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!
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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
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