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Thrush & bacterial vaginosis

Vulvovaginitis candidosa et vaginosis bacterialis · Vaginální kvasinková infekce a bakteriální vaginóza

female only

What it is

The vaginal microbiome tips over: yeast overgrowth, or a loss of lactobacilli.

Symptoms & signs

  • Itching and thick white discharge (thrush)
  • thin grey discharge with a fishy smell (BV)
  • soreness
  • no smell in thrush

🚩 Get help if…

  • see a doctor soon Fever with lower belly pain or pain during sex
  • see a doctor soon Discharge or itching during pregnancy
  • see a doctor soon Sores, blisters or bleeding between periods or after sex
  • see a doctor soon Thrush that comes back 4 or more times a year

Where it strikes

Medical treatment

  • Fluconazole or clotrimazole for thrush
  • metronidazole for BV
  • treat recurrent cases with longer courses
  • check glucose if recurrent

Natural & lifestyle

  • Avoid douching and scented products
  • cotton underwear
  • probiotic lactobacilli (modest evidence)
  • treat as recurrent if 4+ a year

Emerging & experimental

  • Live biotherapeutic vaginal products
  • boric acid for resistant cases

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Probiotic yoghurt and lactobacilli — trials disagree mixed evidence
  • Tea-tree oil pessaries — small studies early / small studies
  • Garlic cloves in the vagina — anecdotal, and irritating anecdotal / traditional

ICD codes