Hi, I can't give you a definite answer to your problem but I can tell you from my own experience that va and thrush have the same symptoms and it becomes so difficult to know the difference between the two, the only way to truly know is to ask your gp to do a swab, this will also identify which strain of thrush it is, there are resistant strains that require different treatments to common strains of thrush, vagifem can cause thrush it can also cause irritation that feels like thrush, I had the most awful thrush using vagifem it also caused me awful irritation which worsened the longer and more I used it, I ended up on a 6 month treatment of fluconazole 150mg tablet every week because the thrush became stubborn, I switched to ovestin and don't have that problem anymore, I'm not in any way suggesting it's the same for you that's only my experience, but I would definitely get a swab done so you know for sure if it's thrush, I hope you get it sorted I feel for you va and thrush is really horrible x