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Treatment of persistent thrush

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Thrush is a yeast infection, caused by Candida species, usually Candida albicans. It is a commensal organism, most commonly found around the mouth and genitals, particularly the vagina and anus. It is asymptomatic until it multiplies and penetrates the skins surface.

For more on thrush and similar conditions, visit Independent Nurse's Women's Health section

Genital thrush is extremely common with 75% of women having at least one episode in their lifetime. Persistent thrush or recurrent vulvovaginal candidiasis is defined as at least four episodes of symptomatic thrush within the last year. It can be a frustrating condition for patients, with significant morbidity and impact on psychological well-being.

Recurrent vulvovaginal candidiasis is usually thought to be caused by host factors, rather than resistant strains. Incomplete eradication of the yeast will allow it to multiply again when conditions are favourable.1

Around 80-92% of infections are with Candida albicans, with approximately 3-15% caused by the azole resistant Candida glabrata. Less common Candida species include Candida krusei and Candida tropicalis.

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Very interesting. I am not diabetic but I have a zero tolerance to any foods that are high in sugar, biscuits, cakes, ice cream, fresh and dried fruits, sauces, carbonated drinks. I have suffered for years, with the odd break in symptoms. However this episode has now been going on for 18 months. A swab said "no thrush" but I suspect they may only be looking for the most common infection. I am somfed up with all of the symptoms and will now have to talk to my GP again. I suspect the menapause will be blamed but I am unable to take hrt. Argh.
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I found this very informative .after 13 years of hell, I will be talking to my gynacologist about it, thank you
Posted by: ,
Very useful article, very informative and well written for a range of audiences. Used for research purposes and the reference list also makes for good reading.
Posted by: ,
Very useful article, very informative and well written for a range of audiences. Used for research purposes and the reference list also makes for good reading.
Posted by: ,
I found this article very useful. It is comprehensive and professionally written. So nice to be informed by the well-informed; and with no condescension either. Thank you.
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