Recurrent Thrush

Common symptoms include:

• Itching, irritation or soreness around the vagina

• Thick white vaginal discharge (often described as ‘cottage cheese-like’)

• Pain or discomfort during sex or urination

• Redness or swelling around the vulva

Recurrent thrush can be triggered by:

• Antibiotic use (which disrupts natural vaginal bacteria)

• Hormonal changes (e.g. around your period or pregnancy)

• Diabetes (especially if poorly controlled)

• Wearing tight or synthetic underwear

• Sexual activity

• Using perfumed soaps or vaginal washes

• A weakened immune system
  Sometimes, there is no obvious cause.

Diagnosis often includes taking a swab from the vagina to confirm the diagnosis

Thrush is not considered a sexually transmitted infection (STI), but it can sometimes be triggered or passed on through sex. However, many women who are not sexually active also get thrush.

Treatment options include:

• Antifungal medications: These may be taken as tablets (e.g. fluconazole) or as vaginal pessaries/creams (e.g. clotrimazole)

• Maintenance therapy: A longer course of low-dose antifungal treatment may be prescribed (e.g. weekly fluconazole for 6 months)

• Treating a partner may be considered if they have symptoms

• Addressing underlying factors such as blood sugar control or changing hygiene products

Yes, if: 

• You’ve had multiple recurrences despite treatment 

• Symptoms are not improving 

• There's a suspicion of a non-Candida albicans infection (which may be resistant to common treatments) 

Women who have 4 or more episodes of thrush in a year

As necessary

• A consultation with a consultant gynaecologist
• Blood tests
• FBC, ferritin, vitamin D, HbA1C, glucose
• Pelvic examination including high vaginal swab test for microscopic culture and sensitivities for candida
• Prescription if required
• Comprehensive report to you and your GP
• Direct access for any urgent health concerns

• Nutritional consultation
• Follow up consultation
• Examination with vulvoscope