Confusing the disease with others is extremely difficult, because a woman is concerned about itching and burning in the genital area. The main sign of thrush is a cheesy discharge that has a sour odor. Treatment of thrush during pregnancy is mandatory due to the fact that it complicates the course of pregnancy and increases the likelihood of infection of the fetus during the passage through the birth canal. If infection occurs, the newborn will suffer from candidal stomatitis.
Treatment of chronic thrush in women who are not pregnant is carried out by systemic drugs (tablets or capsules), which penetrate the blood and act on fungi in the intestine, on other tissues in the body. However, the gynecologist cannot prescribe such drugs during pregnancy due to their high toxicity – even short-term use of these drugs adversely affects the development of the fetus.
How to choose a drug? What are the time limits?
What means against thrush are allowed for pregnant women? Which drugs should be given preference: local or systemic, or maybe even “popular”? In the list of modern pharmacological agents for thrush there are about a dozen drugs that affect only the infected area, that is, are absolutely harmless to the fetus.
Is the disease dangerous during pregnancy?
By themselves, mushrooms can not cause significant harm to the mother’s body, much less the fetus.
The problem is that if it is not treated, it can happen that the thrush will progress, constantly torturing mother with endless itching, inflammation and
In addition, the fungus can settle in the intestines, on the skin or nails. Do not be surprised Candida feels great in such locations. You can infect other family members, in short, the problems above the roof and the question to heal or not can not even be asked.
Pimafucin during pregnancy
Many gynecologists recognize this drug as the safest and most effective treatment for thrush during pregnancy. The main active ingredient of Pimafucin, natamycin, practically does not enter the blood from the gastrointestinal tract, is not absorbed from the mucous membranes and does not penetrate the uteroplacental barrier. Accordingly, taking Pimafucin (even long) cannot harm the fetus.
The only drug officially approved in 1 trimester. Treatment of thrush in women with Pimafucine can be carried out from the moment of conception to childbirth. One, to get rid of the symptoms of thrush, it is enough to take medicine for three days, others need a full course of treatment (9 days). Usually pregnant prescribed pimafutsin in candles – 1 suppository for the night. With persistent vaginal candidiasis, Pimafucin is prescribed in pills (4 p. Per day, 1 tab. For a week).
You shouldn’t give yourself Pimafucin, especially if you didn’t bother with thrush before pregnancy. The fact is that the drug has one contraindication: hypersensitivity to substances that are part of Pimafucin. In addition to natamycin, suppositories contain cetyl alcohol, polysorbate, solid fat, adipic acid, sorbitol triolite, sodium hydrogen carbonate. In the first days and hours after the candle is injected, burning and irritation can disturb, but these side effects do not require discontinuation of the drug and disappear on their own.
Preparations allowed at different stages of pregnancy
Clotrimazole (and its analogue Candide). During pregnancy, the drug is prescribed in the form of vaginal tablets or cream. Read the instructions and find out the price here. Clotrimazole is allowed in all trimesters, except for the first one. Negative effects of the drug on the fetus during clinical trials have not been identified, but the final decision on the advisability of using clotrimazole should be made by a doctor. Treatment of thrush in women with Clotrimazole lasts 6-7 days, during which before the night’s sleep deep into the vagina, without resorting to the use of an applicator, one tablet is injected. The cream is used only as an adjunct to suppositories or vaginal tablets. When using vaginal tablets, burning and itching may increase. If they do not pass within 1-2 days, then the drug is canceled due to the high probability of an allergic reaction. In rare cases, pregnant women complain of frequent urination.
Terzhinan (instruction and price here). Verzhinan vaginal tablets are included in the list of drugs recommended for the treatment of vaginal candidiasis in Russia. They are prescribed from the second trimester of pregnancy and in rare cases in the first (if the potential benefit for a woman exceeds the risk to the fetus). The French laboratory of Bouchard Record (manufacturer Terginan) also speaks about the effectiveness of the drug and advocates for its safety. At the same time, the US FDA warns: prednisone, which is part of the drug, reduces local immunity. The course of treatment is 10-14 days, one vaginal tablet at bedtime (before administration, the tablet is immersed in water for 30 seconds). After the first injections, burning and itching may intensify, but then they will disappear.
Livarol (instructions, prices). The drug can be purchased at any pharmacy, but know that it can be used against thrush only in the second and third trimester, and only under the supervision of a gynecologist. Ketoconazole – the active substance of the vaginal suppository Livarol, acts only on the mucous membranes – the vagina and vulva, is not absorbed into the bloodstream and therefore is harmless to women and the fetus. Studies show that this drug acts on pregnant women better than Pimafucin. According to some data (the study page is unfortunately no longer available), recovery after taking Livarol was observed in
The average prices for the treatment of thrush in women depend on the drug prescribed by the doctor and the duration of its administration:
Pimafutsin (6 candles) – 503 rubles.
Livarol (5 candles) – 340 rubles.
Epigenum sex (spray, 60 ml.) – 1370 rubles.
Terzhinan (vaginal tablets, 6 pcs.) – 354 rubles.
Betadine (14 candles) – 317 rubles.
Clotrimazole (vaginal tablets, 6 pcs.) – 30 rubles.
Fluconazole – a drug prohibited during pregnancy
Fluconazole belongs to the category of drugs that are dangerous during pregnancy, especially in its first trimester. As shown by foreign medical studies, taking Fluconazole in the first weeks of gestation (organ insertion) led to the risk of fetal congenital heart disease — Fallo’s tetrad — forming. If a pregnant woman took Fluconazole in the third trimester at a dose of 400-800 mg / day, then in rare cases an abnormal facies, brachycephaly, malformations of the cranial vault, arthrogryposis, cleft palate and
A single dose of fluconazole 150 mg is considered safe, but the drug is prescribed only in cases of extreme necessity. Thus, treatment of thrush in women with Fluconazole is possible only after delivery and the end of lactation.
Treatment with Flukostatom thrush in women is also not desirable. Its main active ingredient is the same fluconazole, and there are publications where it is said that this drug is capable of causing deformities and a poisonous effect on the fetus. Gynecologists prescribe it only in case of spreading the disease to all vital systems of a woman.
Recipes of traditional medicine
We treat thrush yourself!. Such a phrase can often be heard from pregnant women who do not want to harm the fetus by taking medication. Again, if you apply only medications allowed during pregnancy, they will not bring harm to the baby.
Traditional treatment options can only be used as a supplement., because medications eliminate fungi, but do not always eliminate burning and itching. And of course you should not risk the health of the unborn child by refusing traditional medicine.
Treatment of thrush with soda in women is the most popular alternative method of dealing with the disease. Soda is used for douching and washing. The solution is prepared from 1
Solutions for douching are prepared not only from soda, but also from natural antiseptics. Here are some of them:
- onion and garlic (5 minutes in a liter of water boil a head of garlic with a tablespoon of chamomile).
- tea tree oil (small syringe filled with calendula oil – 1
But you need to understand that, delaying the appeal to the doctor, the expectant mother risks her health.