Thrush (Vaginal)

Vaginal thrush, also known as vaginal candidiasis, is a common fungal infection that affects the vagina and surrounding areas. It is caused by an overgrowth of the Candida albicans fungus, which is normally present in small amounts in the vagina.

What are the Symptoms of Vaginal Thrush?

  • Itching and irritation: The most common symptom of vaginal thrush is intense itching and irritation in the vagina and vulva (the external genital area).
  • Abnormal discharge: A thick, white, cottage cheese-like discharge may be present, which can be odorless or have a yeasty smell.
  • Redness and swelling: The vagina and vulva may become red, swollen, and inflamed, leading to discomfort during urination or sex.
  • Burning sensation: Some women may experience a burning sensation while urinating or during sex.
  • Rash: A rash may appear on the vulva, which can be red, itchy, and inflamed.

What are the Causes of Vaginal Thrush?

Vaginal thrush is caused by an overgrowth of the Candida albicans fungus. This can occur due to various factors, including:

  • Hormonal changes: Changes in hormone levels during pregnancy, menstruation, or menopause can lead to an increase in Candida growth.
  • Antibiotics: Taking antibiotics can disrupt the natural balance of bacteria in the vagina, leading to an overgrowth of Candida.
  • Weakened immune system: A weakened immune system can make it harder for the body to fight off fungal infections.
  • Tight clothing: Wearing tight clothing, especially underwear made from synthetic materials, can create a warm and moist environment that fosters Candida growth.
  • Poor hygiene: Not practicing good hygiene, such as not wiping properly after using the bathroom or not changing sanitary products regularly, can increase the risk of developing vaginal thrush.

How is Vaginal Thrush Diagnosed?

Vaginal thrush is typically diagnosed based on a physical examination and medical history. A healthcare provider may:

  • Perform a pelvic exam: To check for signs of infection, such as redness, swelling, and discharge.
  • Take a sample of discharge: To examine under a microscope or send to a laboratory for culture testing.
  • Ask about symptoms and medical history: To determine the severity of the infection and rule out other potential causes.

Treatments for Vaginal Thrush

Vaginal thrush can be treated with antifungal medications, which can be prescribed by a healthcare provider. Treatment options include:

  • Topical creams or suppositories: Applied directly to the affected area to reduce symptoms and clear up the infection.
  • Oral antifungal tablets: Taken orally to treat more severe infections or those that do not respond to topical treatments.
  • Over-the-counter (OTC) medications: Available at pharmacies, these can be used to treat mild cases of vaginal thrush.

In addition to medical treatment, there are several self-care measures that can help alleviate symptoms and prevent future episodes:

  • Practice good hygiene: Wipe properly after using the bathroom, change sanitary products regularly, and avoid scented soaps or bubble baths.
  • Wear loose, breathable clothing: Avoid tight clothing, especially underwear made from synthetic materials.
  • Avoid irritants: Avoid using perfumed products, such as scented soaps, bubble baths, or douches, which can irritate the vagina and worsen symptoms.
  • Keep the genital area dry: Dry the genital area thoroughly after bathing or showering to prevent moisture from accumulating.

Prevention of Vaginal Thrush

To reduce the risk of developing vaginal thrush, it is essential to:

  • Practice good hygiene: Regularly wash the genital area with mild soap and water, and avoid using scented products.
  • Wear breathable clothing: Choose loose, cotton underwear and avoid tight clothing that can trap moisture.
  • Avoid irritants: Avoid using perfumed products, such as scented soaps, bubble baths, or douches, which can irritate the vagina.
  • Manage stress: High levels of stress can weaken the immune system, making it harder for the body to fight off infections.
  • Maintain a healthy diet: Eating a balanced diet rich in fruits, vegetables, and whole grains can help support the immune system.

Article last updated on: 11th April 2025.
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