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Yeast infection because of antibiotics. Antibiotics and Yeast Infections: Causes, Prevention, and Treatment

How do antibiotics contribute to yeast infections. What are the main causes of recurring yeast infections. How can you prevent yeast infections while taking antibiotics. What are the most effective treatments for antibiotic-induced yeast infections.

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The Link Between Antibiotics and Yeast Infections

Antibiotics are a common cause of yeast infections, particularly in women. While these medications are essential for treating bacterial infections, they can disrupt the delicate balance of microorganisms in the body, including those in the vagina. This disruption often leads to an overgrowth of Candida, the fungus responsible for yeast infections.

How Do Antibiotics Cause Yeast Infections?

Antibiotics work by killing harmful bacteria in the body. However, they also eliminate beneficial bacteria that help maintain vaginal health. These good bacteria, particularly Lactobacillus species, play a crucial role in keeping Candida growth in check. When antibiotics reduce their numbers, Candida can proliferate unchecked, leading to a yeast infection.

Common Symptoms of Antibiotic-Induced Yeast Infections

Recognizing the symptoms of a yeast infection is crucial for prompt treatment. Common signs include:

  • Intense vaginal itching
  • Burning sensation during urination or intercourse
  • Redness and swelling of the vulva
  • Thick, white, odorless discharge with a cottage cheese-like consistency
  • Vaginal pain or soreness

Are these symptoms always indicative of a yeast infection? While these signs are typical, it’s important to note that other vaginal infections can present similarly. Consulting a healthcare provider for an accurate diagnosis is always recommended, especially if symptoms persist or recur.

Preventing Yeast Infections While Taking Antibiotics

While it’s not always possible to prevent yeast infections entirely when taking antibiotics, there are several steps you can take to reduce your risk:

  1. Probiotics: Consider taking probiotic supplements or consuming probiotic-rich foods like yogurt to help maintain a healthy balance of bacteria.
  2. Proper hygiene: Maintain good vaginal hygiene, but avoid using harsh soaps or douching, which can further disrupt the natural balance.
  3. Wear breathable underwear: Choose cotton underwear and avoid tight-fitting pants to reduce moisture and heat that can promote yeast growth.
  4. Dietary changes: Limit sugar and refined carbohydrates, as Candida thrives on these foods.
  5. Stay hydrated: Drinking plenty of water can help flush out toxins and maintain overall health.

Is it necessary to take preventive antifungal medication while on antibiotics? This is a question best addressed with your healthcare provider. In some cases, especially for individuals with a history of recurrent yeast infections, prophylactic antifungal treatment may be recommended.

Effective Treatments for Antibiotic-Induced Yeast Infections

If you develop a yeast infection while taking antibiotics, several treatment options are available:

Over-the-Counter Treatments

Many women find relief with over-the-counter antifungal medications. These typically come in the form of creams, suppositories, or tablets and contain active ingredients such as miconazole, clotrimazole, or tioconazole. These treatments usually resolve symptoms within a few days to a week.

Prescription Medications

For more severe or recurrent infections, your healthcare provider may prescribe oral antifungal medications like fluconazole. These are typically single-dose treatments but may require a longer course for complicated infections.

Natural Remedies

Some women find relief with natural remedies, although their efficacy is not as well-established as conventional treatments. These may include:

  • Tea tree oil suppositories
  • Boric acid suppositories
  • Garlic cloves (used as a suppository)
  • Apple cider vinegar baths

Can natural remedies be as effective as conventional treatments? While some women report success with natural remedies, it’s important to approach these with caution. Always consult with a healthcare provider before trying alternative treatments, especially if you’re currently taking antibiotics.

Understanding Recurrent Yeast Infections

Recurrent yeast infections, defined as four or more infections in a year, can be particularly frustrating. While antibiotic use is a common trigger, other factors can contribute to chronic infections:

Uncontrolled Diabetes

High blood sugar levels can fuel yeast growth. Managing diabetes through proper diet, exercise, and medication can help reduce the frequency of infections.

Weakened Immune System

Conditions that compromise the immune system, such as HIV/AIDS or certain medications, can make the body more susceptible to yeast overgrowth.

Hormonal Changes

Pregnancy, menopause, or hormonal contraceptives can alter the vaginal environment, making it more conducive to yeast growth.

Genetic Factors

Some individuals may have a genetic predisposition to recurrent yeast infections, making them more susceptible to Candida overgrowth.

How can you break the cycle of recurrent yeast infections? A comprehensive approach that addresses underlying causes, maintains good hygiene practices, and includes appropriate medical treatment is often necessary. Working closely with a healthcare provider to develop a personalized management plan is crucial.

The Importance of Proper Diagnosis

While yeast infections are common, especially when taking antibiotics, it’s crucial to obtain a proper diagnosis. Other conditions, such as bacterial vaginosis or sexually transmitted infections, can present with similar symptoms. A healthcare provider can perform tests to confirm the presence of Candida and rule out other potential causes.

Diagnostic Methods

  • Vaginal culture: A sample of vaginal discharge is examined under a microscope or cultured to identify the specific organism causing the infection.
  • pH testing: Yeast infections typically do not alter vaginal pH, while other infections may.
  • DNA probe test: This advanced test can identify Candida species with high accuracy.

Why is accurate diagnosis crucial? Proper identification of the underlying cause ensures appropriate treatment. Misdiagnosis can lead to ineffective treatment and potentially allow the true condition to worsen.

Long-Term Strategies for Vaginal Health

Maintaining overall vaginal health is key to preventing yeast infections, especially when antibiotics are necessary. Long-term strategies include:

Lifestyle Modifications

  • Avoid douching and scented hygiene products
  • Wear breathable, cotton underwear
  • Change out of wet clothing promptly
  • Practice safe sex to prevent the spread of infections

Dietary Considerations

A balanced diet that supports overall health and immune function can help prevent yeast overgrowth. Consider incorporating:

  • Probiotic-rich foods like yogurt, kefir, and sauerkraut
  • Prebiotic foods that support beneficial bacteria growth, such as garlic, onions, and asparagus
  • Foods high in vitamin C to boost immune function
  • Limiting sugar and refined carbohydrates, which can feed yeast

Stress Management

Chronic stress can weaken the immune system, making you more susceptible to infections. Incorporating stress-reduction techniques such as meditation, yoga, or regular exercise can support overall health and resilience against infections.

How does a holistic approach to vaginal health impact the frequency of yeast infections? By addressing multiple aspects of health and lifestyle, many women find they can significantly reduce their susceptibility to yeast infections, even when antibiotics are necessary.

The Future of Yeast Infection Prevention and Treatment

Research into yeast infections and their relationship to antibiotic use continues to evolve. Emerging areas of study include:

Targeted Probiotics

Scientists are developing probiotic strains specifically designed to combat Candida overgrowth. These targeted probiotics may offer more effective prevention and treatment options in the future.

Novel Antifungal Treatments

Research into new antifungal compounds may lead to more effective treatments with fewer side effects. Some promising areas include natural compounds derived from plants and fungi.

Personalized Medicine Approaches

Advances in genetic testing and microbiome analysis may allow for more personalized prevention and treatment strategies tailored to an individual’s unique biology.

What role will technology play in future yeast infection management? From smartphone apps that track symptoms and medication use to at-home diagnostic tools, technology is likely to play an increasing role in helping individuals manage their vaginal health more effectively.

Navigating Antibiotic Use and Yeast Infection Risk

While the link between antibiotic use and yeast infections is clear, it’s important to remember that antibiotics are often necessary and life-saving medications. The key is to work closely with healthcare providers to minimize risks while ensuring appropriate treatment for bacterial infections.

Communication with Healthcare Providers

Open dialogue with your healthcare provider is crucial. Discuss your concerns about yeast infections when antibiotics are prescribed. Your provider may be able to:

  • Choose an antibiotic less likely to cause yeast overgrowth
  • Prescribe a shorter course of antibiotics when appropriate
  • Recommend preventive measures specific to your situation
  • Provide guidance on recognizing early signs of yeast infection

Balancing Risks and Benefits

In some cases, the risk of yeast infection may be outweighed by the need for antibiotic treatment. Understanding this balance can help patients make informed decisions about their health care.

How can patients actively participate in decisions about antibiotic use? By staying informed, asking questions, and sharing their medical history, patients can work collaboratively with healthcare providers to make the best decisions for their overall health.

In conclusion, while antibiotics can indeed cause yeast infections, understanding the relationship between these medications and fungal overgrowth empowers individuals to take proactive steps in maintaining their vaginal health. By combining preventive measures, prompt treatment when necessary, and ongoing communication with healthcare providers, it’s possible to minimize the impact of antibiotic-induced yeast infections and maintain overall well-being.

Why Do I Keep Getting Yeast Infections? 6 Causes and Treatments

  • If you keep getting yeast infections, it could be because your urine contains sugar from diabetes.
  • Wearing tight underwear, staying in a wet bathing suit, and douching can also cause infections.
  • Taking antibiotics can also cause infection since antibiotics can kill good bacteria.

A yeast infection is an overgrowth of the fungus, candida, in the vagina. Candida naturally exists in the vagina, but an overgrowth of it can cause symptoms including vaginal burning, itching, and discharge. Yeast infections are common, affecting an estimated 75% of women at some point in their lives. 

In most cases, a yeast infection can be easily treated with antifungal medications or creams. But if you are experiencing recurring yeast infections, defined as four or more in a year, it could be a sign of an underlying health condition. Here are six causes of chronic yeast infections and how to treat them. 

1. Uncontrolled diabetes

Rapid spikes in blood sugar can fuel the growth of yeast, says Michael Ingber, MD, a urologist with the Center for Specialized Women’s Health. Blood sugar levels that are not well managed can result in too much sugar present in the urine, which can then disrupt the balance of candida in the vagina. 

Other signs your diabetes may not be well-managed include:

  • Extreme thirst
  • Frequent urination
  • Fatigue 
  • Unexplained weight loss

How to treat it: The first step is to treat the infection itself with an over-the-counter antifungal medication. In some cases, your doctor may prescribe a stronger prescription medication.

To prevent future yeast infections due to diabetes, work with your endocrinologist to control your blood sugar levels and keep your blood glucose readings between certain levels provided by your doctor. This will decrease the amount of sugar in your urine. 

2. A weakened immune system

Your immune system helps fight off harmful organisms that can make you sick, including an overgrowth of yeast in the vagina. If your immune system is weakened, your body may not be as effective at warding off yeast infections and you may experience them more often. 

A weakened immune system may be caused by:

  • Certain medications, like antibiotics and steroids 
  • Cancer treatments
  • Autoimmune diseases, like HIV/AIDS 

How to treat it: If you experience recurring yeast infections as a result of a weakened immune system, you may need more intensive treatment than the standard over-the-counter antifungal creams and medications. Your doctor may prescribe an oral dose of an anti-fungal medication called fluconazole, which you may be instructed to take for a few weeks or months.  

3. Insufficient hygiene

Inconsistent hygiene practices, like not showering or cleaning the vaginal area regularly, can contribute to recurring yeast infections. 

Yeast also thrives in moist and humid conditions, so anything that traps moisture in the vagina, like tight-fitting underwear, can increase the risk of yeast infections, Ingber says.

How to treat it: Regularly wash the vaginal area with mild, unscented soap. Do not attempt to clean the vagina with other methods, like douching or perfumed powders and sprays as these practices can disrupt the natural pH balance of the vagina and increase the risk of yeast infections.

Wear underwear made with breathable fabric, like cotton, and change your underwear after working out to avoid moisture from sweat building up in the vaginal area. Sitting in a wet swimsuit for hours can also contribute to yeast infections, Ingber says, so change out of swimsuits or other wet garments as soon as you’re done swimming for the day.  

4. Pregnancy

The hormonal changes you go through during pregnancy can disrupt the natural balance of estrogen and progesterone which influence the growth of candida yeast, says Kimberly Langdon, MD, an OB-GYN with Medzino, a telehealth provider.

Pregnant women also have higher amounts of sugar in their vaginal secretions which can also fuel the growth of candida. 

How to treat it: Yeast infections during pregnancy are difficult to treat because the hormonal changes that can cause infection are present for the duration of the pregnancy. 

The infections should clear up once you deliver and in the meantime, your doctor may recommend vaginal creams or suppositories to keep infections at bay during your pregnancy. 

5. You have a different kind of infection

If you are experiencing recurring yeast infections that are not responding to treatment, you may actually have an infection that mimics a yeast infection but is something else, like bacterial vaginosis, Langdon says.  

Both bacterial vaginosis and yeast infections are caused by an overgrowth of certain microbes in the vagina that can cause inflammation, itching, burning, and discharge. But bacterial vaginosis is the result of an overgrowth of bacteria while a yeast infection is the overgrowth of a fungus.

The symptoms of bacterial vaginosis are: 

  • Vaginal burning and itching
  • An unpleasant vaginal odor
  • An increase in vaginal discharge that may appear milky white or gray  

Bacterial vaginosis presents with many of the same symptoms as a yeast infection, like burning, itching and irritation. It can be tough to tell the difference, but if you notice an unpleasant “fishy” odor and grayish discharge, these may be signs you have bacterial vaginosis and not a yeast infection. 

How to treat it: If you believe you have a yeast infection that isn’t responding to over-the-counter treatment or seems to improve but then comes back, consult with your doctor who can determine if you actually have another type of infection. Bacterial vaginosis is typically treated with medications, such as antibiotics or vaginal creams and gels. 

6. Antibiotics 

Antibiotics are a common cause of yeast infections, Langdon says. When you take an antibiotic, the “good” bacteria in the vagina that helps keep yeast in check may also be harmed. Frequent antibiotic use can allow the yeast to thrive, leading to recurring yeast infections. 

How to treat it: Consuming probiotics while you are taking an antibiotic or after finishing antibiotics can help restore the beneficial bacteria that help keep yeast infections away. The probiotic strain lactobacillus, in particular, can be especially beneficial in restoring balance in the vagina, says Kecia Gaither, MD, an OB-GYN, and director of perinatal services at NYC Health + Hospitals. 

You can increase your consumption of probiotics by eating foods rich in probiotics, including:

  • Yogurt
  • Fermented foods like kimchi, kombucha, sauerkraut, and pickles
  • Miso soup
  • Sourdough bread

Insider’s takeaway

Yeast infections are common, but if you experience four or more in a year, you may have chronic yeast infections that require more intensive treatment than standard antifungal medications.  

Treatment options for chronic yeast infections may include long-term antifungal medications, maintenance medications, improving personal hygiene, or treating an underlying condition contributing to yeast infections, like diabetes. 

Erin Heger

Erin Heger is a freelance journalist located in the Kansas City area. She primarily covers stories related to healthcare policy, maternal mental health, parenting, and personal finance. Her work been featured in The Atlantic, Rewire.News, Refinery29, HuffPost, and more. 

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Managing yeast infection





3/24/2023





healthcare; quality

<p><img src=”/nairobi/PublishingImages/UTI%20body%20image. jpg” alt=””/> </p><p><span>As a lady, you could have or will probably get yeast infection at some point as this condition affects almost over 75 percent of women at some point in their lives. While it is well known to many people, there are certain habits that many women are engaging in today with the hope of getting cleaner vaginas with some claiming they help with the treatment of the infection. Here&#39;s what you need to know about yeast infection.  </span></p><p><strong>What is yeast infection?</strong></p><p><span>Yeast infection, commonly referred to as vaginal yeast infection is a fungal infection that occurs when there is an increase in the growth of yeast in the vagina. There are many yeast infections, with the most common being vaginal yeast infection. Yeast plays an important role in determining the health of your vagina, but when it overgrows, it leads to an infection that causes discomfort around the vagina. </span></p><p><strong>What causes yeast infection?</strong></p><p><span>A healthy vagina contains a balanced mix of yeast and bacteria. Some of the bacteria works to ensure this mix is maintained and there is no overgrowth of yeast. Sometimes however, this balance is disrupted and this results to an overgrowth of yeast leading to a yeast infection. This overgrowth of yeast is highly associated with the use of strong antibiotics that sometimes cause an imbalance in the pH. It is for this reason that when you are treated with strong antibiotics, you are also given a probiotic to prevent this overgrowth. Pregnant women are also most likely to get yeast infection because the hormonal changes during pregnancy can cause a disruption in the pH balance of the vagina. Uncontrolled diabetes is also one of the causes of yeast infection. This is because sugar is a catalyst of growth of the yeast cells. Taking certain oral contraceptives has also been associated with higher risk of yeast infection. This is because these contraceptives increase estrogen levels leading to the disturbance of the natural hormonal balance.</span></p><p><strong>What are the symptoms of a yeast infection?</strong></p><p><span>The first and common symptom that you might be having yeast infection, is vaginal itching. There is also a burning sensation with urination and sometimes pain or soreness during intercourse. Vaginal discharge with yeast infection is usually white and thick and usually has no foul smell. With discharge, it is important to understand the colour, types, and consistencies of the discharge during the cycle. Discharge associated with yeast infection is very thick and appears like cottage cheese.
</span></p><p><strong>How is yeast infection different from UTI?</strong></p><p><span>UTIs and yeast infections affect the lower pelvic and genital regions. However, these conditions have distinct causes, symptoms, and treatments. Yeast infections occur due to an overgrowth of the Candida fungus, while UTIs result from bacterial infections in the urinary tract. Yeast infections cause itching, pain, and odorless vaginal discharge. UTIs, on the other hand, cause urinary symptoms, such as a frequent urge to urinate and painful urination.</span></p><p><strong>How is yeast infection treated?</strong></p><p><span>Depending on the severity of your infection, your doctor will recommend the right treatment regimen for the infection. For mild to moderate symptoms, your doctor might recommend taking an antifungal medication, usually in the form of a cream, ointment, tablets, or suppositories for between three to seven days. This will usually clear the infection. Your doctor can also recommend a single oral dose. This oral dose is however not recommended for pregnant women because it is known to cause some birth defects. For those with more severe symptoms, your doctor might recommend antifungal medication to be taken for two weeks and then once a week for six months. If left untreated, yeast infection will get worse. This means the itchiness and inflammation will get worse in areas surrounding the vagina. With constant itching, you are prone to getting a skin infection and even open or raw areas.</span></p><p><strong>What are the common myths and misconception around yeast infections?</strong></p><p><span>One of the common misconceptions is that yeast infection is sexually transmitted. Although it is a fungal infection, it is advised that an infected person refrains from sexual intercourse while infected. Another misconception is that yeast infection affects only women. While women are more prone to contracting yeast infection, men too can develop yeast infections. It is also assumed that yeast infection occurs only around the vagina and penis. In true sense, yeast can be found all over your body and one can develop a yeast infection anywhere, and especially areas where the body is warm and moist. Oral thrush is an example of a yeast infection that occurs in the mouth. </span></p><p><span>Vulvovaginal candidiasis is also not traditionally considered a sexually transmitted disease since it may occur in celibate women and since Candida species are considered part of the normal vaginal flora.</span></p><p><span>This however, does not mean that sexual transmission of Candida does not occur or that vulvovaginal candidiasis is not associated with sexual activity. For example, an increased frequency of vulvovaginal candidiasis has been reported at the time most women begin regular sexual activity. In addition, partners of infected women are four times more likely to be colonized than partners of uninfected women, and colonization is often the same strain in both partners. However, the number of episodes of vulvovaginal candidiasis a woman experiences does not appear to be related to her lifetime number of sexual partners or the frequency of sexual intercourse.</span></p><p><strong>How do I prevent myself from yeast infection?</strong></p><p><span>Sometimes attacks of yeast infection usually occur without an identifiable precipitating factor. Nevertheless, a number of factors predispose to symptomatic vaginal yeast infection including;</span></p><p><span>Poorly controlled Diabetes mellitus: Women with diabetes mellitus who have poor blood sugar control are more prone to yeast infection than women whose blood sugar is normal. Maintaining good blood sugar control can help to prevent vaginal yeast infection.
</span></p><p><span>Use of antibiotics: About one in three women are more at risk of vaginal yeast infection during or after taking broad spectrum antibiotics. These drugs prevent normal bacterial flora, and as a result favor growth of disease causing germs such as yeast.</span></p><p><span>In women who are prone to symptomatic yeast infections with antibiotic treatment, a dose of an antifungal drug at the start and end of antibiotic use may prevent post-antibiotic yeast infection.</span></p><p><span>Increased estrogen levels: Vaginal yeast infection appears to occur more often in the setting of increased estrogen levels, such as oral contraceptive use (especially when estrogen dose is high), pregnancy, and estrogen therapy, including topical or intravaginal estrogen therapy by postmenopausal women. </span></p><p><span>Immunosuppression: Vaginal yeast infections are more common in people whose immune system is weaker than normal, such as those who have HIV infection and those on steroid treatment.
</span></p><p><span>Contraceptive devices: Vaginal sponges, diaphragms, and intrauterine devices (IUDs) have been associated with vaginal yeast infection but not consistently.
</span></p><p><span>There is weak evidence that shows a link between vulvovaginal candidiasis and hygienic habits or wearing tight or synthetic clothing.
</span></p><p><span><strong><em>Dr Joan Okemo, Consultant Obstetrician Gynaecologist at Aga Khan University Hospital Nairobi</em></strong>
</span></p><p><span><em><strong>This article was first published in Business Daily on March 13, 2023</strong></em>
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I have thrush after taking antibiotics.

I have after taking …

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9000 3

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Polina

Do you need Clotrimazole and tablets as a course, or separately?

#4

#5

9 0131 April 19, 2014 2:42 pm

#6

#7

Guest

terzhinan

#9

Queen Margo

And what are candida strains? Is it dangerous?

#10

#11

#12

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Polina

Everything went crazy for me I go to the Gynecologist on Monday.

#14

Guest

well, maybe they don’t die, but the activity is suppressed. after terzhinan I had a relapse. Since then, I have avoided this drug. and after antibiotics is always the same as that of the author. diflucans help only the first time then it is useless.

#15

Guest

Well, what’s the solution? After a course of antibiotics, the doctor told me to insert a zalain suppository – it helped from thrush in the vagina, but I suspect that candida settled in the intestines. So what’s now? Donate feces for sowing mushrooms? I learned that they only sow albicans.

#16

Guest

There is a treatment plan for thrush developed by a professor of venereology. It includes mandatory intestinal sanitation (pimafucin tablets) + local treatment (new generation antimycotics, zalain, by the way, is not bad) + systemic antimycotic (itraconazole) in what order and what dosages I will not tell you. it is better to contact a specialist (a professor or a doctor of sciences, or a doctor of the highest category with extensive experience) 919 April 2014 But he doesn’t even listen to me when I said, they say, I suspect that something is wrong in the intestines … And you won’t get enough time or money to go to different medical centers and sort out doctors!

#18

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Guest

9000 2 diflucans dead poultice. thank the advertisement a la “one pill and goodbye thrush” everyone began to be treated uncontrollably and what we have as a result – candida strains have become resistant to the action of the drug. a competent doctor knows this and will not prescribe all sorts of diflucans, flucostats and other flucanosoles.

#22

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#25

This will help pretty simple test. In the morning, after you wake up, before you brush your teeth, you need to spit enough saliva into a clear glass filled with clean water. It is very good if this water is not from a tap, but natural.

Your saliva will be on the surface for a certain amount of time.

If after 30 minutes saliva has gone to the bottom of the glass, then, according to some foreign sources, an increased amount of Candida fungi is observed in your body, which may be evidence that you have developed systemic candidiasis.

Therefore, it is necessary to start treatment of intestinal candidiasis. In the event that saliva still remains on the surface of the water and after 30 minutes – you do not have intestinal candidiasis

#26

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    Well, okay .

    You could really plant your immunity with such a large diet, from this, the thrush is from.

    the doctor prescribed me a trace. scheme:

    in the morning (an hour after the procedure you have to lie down) and in the evening before going to bed, Klion-D candles, 6 days.

    then immediately, on the 7th day Neo-Penotran candles (the same scheme, in the morning and evening …)

    after Klion-d, before Neo-Penotran – Diflucan tablet.

    to maintain the flora, I took Vagilak tablets…every day, at the same time…

    TTT, 1.5 years have passed, there was no relapse!

    #5

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    #7

    90 791 June 09, 2010, 10:06 PM

    #8

    Guest

    and what to drink it is one pill of everything – be patient. I generally drank fluconazole – also one tablet, but it costs 24 rubles for mine instead of Diflucan for 200. It helped just fine.

    #

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    P.s.

    Get well soon!

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    #16

    By the way, there is a good remedy for thrush and erosion! Finely chop the onion, put it in gauze, make a tampon, tie a thread to it, soak it in sea buckthorn oil and overnight! Take it out in the morning and wash. I douched with tea leaves of wormwood + tansy inflorescence + oak bark, all in a teaspoon with a slide in 3 glasses of water. Brew for the night, it will cool down in the morning and after a tampon with onions and sea buckthorn, douche. So you need to do exactly 10 days !!!!! Not less! Erosion passes and the thrush is killed! It is safe! A friend fashioned an erosion that was cauterized several times! In the end, she broke down! Just take a small onion and a 4th part from it.

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