Treatment of thrush during pregnancy: the safest means

Treatment of thrush during pregnancy, vaginal candidiasis, is complicated by the fact that most of the pharmacological agents affecting the fungi of Candida albicans and Candida glabrata are either contraindicated in pregnancy, or have limitations in the application for a specific period of pregnancy.

What can be cured thrush in a pregnant woman, gynecologists know, so let's see what they recommend.

Preparations for treatment of thrush during pregnancy

It should be noted that drugs for treatment of thrush during pregnancy are divided into systemic means (they are taken orally) and local means.

The treatment of thrush during pregnancy at home is under way, but a specific remedy should be prescribed by a gynecologist watching a pregnant woman. As a rule, these are topical preparations - vaginal suppository or tablets, ointments or creams.

Just take note: antiseptic suppositories Betadine are contraindicated for pregnant women, although you can meet the claim that "this is one of the few drugs allowed in the first 12 weeks of pregnancy." This is not true: the drug contains povidone-iodine, which has a clear contra-indication for use in the treatment of pregnant and lactating women, because it acts longer than iodine and can penetrate the placental barrier, causing damage to the thyroid gland in the fetus.

Pregnant women should not use a suppository against thrush containing Metronidazole or Fluconazole as an active ingredient. All known antifungal drug Nystatin is a polyene antibiotic and leads to the death of candidate fungi, completely disrupting the water-electrolyte metabolism of their cells. And although this drug is almost not adsorbed in the gastrointestinal tract, inside the Nystatin tablet during pregnancy is contraindicated. A suppository with nystatin may be prescribed to pregnant women solely on the basis of indications: in cases of extensive fungal vaginal involvement (administer one suppository twice per day). However, this drug treats thrush in 2-3 trimesters of gestation. Contain nystatin vaginal globulins Terginan, which can be used in the same way as the suppository Nystatin.

Treatment of thrush during pregnancy in the first trimester should be conducted no earlier than 12-13 weeks. Typically, women are treated daily with vaginal mucosa with a 20% glycerol solution of borax (sodium tetraborate). Also, vaginal globules are prescribed for strict indications, for example, containing the antibiotic-macrolide natamycin suppositories of Pimafucin, which are considered the safest means, including when treatment of thrush during pregnancy in the third trimester is required. Suppositories are introduced into the vagina - one suppository once a day (at night); The duration of the course of treatment is determined by the doctor and can be up to seven days. It is also possible to use applications with a solution of Natamycin.

Treatment of thrush during pregnancy in the second trimester can be carried out with the help of an antifungal agent Clotrimazole (in the form of cream, tablets and suppositories): per day, one suppository or a tablet - intravaginally, overnight. As doctors note, the use of this drug in the form of a cream gives an effect only when combined with candles.

Caution should be given to pregnant vaginal suppositories Sertokonazol (Zalain). Although this drug does not enter the blood, the instructions say that during pregnancy and lactation it is "possible only if the intended benefit exceeds hypothetical harm to the fetus." One suppository is administered once a day - for 3-4 days.

Manufacturers of suppositories Livarol argue that they can be used after the 12th week of pregnancy, but the active ingredient of this antifungal agent - ketoconazole - is contraindicated during pregnancy, as it penetrates all tissues and through the placenta, affects liver function and blood composition.

Treatment of thrush during pregnancy by alternative means

For obvious reasons, gynecologists do not welcome the treatment of thrush during pregnancy by alternative means. Their effectiveness is often questionable, and the risk is too great to engage in self-medication. After a thrush in a pregnant woman can lead not only to infection of the fetus, amnionitis or chorioamnionitis, but also carries the threat of spontaneous abortion.

The recommended treatment of thrush during pregnancy with soda involves the use of a soda solution for hygiene of the genital organs with candidiasis, as well as for sitting bunches. In the same way, it is proposed to treat thrush during pregnancy with chamomile (decoction), calendula, oak bark, St. John's wort and sage. Herbal infusions or decoctions are advised to be used in the form of vaginal douching, but it should be borne in mind that, firstly, any syringing during pregnancy is unsafe; secondly, as practice shows, such treatment is of little use and, finally, it is possible to do much harm to a useful vaginal microflora.

And if someone advises you to treat thrush with honey during pregnancy, it is better to replace honey ... With ordinary greens.