Looking for advice on recurrent thrush, every 4-5 weeks, which I've had for last 3- 4 years. Its definitely thrush, have had swabs. I'm on HRT and 7 years post menopausal. I used to get thrush a lot when on contraceptive pill. I also have mild VA and LS (well controlled / not active). Ideally, Id like a pessary that I can use weekly as a preventative. Anyone any suggestions or thoughts as getting really fed up with it!
Currently just treating each thrush attack with gyne pevaryl pessaries (econozole) Works and not too much burning etc, but they are 3 pessary dose, so impractical for maintenance treatment. And acidophilus capsules inserted twice weekly to help with ph balance, which seems to help a bit
This is what I've tried (and abandoned) so far:
canestan pessaries weekly- worked well for 2 years or so, then discontinued due to extreme irritation
fluconazole oral tablets - caused really bad gut issues
canesflor vaginally to help rebalance - discontinued due to severe burning
various ph balancing gels - multigyn, balance active, yes WB,
various vaginal oestrogen - vagifem - fine for 2 years or so, then extreme irritation so discontinued; ovestin & other estriol creams caused discomfort and obvious thrush rash.
Intrarosa- tried for a year, initially seemed good, then seems bit more irritation and bit more frequent thrush
I asked my GP for referral to specialist recurrent thrush clinic, but as there isn't one in my area, and Sexual Health will only see patients with STDs,, I recently had an appointment at vulval clinic. Their suggestion was weekly fluconazole for 6 months. I'm not keen due to previous experience. Also restart vaginal oestrogen - Invaggis, Blissel or Intrarosa Plus poss yes vaginal moisturiser.
Sorry for long and detailed post