23.12.2016

Often a woman develops thrush during pregnancy. The woman begins to feel discomfort, and in her situation this is not very good. In addition, during this period of life, it is undesirable to take any medications.

If this happens, then you should understand that not all medications are suitable for pregnant women. Women who suffer from thrush during pregnancy should not forget about the remedies traditional medicine.

Thrush is caused by Candida fungi, which live in the vaginal microflora of all women. But most often they are in a dormant state and do not cause any discomfort. female body. But if there are a lot of them, they begin to manifest themselves. This happens during pregnancy, even when the woman follows all the rules of hygiene and her diet is completely balanced. Candidiasis occurs for several reasons:

Changes occur in the composition of hormones. This is an inevitable process, without which further development of pregnancy is impossible. Progesterone comes first, which begins to be produced in larger volumes, changing the acidic environment of the vagina.
Low immunity especially at the beginning of pregnancy, because it is at this moment that the woman’s body begins to understand that there is another life in it that needs to develop. If a woman’s body does not lower her immunity at this stage of development, the embryo simply will not take root and will be rejected as a foreign body.
Avitaminosis. It often happens that a woman eats quite normally, but still the body experiences a lack of vitamins, and because of this, metabolism is disrupted. The consequence of this is a disruption in hormones, which will soon affect the vaginal microflora.
Stressful situations. During pregnancy, some women experience fear and anxiety for their unborn baby or because of the birth process. Stress can change the hormonal balance, which changes the acidic microflora of the vagina.

Symptoms of the disease

It is very easy for a pregnant woman to find out that thrush has appeared. Signs indicating its appearance will depend on the form of the disease:

Female carrier. If a pregnant woman is a carrier of the disease, then at the beginning of pregnancy her body will cope with the infection itself thanks to immunity. Therefore, a woman cannot suspect the disease, but if a smear taken from the vagina is examined, the development of thrush will be confirmed. If a woman does not know that she is sick, then this will not manifest itself in the early stages, and accordingly she will not begin any treatment. But the situation should change dramatically when the fact of the disease is confirmed by diagnostic actions. Then it is necessary to urgently begin treatment in order to get rid of the disease before the onset of labor. To protect the baby from possible infection.
Acute form. The acute form of the disease is characterized by the following symptoms: itching, burning. They may become unbearable after intercourse, urination or tight underwear. Later, curdled discharge will be added to these signs. white, which may soon change their color to yellow. In addition, there will be bad smell. After this, the mucous membranes and genitals will become swollen.
Chronic form. Chronic thrush is diagnosed extremely rarely, in about two out of a hundred pregnant women. This form is characterized by all the symptoms described above, but the woman suffers from them for a long time, maybe even several months. In this case, remedies for thrush help very little in eliminating the disease. Even when the symptoms stopped occurring and the woman breathed a sigh of relief that she had gotten rid of the disease, it reappears. In this case, the peak of all symptoms can be at any time. If a woman is going to treat thrush during pregnancy with folk remedies, then it is better to do this in an acute form. But chronic disease is better treated with traditional means.

Treatment of thrush in pregnant women

The remedies that the doctor selects for the treatment of thrush during pregnancy should not only help the woman get rid of this problem, but also harm the unborn baby. Therefore, the drug that will be used must be chosen from two groups - systemic or local treatment of the disease.

Systemic medications must be taken orally, this helps eliminate the fungus in the intestine itself.

However, the most suitable medications during this period of a woman’s life are local remedies. These are ointments, suppositories, creams. A woman can use them at home. In addition, those drugs that are on the pharmacological market at the present time do an excellent job of their task, which cannot be said about the drugs that were produced earlier.

There is also traditional methods, they are used for the complex treatment of fungal infections, in parallel with traditional medicine. Thrush during pregnancy is an excellent treatment at home, provided by various traditional medicine recipes. Because they not only have a detrimental effect on the fungus, but also do not cause any harm to either the mother or the child.

IMPORTANT! You should be careful with douching during pregnancy, because this method can be dangerous for some women. Therefore, we recommend visiting a gynecologist before starting this procedure.

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So, how to treat thrush during pregnancy with folk remedies, what recipes can be used?

We can say that the traditional one is washing with soda. How to prepare the solution? Take one liter of warm boiled water and dissolve two teaspoons in it baking soda. Wash yourself with it several times a day. But such a remedy will help only with minor symptoms.
Use a soda solution for douching. To do this, you should prepare a solution that is not as concentrated as was described earlier. Now dissolve one teaspoon of soda in one liter of water. You can douche twice a day, and carry out this procedure until the symptoms disappear completely. However, do not forget to disinfect the syringe every time.
Sitz baths. To do this, you will need decoctions of various herbs, soda and iodine. There are two recipes.

First. Mix a tablespoon of baking soda, half a tablespoon of iodine and a liter of warm water. Pour this solution into a bowl and sit in it for fifteen minutes. This must be done at night, for four days in a row.

Second. Combine calendula flowers and oak bark in a 50/50 ratio, and prepare a decoction from this. After this, dilute it with half and half water and add it to the bath.

Use of tea tree oil. This drug copes well with microbes and does not have any harmful effects on the body of a pregnant woman. But it cannot be used in pure form, so add more vegetable oil to it. To do this, mix four drops of tea tree oil and twenty milliliters vegetable oil. Take a tampon, soak it in the resulting solution and insert it into the vagina. But you can lubricate the mucous membrane with your finger. Such procedures need to be carried out twice a day, seven days.

Prevention of thrush

To prevent thrush from appearing in pregnant women, it is necessary to conduct examinations before conception, pass the required tests and follow all the recommendations of the gynecologist. It is better to plan a pregnancy after treatment. In addition, during pregnancy, try not to take antibiotics and antibacterial medications. If thrush appears during pregnancy, use folk remedies.

Consume more as a preventive measure natural products: fermented milk yoghurts, hot red peppers, garlic, grapefruit and many others. These products help kill germs and the fungus will stop growing.

For treatment to give a positive result, follow the rules:

Buy underwear only made from cotton, because synthetics will cause thrush.
You should not douche regularly, as this disrupts the normal microflora of the vagina.
Try to get rid of excess weight. Add fermented milk products, fruits and vegetables to your diet, exclude sweet and fatty foods.

During pregnancy, serious changes occur in a woman’s body, including in the vaginal microflora. This is why many expectant mothers are faced with such an unpleasant phenomenon as vulvovaginal candidiasis or, more simply, thrush.

Thrush is a disease of the mucous membranes caused by fungi of the genus Candida. These fungi are natural “inhabitants” of the skin, mucous membranes, intestines, and genital tract of humans and do not manifest themselves in any way if the immune system is stable.

During pregnancy, serious changes occur in the mother's immune system. In order to prevent the fetus from being rejected (after all, it is half foreign to a woman’s body), the expectant mother’s immunity weakens. Under these conditions, fungi begin to actively multiply - candidiasis occurs during pregnancy. This is why thrush occurs more often in expectant mothers than in non-pregnant women. Often the first episode of this disease in life occurs precisely while expecting a baby. The highest incidence of candidiasis during pregnancy is observed in the last trimester and in primiparous women.

Thrush during pregnancy: symptoms of the disease

The severity of thrush symptoms during pregnancy depends on the form of the disease. It also happens that there are no signs of the disease, but an analysis of a vaginal smear will show the presence of fungi.

In the acute form of thrush during pregnancy, there is abundant or moderate white vaginal discharge, with flakes resembling cottage cheese, itching in the perineum, which intensifies in the evening and at night and after a long walk. A pregnant woman is bothered by a burning sensation and pain in the vaginal area when urinating or during sexual intercourse. This is due to the fact that the inflamed mucous membrane of the genital organs is especially sensitive to urine and other external irritants. When examined, the mucous membrane of the vagina and external genitalia reveals redness, swelling, and cheesy deposits.

Sometimes vulvovaginal candidiasis can be combined with candidiasis of the urinary system, with the development of urethritis (inflammation in the urethra), cystitis (inflammation of the bladder).

With chronic recurring candidiasis during pregnancy, the manifestations of the disease persist for several months. In this case, there is an alternation of outbreaks and attenuation of symptoms of the disease. The acute form of thrush during pregnancy can become chronic in expectant mothers with weakened immune systems, as well as with improper treatment.

Causes of thrush during pregnancy

The following reasons contribute to the development of candidiasis:

Hormonal changes. Due to the increased level of sex hormones in the cells of the vaginal epithelium, there is an increase in the content of glycogen, the breakdown of which produces glucose - a favorable environment for the growth of candida. In addition, during pregnancy, the acidity of the vaginal secretion changes (towards the sour side), which also promotes the growth of fungi.
Weakening of the immune system. During the period of waiting for a child, against the background of a general change in immunity, the protective function of the vaginal mucosa decreases, as a result of which it is easier for fungi to attach and multiply.
Severe stress , which also contributes to a decrease in immunity.
Taking antibiotics. When using these drugs, the normal vaginal microflora is destroyed (lactobacteria, which inhibit the growth and reproduction of candida), resulting in favorable conditions for the growth and reproduction of fungi.
Diabetes mellitus in a pregnant woman. With diabetes, the level of glucose increases not only in the blood of a pregnant woman, but also in the cells of the vaginal epithelium, which creates optimal conditions for the life of candida.
Reception hormonal drugs belonging to the group of glucocorticoids. These drugs increase glucose levels, which promotes fungal growth.
Intestinal dysbiosis(disruption of the normal balance of microflora in the intestine). If hygiene rules are not followed, fungi from the intestines can infect the vaginal mucosa.
Poor nutrition when carbohydrates predominate in a pregnant woman’s diet.
Concomitant infections sexually transmitted diseases (STIs). In the vagina, due to the inflammatory process, an imbalance of microflora occurs. Under these conditions, candida begins to actively grow and multiply.
Wearing tight-fitting synthetic underwear. As a result, a microclimate is created in the vagina with elevated temperature and humidity favorable for the growth of fungal flora.

Diagnosis of candidiasis during pregnancy

To confirm the diagnosis, the obstetrician-gynecologist takes a smear from the vagina, cervix, and urethra with a special instrument, transfers it to a glass slide and sends it to the laboratory for analysis. There, a laboratory assistant stains the resulting material with a special dye and examines it under a microscope. If spores or fungal mycelium are detected in the smear, a diagnosis of “vulvovaginal candidiasis” is made.

The bacteriological method is also used to diagnose the disease. In this study, the material is sown on a special nutrient medium favorable for fungal growth. In the presence of candidiasis, they begin to multiply and form colonies, which confirms their presence in the vaginal discharge. The method is good because it allows you to determine the species of the fungus and give its quantitative assessment. And also to identify individual sensitivity to antifungal drugs, since not all fungi can be treated with certain medications.

Why is thrush dangerous for pregnant women?

It is necessary to treat candidiasis during pregnancy. This reduces the risk of pregnancy complications, prevents the threat of miscarriage, and reduces the likelihood of premature birth.

Why can such serious complications develop? The fact is that with candidiasis, due to existing inflammatory changes in the vagina, the tissues become more loose, which significantly increases the risk of their ruptures during the passage of the fetus through the birth canal. In addition, if the mother has candidiasis, there is a risk of infection of the baby during pregnancy, as well as at birth.

Features of treatment of candidiasis during pregnancy

Treatment of thrush in pregnant women begins only after the diagnosis has been clarified based on laboratory data.

There are special requirements for drugs used to treat thrush in pregnant women. Medicines must be highly effective, safe for the baby, and well tolerated by the patient. Systemic antifungal drugs (tablets taken orally) are contraindicated during pregnancy due to their toxic effects on the fetus. Therefore, for the treatment of candidiasis, topical medications (suppositories, tablets, ointments) introduced into the vagina are prescribed.

In the first trimester, the range of use of antifungal drugs is limited due to their possible adverse effects on the developing embryo. The doctor will select a medicine approved for this period of pregnancy. As a rule, the drug is used in the form of suppositories inserted into the vagina at night. Before use, it is recommended to clean the vagina: eliminate the cheesy masses, otherwise the effectiveness of treatment will be reduced.

In the second and third trimesters of pregnancy, a wider range of antifungal agents can be used.

The choice of drug, duration of therapy, dosage is determined strictly individually by the obstetrician-gynecologist managing the pregnancy. The expectant mother should under no circumstances self-medicate. This is dangerous not only for herself, but also for the baby.

Multivitamin complexes for pregnant women are always prescribed in combination with antifungal drugs. In some cases (with persistent thrush, despite treatment, with frequent colds in the expectant mother) the use of immunomodulators is indicated.

Nutrition for candidiasis during pregnancy

Recommended for pregnant women. Nutrition should be balanced. It is necessary to limit the intake of sweet, flour products, spicy, fried foods. These foods are rich in carbohydrates, which contribute to the creation of favorable conditions for the growth of candida. In addition, it is important to include fermented milk products in your diet. They contain a large number of lactobacilli, which prevent the overgrowth of fungi in the intestines. While using the drugs, it is recommended to abstain from sexual activity or use a condom.

After treatment of thrush in pregnant women, samples are taken to assess the effectiveness of therapy.

The question of the need to treat a sexual partner is currently not completely resolved. If a man has clinical manifestations (pain, itching, burning in the area of the glans penis), he is treated with antifungal drugs in the form of creams. If the expectant mother has a recurrent course of thrush, then the doctor may prescribe her husband systemic medications in the form of tablets taken orally, which act on all fungi present in the body and prevent the reappearance of thrush.

When the first signs of the disease appear, you should definitely inform the obstetrician-gynecologist in charge of the pregnancy. Early detection of candidiasis and properly selected therapy will help in the future to avoid new relapses of the disease.

Thrush is a rather unpleasant disease. It is especially unpleasant that it appears in pregnant women. But unlike women in normal condition, pregnant women risk not only their health, but also their unborn baby. If a pregnant woman does not begin to treat thrush in time, this threatens the baby with manifestations of the disease on the mucous membranes and childbirth. ahead of schedule, pathologies of the fetus, and can also lead to the emergence of other more dangerous diseases for pregnant women. Therefore, it is important to be treated on time to prevent negative influence for the unborn baby.

Causes of thrush during pregnancy

As a result of the reasons given below, fungi begin to multiply rapidly, which is manifested by unpleasant symptoms, including burning and itching, as well as cottage cheese-like discharge with a sour smell. In pregnant women, as in ordinary women, the causes of the insidious disease are:

changes in hormonal levels;
weakening of the immune system;
changes in vaginal microflora.

All these reasons provoke the growth of pathogenic microorganisms called candida. These fungi settle on the mucous membranes of various organs, even the genitals are their habitat.

Actions to take when thrush occurs in pregnant women

If a woman notices symptoms of thrush, do not rush to self-medicate. You can harm the future baby, or the disease can take on a chronic form that is asymptomatic.

First, you need to visit a doctor, since itching and burning are not signs of candidiasis alone. Other women's diseases also have such manifestations.

In the hospital, the doctor will take a gynecological smear, which, using staining, will show whether there are pathogens of thrush or whether it is something else. Only a doctor can select medications that alleviate the condition and do not harm the fetus.

But the treatment of this disease in pregnant women has a certain complexity. It consists in the fact that antifungal drugs, which are usually used in treatment, are contraindicated in pregnant women during the first trimester. What to do in this case?

Allowed drugs during pregnancy

So, what tablets are allowed for thrush for pregnant women? Drugs for the treatment of candidiasis are divided into 2 types: drugs acting systemically and drugs with local action.

Systemically acting drugs are taken orally, with the help of the intestines they penetrate into the blood, and through it into all other organs and tissues. In a normal state, women can take these medications without fear, but during pregnancy these medications are not allowed to be used so easily due to toxic substances and side effects. But there are still medications that can help get rid of thrush without harming the baby.

During pregnancy, you can use ointments, creams, vaginal suppositories and tablets. These drugs are less harmful to the fetus.

The most problematic stage for treatment is the first trimester of pregnancy. Since it is during this period that the vital organs of the fetus are formed, and the placental barrier is not yet fully formed, the use of medications should be carried out with caution. What drugs can be used without fear in each trimester of pregnancy?

First trimester

In the first trimester, taking tablets for thrush during pregnancy is prohibited, since during this period all the vital organs of the child are formed and taking medications can harm the fetus.

Pimafucin

This drug is quite often prescribed by doctors during pregnancy and lactation, as it is highly effective and safe, even if the dosages are large. Pimafucin is available in several types: tablets, suppositories, cream.

The medicine is based on a substance called natamycin. This is an antibiotic that “hits on all fronts” of the disease. Pregnant women are mainly prescribed vaginal suppositories. It has been noticed that after just a couple of times of use, there is relief and dulling of the symptoms inherent in thrush.

Some only need three days, while others require a long course of nine days.

A negative effect may be a burning sensation and mild irritation of the mucous membranes, which disappear after completion of the course of treatment. Pimafucin is a budget product; in pharmacies it sells for 260–300 rubles, it all depends on the region. If candidiasis stubbornly does not stop, then tablets of this drug are prescribed (1 tablet 4 times a day).

Nystatin

This medicine is also used by pregnant women for this disease. It has a detrimental effect on various types of fungi and, especially on Candida fungi. Nystatin is produced in various forms, and an ointment is prescribed for pregnant women.

Negative effects of the medicine can manifest themselves in the form of allergic reactions, burning, hyperemia in the place where the ointment was applied b.

Nystatin is quite widespread; in pharmacies in the capital and St. Petersburg, it is sold for 32–37 rubles.

Second and third semester

In the second and third trimester of pregnancy, the list of medications used expands significantly, but the advantage still remains with suppositories, creams and ointments.

Gyno-Pevaril

Presented with vaginal suppositories produced in Switzerland or Belgium. The main substance in the medicine is econazole nitrate, which is an excellent remedy against dermatophytes, molds and yeasts.

Suppositories are applied by deep insertion into the vagina. It is recommended to do this before bedtime. Treatment is carried out for 2 weeks at a dosage of -50 mg or 3 days at a dosage of -150 mg.

Negative manifestations are expressed in the form of erythema, a burning sensation, itching and local irritation.

The cost of this product in pharmacy chains in the capital and St. Petersburg is 450–470 rubles, with a dosage of 50 and 150 mg. There are 15 pieces in a package.

Clotrimazole

This is a drug with broad effects and is used topically to treat thrush.

When using this remedy, you need to know that it inhibits psychomotor reactions, so you should avoid doing things that require increased concentration and there is a psycho-emotional load.

The drug is characterized by negative effects that most drugs of this kind have in the form of a burning sensation, contact dermatitis and redness.

Clotrimazole is sold in pharmacies; it costs from 70 to 180 rubles.

Ginofort

This medicine is also suitable for treating pregnant women. Suppresses thrush pathogens using the substance buconazole nitrate. The medicine is administered using an applicator inside the vagina. The dose that should be administered at a time is 5 g. The procedure is carried out when it is convenient. Dosages and duration as prescribed by the doctor. The drug has excellent tolerability, and negative reactions occur only in patients with hypersensitivity. They are manifested by hyperemia, itching and a burning sensation.

Ginofort is a rather expensive drug; in pharmacy chains in the capital and St. Petersburg it costs 726–770 rubles.

Terzhinan

This drug is available as vaginal tablets. They are prescribed by a doctor in the second trimester of pregnancy and almost never in the first trimester (if the benefit to the mother outweighs the threat to the fetus).

According to the French laboratory of Bouchard-Recordati, the drug is absolutely safe, but the American FDA has a warning about the substance prednisone included in the drug, which weakens the immune system.

The drug is treated for 10–14 days, using one tablet, after holding it in water for 30 seconds. It is preferable to perform the procedure before going to bed. Introductions made for the first time may be accompanied by increased itching and burning, but then they will subside. The drug is sold in pharmacy chains for 354 rubles.

Livarol

The drug is sold in all pharmacies, but it can only be treated in the second and third trimester and only under the supervision of a female doctor. It is represented by vaginal suppositories. The active substance of this drug is ketoconazole. Its action affects only the mucous membranes of the vagina and vulva, so it is harmless to mother and baby. Based on some data, after using Livarol, recovery was observed in 96.9% of those treated, and with Pimafucin treatment only 33.3%. Treatment lasts 3-5 days, one suppository before going to bed.

Pharmacy chains offer Livarol for 340 rubles.

General rules for the treatment of candidiasis

For pregnant women, taking not only medications, but also compliance with certain rules during treatment to prevent recurrence of thrush. So, to completely cure this disease you need:

do not abuse flour confectionery products, sweets, spicy, smoked and pickled foods;
watch your stool, that is, do what you can physical exercise, eat foods containing a large amount of fiber and dishes with bifidobacteria;
forget about sexual intercourse while undergoing treatment, and then use condoms, even if your partner has also undergone treatment;
follow strict recommendations for genital hygiene for pregnant women;
do not be overloaded physically and emotionally, it is advisable to take a course of sedatives in the form of: valerian tablets, Magne-B, motherwort tincture;
if treatment with antibiotics or adrenal hormones is necessary, prophylaxis with Linex or Bifidumbacterin is required;
Douching procedures with soda, manganese and other substances are prohibited for pregnant women, as they can harm the unborn child.

So, treatment of thrush with medications should only be carried out under the supervision of a doctor and with extreme caution, especially in the first trimester. Tablets used for thrush during pregnancy are administered only intravaginally.

At the stage of pregnancy planning, every woman begins to monitor her diet and tries to put her health in order in order to avoid unpleasant surprises in the future. Imagine her surprise when she encounters such an unpleasant phenomenon as thrush during pregnancy. How to treat, what to do, is thrush dangerous during pregnancy... There are a lot of questions. Let's try to figure out whether this disease is so terrible or not to worry too much?

Thrush (candidiasis) is a disease characterized itching genitals (sometimes very strong), and white cheesy secretions with a sour smell. However, do not rush to diagnose yourself: these same manifestations may be symptoms of other diseases, so rely on your doctor to diagnose candidiasis. The phenomenon of thrush during pregnancy is especially unpleasant.

The effect of thrush on pregnancy

Like any other infection, candidiasis is a potential danger for both the expectant mother and the baby. It complicates the course of pregnancy, creates risk of infection fetus or even a newborn - if thrush was not treated before birth. Although it occurs very often in pregnant women, despite its almost asymptomatic course, candidiasis is not such a harmless companion to pregnancy, so it is important to diagnose and treat this disease in a timely manner.

Causes of thrush during pregnancy

The manifestation of this disease is due to various factors. There are so many of them that it is often difficult to determine what exactly caused candidiasis. It may have arisen due to wearing underwear made of synthetic fabrics, or due to a mechanical factor such as frequent and rough sex, leading to traumatization vaginal walls.

In general, fungi of the genus Candida can live in the body for years and show absolutely no signs of themselves, and then, against the background of decreased immunity, thrush may appear during pregnancy. The weakening of the body's immune system can be caused by various diseases: diabetes, infectious and oncological diseases, diseases of the circulatory system, tuberculosis, etc.

Also candidiasis may be caused vitamin deficiency, vaginal dysbiosis, chronic diseases genitourinary system and even taking certain medications, for example, antibiotics, immunosuppressants and corticosteroids.

Another reason that many pregnant women face the problem of candidiasis is a change in the woman’s hormonal levels, as a result of which the vaginal microflora changes, becoming an extremely favorable environment for the development of Candida fungi.

Some doctors believe that thrush in pregnant women is more severe if you consume a lot of sweets.

Diagnosis of thrush during pregnancy

Proper treatment of thrush in pregnant women begins with diagnosis. Usually it's enough bacterioscopy. During the examination, the doctor takes a smear from the vagina, urethra and cervix, and then sends the material to the laboratory for analysis. This method detects the disease even in the absence of any symptoms.

There is a more accurate method - cultural. The material taken during the examination is placed in an environment favorable for fungi - if they are present, they will definitely appear, which the laboratory assistant will see under a microscope.

Well, the most accurate method is considered to be the method polymer chain reaction(PCR). However, firstly, it is quite expensive, and, secondly, during pregnancy it often gives false positive. Therefore, thrush in pregnant women is usually detected using the previous two methods.

The gynecologist will most likely recommend that you take not only a smear, but also other tests: a general urine and blood test, a smear for sexually transmitted infections, a detailed blood test for HIV. You will also probably have to visit other specialists: an endocrinologist and a gastroenterologist - perhaps they will identify the cause of candidiasis.

How to cure thrush during pregnancy

As you understand, treating thrush during pregnancy is difficult: many medications, which under normal conditions would quickly help you forget about this problem, are contraindicated during pregnancy.

Therefore, no self-medication: tablets and suppositories for thrush during pregnancy can be used, but only on the recommendation of a doctor. By the way, exactly candles are considered the most effective and safe means, since they act directly on the mucous membranes of the genital organs, minimally absorbed into the blood.

A separate controversial issue is folk remedies from thrush during pregnancy. There are a great many recipes, each product is positioned as effective and harmless, but is this really so? Again, only a doctor can answer you. Even “safe” herbs have contraindications and side effects!

Many folk remedies are unlikely to help - in best case scenario will not harm. Washing with soda solution, calendula decoction or oak bark is very popular. They are able to eliminate the symptoms of candidiasis and soften its manifestations, but the effect will be unstable and short-term.

Treatment of thrush during pregnancy will be more effective if you follow the following during the treatment period: recommendations:

stop sexual contacts, as a last resort - do not forget about the condom;
limit physical activity;
adjust your diet: give up spicy foods, sweets, flour;
eat dairy products, more fruits and vegetables;
drink more liquid (it’s great if it’s various juices and fruit drinks);
do not overuse douching;
wash yourself clean water without soap 2-3 times a day;
give up thong panties and tight underwear for a while: your underwear should only be cotton.

Thrush during pregnancy is not a very pleasant phenomenon, but, nevertheless, removable. The main thing is to follow the doctors’ recommendations in everything and not to let things take their course: candidiasis can cause infection both for the pregnant woman and the fetus, so it is important to diagnose it in time and undergo a course of treatment.

It is extremely difficult to confuse the disease with others, because the woman is bothered by itching and burning in the genital area. The main sign of thrush is a cheesy discharge that has a sour smell. Treatment of thrush during pregnancy is mandatory due to the fact that it complicates the course of pregnancy and increases the likelihood of infection of the fetus during passage through the birth canal. If infection occurs, the newborn will suffer from Candidal stomatitis.

Treatment of chronic thrush in non-pregnant women is carried out with systemic drugs (tablets or capsules), which penetrate the blood and affect fungi in the intestines and other tissues in the body. However, a gynecologist cannot prescribe such drugs during pregnancy due to their high toxicity - even short-term use has a negative impact on the development of the fetus.

How to choose a drug? What are the time limits?

What anti-thrush remedies are allowed for pregnant women? Which drugs should you prefer: local or systemic, or maybe even “folk” ones? The list of modern pharmacological remedies for thrush includes about a dozen drugs that act only on the infected area, that is, they are absolutely harmless to the fetus.

during pregnancy

Many gynecologists recognize this drug as the safest and most effective for treating thrush during pregnancy. The main active ingredient of Pimafucin, natamycin, practically does not enter the bloodstream from the gastrointestinal tract, is not absorbed from the mucous membranes and does not penetrate the uteroplacental barrier. Accordingly, taking Pimafucin (even long-term) cannot harm the fetus.

Treatment of thrush in women with Pimafucin can be carried out from the moment of conception until childbirth. For some, to get rid of the symptoms of thrush, it is enough to take the medicine for three days, while others need a full course of treatment (9 days). Usually pregnant women are prescribed Pimafucin in suppositories - 1 suppository at night. For persistent vaginal candidiasis, Pimafucin tablets are prescribed (4 times a day, 1 tablet for a week).

You should not prescribe Pimafucin on your own, especially if you were not bothered by thrush before pregnancy. The fact is that the drug has one contraindication: hypersensitivity to the substances that make up Pimafucin. In addition to natamycin, suppositories contain cetyl alcohol, polysorbate, solid fat, adipic acid, sorbitol triolite, sodium hydrogen carbonate. In the first days and hours after administration of the suppository, burning and irritation may occur, but these side effects do not require discontinuation of the drug and go away on their own.

Drugs allowed at different stages of pregnancy

Candles.

During pregnancy, the drug is prescribed in the form of vaginal tablets or cream. Clotrimazole is allowed in all trimesters, with the exception of the first. No negative effects of the drug on the fetus were identified during clinical trials, but the final decision on the advisability of using clotrimazole should be made by the doctor. Treatment of thrush in women with Clotrimazole lasts 6-7 days, during which one tablet is inserted deep into the vagina before going to bed at night, without using an applicator. The cream is used only as an addition to suppositories or vaginal tablets. When using vaginal tablets, burning and itching may increase. If they do not go away within 1-2 days, then the drug is discontinued due to the high likelihood of an allergic reaction. In rare cases, pregnant women complain of frequent urination.

, candles.

Terzhinan vaginal tablets are included in the list of drugs recommended for the treatment of vaginal candidiasis in Russia. They are prescribed from the second trimester of pregnancy and in rare cases in the first (if the potential benefit to the woman outweighs the risk to the fetus). The French laboratory Bouchard-Recordati (manufacturer of Terzhinan) also speaks about the effectiveness of the drug and advocates for its safety. At the same time, the American FDA agency warns: , which is part of the drug, reduces local immunity. The course of treatment is 10-14 days, one vaginal tablet before bedtime (before administration, the tablet is immersed in water for 30 seconds). After the first injections, the burning and itching may increase, but then they will disappear.

Candles.

This is one of the few drugs allowed in the first 12 weeks of pregnancy. If the expectant mother has no contraindications to the use of Betadine (the main ones are dysfunction of the thyroid gland and an allergy to), then she can put one candle for a week. In the 2-3 trimester, the drug is replaced with another, because it becomes dangerous for the baby: active ingredients penetrate the placental barrier and can cause thyroid disorders.

EP IGEN intimate. This therapeutic and prophylactic spray can be used throughout pregnancy to prevent infection of the fetus and exacerbation of chronic thrush. The drug is applied either to the vulva by irrigation or by injection into the vagina using a special nozzle. The course of treatment is 1-2 weeks.

Candles.

The drug can be purchased at any pharmacy, but be aware: it can only be used against thrush in the second and third trimester, and only under the supervision of a gynecologist. Ketokenazole is the active substance of the vaginal suppositories Livarol, it acts only on the mucous membranes - the vagina and vulva, is not absorbed into the bloodstream and is therefore harmless to the woman and the fetus. Studies show that this drug works better for pregnant women than Pimafucin. According to some data (the page with the study is unfortunately no longer available), recovery after taking Livarol was observed in 96.9% of subjects; of those who took Pimafucin, only 33.3% were cured. The course of treatment is one suppository before bedtime for 3-5 days.

Average prices for the treatment of thrush in women depend on the drug prescribed by the doctor and the duration of its use:

Pimafucin (6 suppositories) – 503 rub.

Livarol (5 suppositories) – 340 rub.

(spray, 60 ml.) – 1370 rub.

Terzhinan (vaginal tablets, 6 pcs.) – 354 rub.

Betadine (14 suppositories) – 317 rubles.

Clotrimazole (vaginal tablets, 6 pcs.) – 30 rub.

– a drug prohibited during pregnancy

Fluconazole belongs to the category of drugs that are dangerous during pregnancy, especially in the first trimester. As foreign medical studies show, taking Fluconazole in the first weeks of gestation (organ formation) led to the risk of developing a complex congenital heart defect in the fetus - tetralogy of Fallot. If a pregnant woman took Fluconazole in the third trimester at a dose of 400-800 mg/day, then in rare cases the born baby was diagnosed with abnormal facies, brachycephaly, malformations of the cranial vault, arthrogryposis, cleft palate, etc.

A single dose of 150 mg of Fluconazole is considered safe, but the drug is prescribed only in cases of extreme necessity. Thus, treatment of thrush in women with Fluconazole is possible only after delivery and the end of lactation.

Treatment of thrush in women with Flucostat is also not advisable. Its main active ingredient is still fluconazole, and there are publications that say that this drug can cause deformities and have a toxic effect on the fetus. Gynecologists prescribe it only if the disease spreads to all vital systems of a woman.

Homeopathic medicines

In homeopathy there is no diagnosis of “thrush” as such, there is only the symptom of “leucorrhoea”. The main difference between homeopathy and traditional medicine is the selection of a medicine based on the symptoms listed by the patient, without regard to the name of the diagnosis. Medicines for each person are selected strictly individually, and the homeopathic doctor will definitely find out why the woman has symptoms of thrush.

Treatment of thrush with homeopathy is carried out only with drugs taken orally. We list the main drugs and the symptoms for which they are prescribed.

Alumina Leucorrhoea acrid, copious, transparent, viscous. Feeling worse during the day. It gets better only after washing with cold water.

Borax Like a burn in the vagina, irritating mucous membranes, transparent, white-like discharge.

Capsicum, Graphites, Kreosotum, Sulfur. For burning pain.

Kalium muriaticum. For curdled discharge, suitable for girls.

Mercurius solubilis. For reddish spots.

Hinacea. For vaginal dryness and inflammation due to genital thrush.

The duration of treatment with homeopathic medicines can be from 4 to 6 weeks, but some people feel an improvement in their well-being after 1-2 days of treatment. Traditionally, a homeopathic doctor will prescribe only one medicine, but if to restore balance vitality and eliminating symptoms requires a larger number of medications, then take 2-3 types.

Traditional medicine recipes

“We treat thrush ourselves!” This phrase can often be heard from pregnant women who do not want to harm the fetus by taking medications. Let us repeat that if you use only medications approved during pregnancy, they will not harm the baby.

Traditional treatment options can only be used as a supplement, because medications eliminate fungi, but do not always eliminate burning and itching. And of course, you should not risk the health of your unborn child by abandoning traditional medicine.

Treatment of thrush in women with soda is the most popular alternative method fight the disease. Soda is used for douching and washing. The solution is prepared from 1 tbsp. soda, 1 liter of boiling water, wait for it to cool down and douche, after which suppositories or vaginal tablets prescribed by the doctor are administered. The optimal duration of douching is 5-7 days. Sitz soda baths are also effective: 1 liter. take 1 tsp of water. iodine and 1 tbsp. soda. The duration of stay in the sitz bath is 15 minutes.

Douching solutions are prepared not only from soda, but also from natural antiseptics. Here are some of them:

onions and garlic (boil a head of garlic with a tablespoon of chamomile in a liter of water for 5 minutes).
tea tree oil (a small syringe is filled with calendula oil - 1 tsp and tea tree oil - 1-2 drops).

But you need to understand that by delaying seeing a doctor, future mom risks his health.

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