Treatment of thrush before, during and after menstruation

A real problem for many women is thrush before, during and after menstruation. Let's figure out how to deal with this, and is it always a thrush.

Antifungal (antifungal, fungicidal therapy). Many doctors treat thrush with antifungal agents. They kill the cause of the development of this disease, and thus, recovery occurs quickly enough. Modern antifungal agents ( fucis , pimafucin, fluconazole , intronazole, nystatin and others) act rather quickly. On average, the course is designed for three days, but visible results come after taking 1 tablet.

But this method does not always pay off. This is due to the fact that after the fungal infection is killed, a bacterial infection often develops in its place (since in the microbiocenosis of the mucous membranes, any vacant niche is quickly occupied by another microorganism). The well-known proverb “a holy place is never empty” illustrates this situation as clearly as possible. The development of a bacterial infection manifests itself in a similar way, an inflammatory process appears. This is especially often observed with reduced immunity.

Complex therapy (penetrating fungal therapy + antibiotic therapy). Therefore, doctors often prescribe complex therapy, which includes both an antifungal agent and an antibiotic that kills bacteria . [1]

This method is fully justified, since the fungus is also killed, and at the same time the risk of developing a bacterial infection is prevented. But this method is not without its drawbacks. As you know, there are no exclusively pathogenic or non-pathogenic bacteria in the body. There is also a "useful" microflora, without which the normal functioning of the body is impossible. So, normally, a fairly large number of different microorganisms should be present in the urogenital tract of a woman. At the same time, lactobacilli, bifidobacteria prevail. Antibiotics often kill not only pathogenic bacteria, but also representatives of normal microflora, dysbiosis develops.

The use of probiotics and immunomodulators (immunostimulants). Normally, the mucous membrane has colonization resistance. That is, it is inhabited by representatives of normal microflora (bifidobacteria, lactobacilli, Doderline sticks, other microorganisms). They prevent the development of pathogenic microflora, prevent the development of fungus. In addition, they stimulate local immunity, as a result of which, even if pathogenic microorganisms that can cause disease have penetrated the mucous membrane, they are killed by the cells of the immune system. If the normal state of the mucous membranes is disturbed, dysbiosis, the mucous membranes lose their ability to provide colonization resistance, local immunity is lost, and the progression of pathogenic microflora, including fungal, is observed. This often occurs after antibiotic therapy, after suffering inflammatory and infectious diseases, before, during and after menstruation, since the hormonal background, the composition of the microflora changes, and immunity decreases. [2]

Therefore, it is advisable to prescribe probiotics as a therapeutic measure - drugs that normalize the microflora, eliminate dysbiosis, and return colonization resistance. The restored microflora stimulates local immunity. In order to enhance the effect of probiotics, immunomodulators can additionally be prescribed (but this should be prescribed exclusively by an immunologist after a comprehensive assessment of the immune status of a person).

What to do with thrush before menstruation?

In order to ensure reliable prevention of thrush (or its timely treatment), the most important condition is to maintain the normal state of microflora, which ensures such a condition as colonization resistance of the mucous membranes. In this state, the development of a bacterial, fungal infection is impossible. It is also important to maintain normal immunity levels. Therefore, if you regularly develop thrush before your period, your doctor will tell you what to do.

It is better not to self-medicate, but to visit a gynecologist immunologist. By "joint efforts" they can prescribe such funds that will provide reliable prevention of thrush. A visit to a doctor is mandatory, since probiotics and immunomodulators are selected strictly individually and only after the necessary tests have been carried out.

It is necessary to assess the state of the microflora of the urogenital tract. For this, a bacteriological study, microbiological screening, or an analysis for dysbiosis is carried out. Based on these analyzes, you can select the appropriate probiotic (they are different, they include different types of microorganisms, depending on what is missing).

In order to assess the state of immunity, you need to look at the immune status. For this, a detailed immunogram is submitted, in accordance with which the necessary agent is selected - an immunomodulator, an immunostimulant, an immunosuppressant, an immunocorrector, or other means. Sometimes no remedy is needed, it is enough to pierce the vitamin course. It is important that it is the doctor who prescribes the treatment, since the wrong selection of funds can be extremely dangerous, up to and including death. Both too low and too high immunity are harmful. For example, with a high level of immunity, autoimmune diseases develop, in which antibodies destroy the cells of their own body. Perceiving them as genetically alien. 

Is thrush treated with menstruation?

One often hears the question: "Is thrush treated with menstruation?" The answer is obvious: yes, of course they are treated. Normally, menstruation should not be accompanied by thrush. And any deviation from the norm is already a pathology. Therefore, you need to get rid of it once and for all. It is necessary to normalize the microflora of the urogenital tract and maintain a normal level of immunity, and this will not allow the progression of fungal infection. Accordingly, the thrush will cease to bother. [3]

Treatment of thrush with menstruation than to remove itching

How to remove itching from thrush? With menstruation, the treatment of thrush can be symptomatic: that is, various antipruritic ointments, suppositories are used. These are mainly local remedies. But then it is better to consult a doctor (gynecologist, immunologist), undergo a full examination, identify the cause of the development of thrush, and completely cure it.

The most effective systemic therapy, that is, treatment that involves the impact on the entire body as a whole, from the inside, and not only on the local itching zone. To do this, you need to determine the state of the microflora, identify the features of the immune status, and in accordance with this, select the treatment. Probiotics and immune agents are mainly used. [4] They often include medication , physiotherapy, homeopathic remedies, alternative therapy, and physiotherapy. Relaxing and respiratory complexes, meditation, aromatherapy, relaxation are shown, since itching often occurs against a background of stress, overexertion, which are especially strongly felt and perceived during menstruation. This is facilitated by the increased sensitivity of the body, the altered hormonal background.

Water procedures, massage, essential oils, washing with medicinal decoctions and herbs help well. It is recommended to prepare a mixture of essential oil with water (100 ml of water is taken for 1 ml of essential oil). This solution is used for local medicinal baths, washing.

Drug treatment

• Polysorb.

Dosage: a tablespoon of the product is dissolved in a glass of warm water, drunk 2-3 times a day.

Mechanism of action: promotes the elimination of toxins, cleansing the body, normalizes hormonal levels and the state of local immunity.

Precautions: together with toxins, it also removes drugs from the body. When treating with other medicines, observe the interval between doses of 2-3 hours.

Side effects: none.

• Diazolin.

Dosage: take 1-2 tablets 2-3 times a day.

Side effects: May cause drowsiness, delayed reaction, and decreased concentration.

Precautions: do not take if work requires high concentration.

• No-shpa.

Dosage: drink a tablet 2-3 times a day.

Precautions: addiction develops with prolonged use.

Side effects: hypertension.

• Novo-passite.

Dosage: one tablet at night, before bedtime.

Precautions: consult a doctor.

Side effects: drowsiness, dependence formation, dizziness.

Mechanism of action: has a calming effect on the body, relieves itching.

• Pimafucin (cream, ointment) [5]

Dosage: squeeze the ointment (pea-sized), rub into the skin, in the area of the external genitalia, until completely absorbed. Smear 2-3 times a day, at least 10 days.

Precautions: apply only externally.

Side effects: itching, allergic reaction, redness.

Suppositories for thrush with menstruation

Most experts recommend using candles for thrush . During menstruation, they can also be taken, since there are no side effects from this. But some recommend putting suppositories only after your periods are over, as their effectiveness decreases. As a rule, this is supported by the fact that during menstruation, the body is cleansed and, together with the egg, blood, other substances, including medicines, are excreted from the body.

• Is it possible to insert suppositories for thrush during menstruation?

Contraindications for suppositories for thrush during menstruation are not indicated in the instructions, so they can be inserted even with menstruation. However, there is no consensus among experts. Some believe that suppositories should always be prescribed in the treatment of thrush, regardless of the phase of the menstrual cycle, since local remedies are always more effective. They are equally often prescribed both as an independent remedy, and as a component of complex therapy, and even for prevention.

Other experts argue that you should not prescribe a suppository during your period. It is better to resort to systemic medications , such as pills, or wait until your period is over. You can also use the suppository rectally.

Thrush pills for menstruation

For thrush with menstruation, it is quite possible to use pills . They have the same effect as local remedies such as candles. Only often their effect is more powerful. Since they eliminate the fungus not only at the level of the genital tract, but also throughout the body. Fluconazole, intraconazole, pimafucin, flucostad, and other agents are recommended. [6]

• Pimafucin

Today, pimafucin is considered one of the most effective and safest remedies used for thrush. It is so safe that it can be used even during pregnancy. It should be noted that pimafucin is available in almost all possible forms - cream, ointment, gel, suppositories, tablets. Each of the forms has its own peculiarities of application, its disadvantages and advantages. In various situations, one or another remedy can be used. The choice must be made by the doctor. 

Alternative treatment

Alternative treatment methods can also help get rid of thrush.

• Recipe number 1.

As a basis, take about 50 grams of pharmaceutical alcohol or vodka, slightly heat it up in a water bath (over low heat). With constant stirring, add about 15-20 grams of ground wrestler root, the same amount of aconite roots. Continue stirring until a slight shade appears. Then slowly pour in a little clove essential oil (about 2-3 drops). Set aside in a dark place. Allow to brew for at least 2 hours. 1-2 drops are taken orally three times a day (dissolving in a glass of water), added to the water for therapeutic baths and washing (about 15-20 ml per 2-3 liters of water). It is not recommended to take it in its pure form, since aconite has a powerful effect. In contact with skin and mucous membranes, it can cause chemical burns. Hands should be washed immediately several times with clean water, soap and a brush if undiluted aconite comes into contact with the skin.

• Recipe number 2.

As a basis, take about 50 grams of cow butter and goose lard, mix with each other, melt over low heat with constant stirring. Pour in a small amount of a pre-prepared mixture of the following components: 30-40 ml of vodka, the same amount of hot water, 30 ml of ammonia, finely chopped pod of red pepper (preferably chili). Stirred, placed in the refrigerator for about an hour. Then they take it out, allow it to stand for about 1-2 hours at room temperature. Then add to the composition of medicinal baths (about 0.5-1 teaspoon of the product for 3-4 liters of warm water).

• Recipe number 3.

Take approximately equal shares of honey and bear lard, melt over low heat with constant stirring, slowly pour in an aqueous solution of essential oils of wormwood and geranium (for this, mix about 50 ml of warm water and 2-3 drops of oils separately). Also add 0.5 ml. Ammonia and French turpentine. After the solution is poured into the base, mix until a homogeneous consistency is formed, without lumps. Add a quarter teaspoon to 5 liters of water (used to add to the composition of medicinal baths).

• Recipe number 4.

Mix in equal proportions opodeldock and copay balsam, about 3-4 tablespoons of each component, add about 2 tablespoons of wood oil and 1 tablespoon of camphor alcohol. All this is thoroughly mixed, until a homogeneous consistency, added to the baths at the rate of 1 teaspoon per 5 liters of water.

Herbal treatment

Herbal treatment has long been considered one of the most effective methods of treating thrush.

A decoction of chamomile is used for inflammatory, allergic reactions, for the treatment of digestive disorders, in violation of the hormonal zone, changes in reproductive function. In gynecology, it is used to treat thrush, normalize the menstrual cycle, and eliminate intoxication.

A decoction of grape leaves has antiseptic and anti-inflammatory properties, has a positive effect on mucous membranes (oral cavity, urogenital tract). It is used for rinsing the mouth, rinsing the nose, and rinsing for gynecological diseases.

Dahlias (decoction of leaves, flowers) increase local immunity, normalize sensitivity, eliminate discharge and itching. It is mainly used for rinsing the mouth, throat, for washing and medicinal baths. [7]

Homeopathy

From the section "Homeopathy" you can pick up a lot of remedies that will be effective in the treatment of thrush.

• Recipe number 1.

Add 20-30 grams of alexandrian leaf, a tablespoon of ground ginger, and half a glass of date grains to ordinary alcohol (500 ml). They drink a glass a day.

• Recipe number 2.

To prepare the balm, take a tablespoon of mustard powder and 2 tablespoons of semolina. Mix thoroughly. All this is insisted for at least 3-4 days, they drink a teaspoon 3-4 times a day.

• Recipe number 3.

They take sand from a sea or river beach, heat it up in the oven. Mix with "Badyaga" ointment, which can be purchased at the pharmacy, until a homogeneous consistency is formed. Lubricate biologically active points responsible for the female reproductive system (the tip of the big toe, inner thighs, big toes).

• Recipe number 4.

Vodka or pure alcohol is taken as a basis. Then add about a tablespoon of the following components: ginseng herb, half-burnt herb, eleutherococcus, motherwort, rose hips. Stir, then set aside and give the opportunity to brew. Drink a tablespoon 3-4 times a day.

• Recipe number 5.

In ordinary alcohol (500 ml) add a tablespoon of stinging nettle, stevia, echina. Drink a tablespoon twice a day.

After treatment for thrush, delayed menstruation

Of course, one of the reasons for the delay in menstruation after the treatment of thrush may be pregnancy. But this is far from the only reason. If severe or moderate itching in the intimate area acts as a concomitant pathology, it can be assumed that an allergic process, an inflammatory or autoimmune reaction will develop. You need to see a doctor. This often happens.

If the concomitant manifestations are severe peeling of the skin around the outer labia, dryness, irritation, redness, and even swelling of the skin in the intimate area, then we can assume a side effect of the treatment, including disturbed microflora. It usually recovers within 3-5 days after treatment.

In any case, if signs such as delay appear, you need to see a doctor. Perhaps this is a sign of a disease that requires treatment.