reactions, which will be accompanied by increased itching and burning. In this case, it would be better to refuse this drug "Nystatin" It is prescribed only in the initial stages of the disease. It has a weak therapeutic effect, although it acts very mildly, without causing any harm to the child. The doctor decides on the appropriateness of the use of "Nystatin" in the form of vaginal tablets "Terzhinan" It can be used only from the second trimester. In rare cases, the gynecologist can resolve it in the first trimester, but only when the risk of developing the disease outweighs the risk of damaging the fetus. It is considered a fairly safe remedy for thrush during pregnancy, since it acts only on the vaginal mucosa without being absorbed into the circulatory system.

Strictly prohibited for the treatment of candidiasis at any stage of pregnancy: "Levorin", "Diflucan", "Nizoral", "Fluconazole", "Lyukanazole". These drugs can cause irreparable damage to a child's health.

Folk remedies for the treatment of thrush should be used with great caution, as some of them can be dangerous to the child. It is not recommended to douch using such popular means as potassium permanganate, soda, onion or garlic. The admissibility of such treatment methods should be consulted with a doctor.

To make the treatment of thrush more successful, a course of vitamin complexes, and sometimes sedatives, is usually added to drug therapy. It is strongly recommended that you refuse to have sex for the entire duration of treatment, or use condoms.

If a pregnant woman is diagnosed with thrush, treatment will be required not only for her, but also for her sexual partner. Men are also susceptible to this disease, although not as often as women.

Treatment of candidiasis requires adherence to certain rules of personal hygiene. During illness, a woman should rinse her genitals twice a day with warm clean water, use sanitary napkins, and also change her underwear more often.

Diet is just as important for the successful treatment of thrush as a course of medication. For the period of illness, you need to give up flour and sweet foods, fried and spicy foods, which contribute to the multiplication of candidal fungi. It is recommended to eat fermented milk products every day, eat more fruits and vegetables.

If a course of antibiotics was prescribed during pregnancy, it is recommended to undergo prophylactic treatment with candidiasis drugs. If the disease is successfully cured, a preventive course of treatment should be carried out before the birth itself, even if there are no complaints.

21.12.2016

In the second trimester of pregnancy, active treatment of thrush begins for the reason that the danger of a high threat to the fetus has already passed. When a disease occurs, you should definitely consult a doctor, start treatment as early as possible.

It is necessary to cope with the disease before the onset of childbirth, since the likelihood of infection of the child increases when he passes through the birth canal.

Lack of treatment before childbirth is the reason for the development of thrush in the child's oral cavity. It will be difficult to cope with such manifestations of pathology.

Thrush in pregnant women manifests itself actively, but it is impossible not to pay attention to the first symptoms of the disease that arose during pregnancy. A woman has white discharge, they are thick and in consistency, they can resemble cottage cheese. Against their background, an unpleasant sour smell arises, indicating rapid development fungal infection. Even one of the described symptoms cannot be ignored, in the future the disease will develop, and getting rid of it is much more difficult.

If you do not start treating thrush, the discharge will become thicker, resembling sour cream or cottage cheese. As a result of such secretions, a disease such as candidiasis appears, many people call it simply "thrush". In the future, the woman begins to feel itching in the vaginal area, there is a feeling of constant discomfort, dryness, in some cases, an increase in body temperature is observed.

It is important to start treatment for thrush during pregnancy in the second trimester or elsewhere. Trying to get rid of the problem on your own will only aggravate the condition without getting rid of the problem.

The reasons for the development of thrush

Seeing the first sign of the disease, any woman has a question: "Where did she come from?" The causes of a fungal disease can be many different factors that need to be considered.

The causes of thrush during pregnancy include:

  • reduced immunity. Everyone knows that during pregnancy in female body there is a decrease in immunity, it is such a factor that becomes favorable for the development of a fungal infection;
  • the presence in the vagina of chronic inflammatory processes that have a negative effect on the microflora;
  • lack of essential minerals and vitamins in the body. The problem arises for those women who like to exhaust themselves with strict diets, eating the same type of food;
  • change in vaginal acidity. The reason for the phenomenon is possible as a result of taking antibacterial drugs, hormonal pills and medications.

Dangers of thrush during pregnancy

Failure to cure thrush during pregnancy can be problematic. Thrush during pregnancy is an unacceptable diagnosis that needs immediate treatment.

Thrush, especially on last weeks before childbirth, can cause damage to the fetus, can provoke complications during childbirth. For this reason, it is important to see a doctor after detecting signs of the disease, starting timely treatment.

The danger lies also in the case when antibacterial drugs, as well as hormonal pills, must be taken to cure thrush. The greatest complications need to be feared for women who have problems with overweight, in the presence of genital herpes, diabetes mellitus and other chronic infections.

Effects of thrush on pregnancy

If you do not start timely treatment of thrush during pregnancy, the disease can have a negative impact on women's health and fetal development. If the main factors should be highlighted:

  1. The onset of itching interferes with normal sleep at night, the woman begins to experience constant irritation. As a result of this phenomenon, the pregnant woman constantly complains about high pressure, pain in the head, in some cases there is an increase in the tone of the uterus (this can be extremely dangerous, as it can cause premature birth).
  2. Mucosal lesions are a favorable environment in which pathogenic microbes begin to develop. In most cases, against the background of candidiasis, a variety of vaginal infections occur, for treatment that will require taking antibacterial drugs.
  3. Complications at the birth of a child. This pathology is characteristic not during pregnancy in the second trimester, but in the later stages. To prevent this situation, treatment of candidiasis in the second trimester is recommended.
  4. In the event that this is not the first birth for a woman, but earlier the pregnancy ended caesarean section, then there is a high probability in the presence of thrush of rupture of the uterus along the scar. This problem is extremely serious and requires medical treatment without fail.
  5. The continuous itching sensation causes scratching of the skin in the genitals. This circumstance can cause severe stress, which can ultimately result in eczema.

Dangers of thrush to a child

If there is thrush during pregnancy in the 2nd trimester, treatment should begin immediately, since in the early stages the disease leads to an increased tone of the uterus. This phenomenon is extremely negative for the fetus, as it interferes with its proper development.

The child is not getting the right amount nutrients and components, the required volume of oxygen. As a result of such factors, the child begins to lag behind in development, problems with the formation of certain organs may be observed.

Provided that a bacterial infection has also joined the thrush, then the attending physician warns of the threat of termination of pregnancy. In this case, there is a high probability of infection of the fetus while still in the womb. It is infection from mother to fetus that is considered the most common occurrence.

During breastfeeding, the fungus also enters the mouth, causing many different health problems. In infants, a fungal infection begins its active development in the digestive tract and on the oral mucosa.

Treatment of thrush during pregnancy

If a woman was diagnosed with thrush during pregnancy, then the first question is how to treat it? From all that has been said above, it is possible to draw an unambiguous conclusion regarding the fact that treating a disease during pregnancy is not something that is possible, but even necessary. Better yet, make an effort to protect yourself from the development of such a disease at all.

To do this, first of all, it is necessary to pass tests for all possible infections that can be sexually transmitted. If an infection has been detected, it is necessary to start treating it, and only then to plan conception. You need to know some rules with which you can protect yourself from infection and fungus:

  • during pregnancy, during sexual intercourse, it is imperative to use a condom, with which you can provide protection against infections;
  • be sure to follow the rules of personal hygiene, do not use antiseptics during pregnancy;
  • do not wear underwear made of synthetic materials, and in hot weather, avoid wearing panty liners;
  • visit your therapist and gynecologist regularly. If the diagnosis was made, thrush, then it is boring to treat it under the supervision of a doctor and using safe but effective drugs;
  • it is necessary to eat only healthy foods, it is better to refuse salty, spicy, chocolate, sweet and starchy foods;
  • in autumn and winter, dress appropriately for the weather.

If thrush appears in the second trimester of pregnancy, in no case should you fall into despair. It is necessary to gather and direct all efforts to fight this infection.

Only in this case it will be possible to quickly get rid of possible complications for the mother and child. Take care of yourself and your own baby, react correctly to any changes in the state of health.



 
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