Sunday , May 22 2022

Anti-fungal creams or tablets do not always work for vaginal itching


Many women who experience persistent vaginal rupture or discharge assume they have a vaginal handle (vulvolvaginal candidiasis). Treatments for the handle are available without prescription. Since the vaginal condition is unpleasant, it is sometimes advisable to buy creams or tablets from a doctor and treat it.

But this also means that some women can use treatments that are not the best for their condition, or which may be ineffective. Guidelines on the treatment of vaginal itching, from a campaign to remove tests or procedures that may be harmful or ineffective, state:

Do not treat recurrent or persistent symptoms of vulvovaginal candidiasis with local and oral anti-fungal agents without further clinical and microbiological evaluation.

This is because if the symptoms of the handle persist, despite treatment, you may have a completely different condition that would not help with anti-fungal creams or tablets.

What causes the handle?

The vaginal handle is caused by a fungal organism from the Candida family, which usually exists in the vaginal environment (along with a large number of other microorganisms) without causing problems in women. When symptoms arise, they can include itching, burning, and discomfort, often followed by the discharge of "knight cheese".

The flow of antibiotics (which can change the balance of microorganisms in the vagina and allow Candida to thrive) can lead to an epidemic of the handle. For others, it seems that it happens after a sexual relationship. However, the vaginal shaft is not considered sexually transmitted.

Read more:
Reversible handle: how some women live with permanent genital itching

Sometimes the disorder occurs during pregnancy. It is likely that the hormones play a role because the vaginal handle is rare in girls before the first period and in women after menopause. Genetics could play a role, and the diet may have been implicated. However, for most women, it is not clear what causes the tubes.

What is the current and oral anti-fungal agent?

Health workers often recommend treatment for fungus for the handle. There are two main types of treatment: oral (tablets taken in the mouth) or topical (creams or vaginal pessaries applied directly to the vagina). Local treatment works faster than oral.

There is no difference in the effect between treatments; It is reduced to the preference or tolerance. Some women may have abdominal symptoms with oral tablets, for example. And local treatments can cause skin irritation to others. But usually both types of treatment are well tolerated.

Many assume that if a woman experiences vaginal purposes, she is guilty.

Because the handle is so often, many assume that a woman experiences vaginal purposes, she is a culprit. Treatments against fungi are very effective if the symptoms are caused by the handle. The trouble is, Candida albicans is not the only cause of these symptoms.

One study found that only one-third of women had a handle on women who had been treated for vaginal denture, and about 14% had no infection. Other women have conditions such as bacterial vaginosis that can cause offensive vaginal discharge and is caused by a non-fungal bacterium.

Read more:
We need a cure for bacterial vaginosis, one of the big puzzles in the health of women

Some women may also experience vulvalic dermatitis, or even more severe, but a rare condition called lichen sclerosus, which can cause itching and require a completely different treatment.

What's wrong with self-esteem?

If a woman uses treatment for fungi and the condition is cleared, it is usually within a few days, usually Candida albicans they were responsible. But if it does not clarify or goes back, it's important that the health worker question this.

This is because:

  • Symptoms should not be caused by lukewarm, but something else, such as a sexually transmitted infection such as bacterial vaginosis

  • There are several different types (or species) of Candida, and some do not respond well to a particular treatment

  • Unsuitable use of anti-fungal can lead to resistance to fungi, which means that higher doses of treatment are needed or that fungal treatment will not function at all

  • There may be an appropriate way of managing the condition, such as regular treatment at certain times in the menstrual cycle

  • A woman may have another medical condition, such as diabetes, which makes it difficult to treat vaginal throbbing.

What if the tree, but the fungus does not work?

If you have a handle, treatment against fungi is usually effective. But for about 5% of women, the handle is returned or not completely cleansed despite treatment. In this case, it may be necessary to see specialists.

Recommended treatment for troubled handle is long-lasting treatment with regular (weekly or monthly) oral or topical anti-fungus. But sometimes adapted therapy is needed, such as combinations of antifungal therapy (oral + topical) or different regiments in response to the response to therapy.

Many women access alternative therapies such as tea tree oil, garlic and violet violets and yogurt. But there are non-compliant evidence that supports these methods and they can cause allergic reactions.

Other treatments like probiotics also have limited evidence and can be expensive. There are some promising treatments in the pipeline (such as vaccines, tetrazole antifungal agents and immunotherapy), but these are still in trial and are not commercially available.

Therefore, if you suffer from vaginal weird, burning or abnormal discharge that is not facilitated by oral or topical anti-fungal, seek professional help. You should have swabs that have been taken to exclude other infections or conditions and decide on the most appropriate methods of management.

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