Candles from thrush for pregnant women. Features of the treatment of thrush in the second and third trimester of pregnancy. How to choose candles for thrush during pregnancy

In the body of any person (not only women, but also men) there are fungal microbes. As a rule, they are in an inactive state.

Candidiasis or in common people "thrush"- Excessive development of Candida albicans fungi in the perineum. This type of microorganism is classified as conditionally pathogenic.

From the moment when a fertilized egg (zygote) is implanted on the walls of the uterus, the woman's body is rebuilt and drastic changes in functionality occur. internal organs and metabolic metabolism.

The hormonal picture changes, there is a sharp surge in endrogens. This circumstance provides some transformation of the vaginal microenvironment, the flora becomes comfortable for the growth and spread of fungal infection.

As usual, Candida fungi always exist in every human body... They are part of the microenvironment of the oral cavity, rectum and vagina. With reduced defenses of the body, the Candida fungus begins to reproduce very actively and turns into a pathogenic microbe.

Can thrush occur when carrying a child? Thousands of women who have faced this problem are concerned about this issue. Without a doubt, yes. Since it is during this period that the woman's immune response decreases, and the body is no longer able to fully resist the spread of pathogenic fungi.

Candidiasis when carrying a child needs specific therapy, and a woman throughout pregnancy should be under the continuous supervision of a gynecologist.

Symptoms

The vast majority of expectant mothers are already familiar with such manifestations of thrush as:

Vaginal discharge by outward appearance resembling cottage cheese, with the presence of a sour odor;
Severe burning and intolerable itching, which increases with sexual intercourse or wearing tight underwear;
Painful feeling and discomfort when urinating.

Causes

The probable reasons contributing to the occurrence of candidiasis, in addition to a decrease in the body's defenses, also include:

The existence of inflammation in the pelvic organs.
Persistent constipation.
Avitaminosis.
Non-compliance intimate hygiene.

Thrush in pregnant women occurs quite often, and if risk factors (inflammation of the genitals, lack of vitamins and hardening of feces) join the lowering of the immune response, the likelihood of candidiasis increases.

Diagnostics

Frequent symptomatology in women carrying a fetus is not a basis for an accurate diagnosis.

Correct diagnosis consists of the following steps:

When, during the studies, a smear for microscopic analysis or bacteriological culture obtained from the vaginal wall of a pregnant woman showed the presence of candidal fungi, the gynecologist diagnoses candidal colpitis.

Treatment

Therapeutic measures aimed at eliminating thrush during the period of gestation in a woman need an integrated approach containing both a direct effect on pathogens using pharmacological products and folk recipes and the activation of the general immunity of the body.

And in addition, it is necessary to create a negative environment for the life support of the pathogenic pathogen through adherence to diets and the use of vitamin complexes.

Thrush during pregnancy

Carrying a baby- an extremely responsible and exciting time in the life of every woman.

Any, even the most insignificant deterioration of health or illness mechanically turns into a danger to the health of the unborn child.

Candidiasis rightfully takes the place of a very popular female disease.

At the time of pregnancy, when the female body is especially susceptible, the prospect of the disease increases threefold. Therapeutic measures must be effective and, moreover, gentle.

Features of treatment during pregnancy

Suppositories- means of local effectiveness, at the moment when the tablets provide a system-wide effect on the body, which is extremely unacceptable during pregnancy.

Even the most modern and developed "according to the latest word of pharmacology" pills for candidiasis for expectant mothers are categorically contraindicated, since they have a negative effect not only on her body, but also pass through the placenta.

Poisonous damage to the fetus develops, the process of child development changes, up to the involuntary termination of pregnancy.

Suppositories for thrush during pregnancy do not have such a significant general effect on the body of the expectant mother and do not disrupt the formation of the fetus.

Causes of thrush during pregnancy

This disease is characterized by one feature - quite often it makes itself felt precisely during the period when the woman's body is burdened.

This is due to a number of factors:

Drugs approved in the first trimester

The selection of pharmacological agents for local activities can be very selective, due to the timing of the "interesting position".

Pimafucin

In the pharmaceutical space of the Russian Federation, Pimafucin occupies a leading place among medicines for women diagnosed with thrush. The reason for this is not only the democratic cost of the drug, but also its significant effectiveness.

The active ingredient is natamycin. It destroys fungal cells without affecting the woman's body and the fetus. It is produced in tablet form, cream and gynecological suppositories.

In particular, vaginal suppositories are the most acceptable form for use during the period of gestation.

Application rules:

For one box (3 pcs.) In pharmacies in Moscow and St. Petersburg - 260 rubles... A box with 6 gynecological suppositories will cost approximately 500 rubles in regional centers.

Zalain

Zalain- harmless antibacterial suppositories for fungal candidiasis.

In circumstances where the hypothetical health benefits of the pregnant patient outweigh the likely danger to the formation of the fetus, the use of Zalain is permitted at all stages of pregnancy.

Application features:

The cost of the medication in Moscow and St. Petersburg is within from 390 to 480 rubles... per box with one vaginal suppository.

Betadine

Betadine- This is a powerful disinfectant, destructive for most pathogens of pathologies, with the exception of Koch's sticks.

The mechanism of action of the drug:

The drug Betadine is not characterized by toxic activity, and yet it cannot be used independently without a gynecologist's indication.

Price of Betadine suppositories in pharmacies from 470 rubles.

Suppositories Betadine do not have teratogenic and mutagenic effects on the embryo, but the use of suppositories in the first trimester of bearing a child by doctors is prohibited. Iodine ions perfectly penetrate the placental protection and, in considerable doses, can provoke disorders of the development of the thyroid gland in a baby.

Hexicon

Hexicon Is an effective medicine against thrush.

Mechanism of action:

In order to obtain the maximum possible therapeutic result, a full course of therapy should be carried out; ignoring the instructions of the gynecologist may lead to negative consequences.

Geksikon cannot act as monotherapy, which means that these suppositories are not enough for effective treatment.

This medication is not characterized by fungicidal qualities, therefore, antifungal medications must be taken simultaneously with it. It is these additional funds that will help to influence the pathological agents - pathogens.

Average cost of a drug in pharmacies from 58 rub. up to 290 rubles. , depending on the number of pieces in the package.

McMiror

Mechanism of action and composition:

Macmiror complex does not affect the natural flora, which prevents the appearance of dysbiosis and very soon restores the vaginal environment.

Contraindications include hypersensitivity to any component or certain additional substance. This pharmacological product is for local use in gynecological or sexually transmitted diseases.

Mode of application:

One candle is laid every day just before bedtime, the duration of the course is 8 days, or according to the instructions of the gynecologist.
In order to ensure the ultimate therapeutic result, it is required to lay the candle deeper up the vagina.

The price of the drug in the pharmacies of the country from 720 rub.May vary depending on the region of sale.

If, during treatment, critical days have come, the administration of suppositories can be resumed after the end of menstruation.

Candinorm Complex- a gynecological gel, characterized mainly by anti-candidiasis activity.

The therapeutic activity of the drug is due to those substances that are among the components:

The use of Candinorm, which affects all kinds of Candida strains, prevents the onset of the chronic disease process that doctors most often associate with non-Albicans Candida.

Clinical studies have proven the effectiveness of the gel against fungi sensitive to nystatin and flucanosol. Bio-active inclusions in the composition of the gel are safe and have no contraindications either when carrying a child or when breastfeeding.

The price of the product is not cheap and amounts to 1089 RUB

There are two ways to use the medication:

Antiseptic gel from a tube of 30 ml is used for hygiene measures. Apply a small amount of gel to the skin of the perineum at the time of taking a shower, wait about a minute and rinse. Use 1-2 times a day.
Intravaginal regenerating gel from a 6 ml tube using a vaginal applicator should be inserted as deep as possible into the vagina. You need to lay the gel right before bedtime, lasting up to three days, inject in the supine position.

Drugs approved in the second trimester

Many gynecologists, in order not to "poison" the pregnant female body with antibiotics, prescribe the use of suppositories for candidiasis during pregnancy. Thanks to this, candles are considered the most popular drugs for eliminating thrush.

Drug companies offer a colossal selection of vaginal suppositories that eliminate fungal infections. However, few know which of these varieties are allowed to be used by pregnant women.

- belongs to universal medicines, it effectively treats all kinds of sexually transmitted diseases.

Mode of application:

However, there is one circumstance - the thrush fungus soon gets used to the active inclusion in the composition of Clotrimazole. This explains the fact that when the disease returns, gynecologists advise the use of another remedy.

The average price of Clotrimazole vaginal suppositories is inexpensive about 50 rubles... This medicine is budgetary, but, despite this, it is sufficiently effective and in demand to get rid of fungal infections during the period of bearing a child.

- one of the most active medicines against Candida fungi, harmless at any stage of pregnancy.

The drug is produced not in the form of gynecological suppositories, but in the form of capsules for intravaginal administration.

As active ingredients, these capsules contain three active inclusions:

neomycin,
nystatin
polymyxin.

With a very detrimental effect on non-fungal colonies, Polygynax activates the regenerative mechanism inside the vagina. The affected mucous membrane of the genital tract recovers very soon after recovery from the disease.

The duration of therapy is approximately 12 days. The capsule is used intravaginally just before bedtime.

The occurrence of a negative effect has not been clinically established, if you do not take into account the individual intolerance to any components in the composition of the drug.

The average cost of one box in the Moscow region and St. Petersburg is RUB 580

Livarol

This pharmacological agent is produced in the form of vaginal suppositories and contains such an effective inclusion as ketoconazole.

The medication effectively acts against fungal infections of any stage, and is designed specifically for the treatment of patients during pregnancy (2-3 trimester). This drug should still only be used as directed by a gynecologist. With self-medication, there is a risk of negative effects on pregnancy.

If these pharmaceutical products are misused, it is likely that:

Hyperemia of the mucous membranes of the genitals,
Persistent itching and severe irritation.
The prospect of urticaria and rash on the skin is not excluded.

Mode of application:

The drug Livarol is characterized by clear advantages, which are manifested in an early onset of effectiveness and a reduced prospect of negative reactions, which becomes important in the treatment of pregnant women.

The price of gynecological suppositories varies within from 350 rub. (5 pcs.), Up to 450 rubles. (10 pieces.).

Iodoxide

Iodoxide is contraindicated in the presence of:

Side effect:

allergic syndrome,
redness at the site of application.

With peak manifestations of vaginitis, you need to use it twice a day for 7 days, with chronic - once for 14 days, regardless of the phase of the menstrual cycle.

The cost of candles in pharmacies from 300 rubles.

The advantage is the ability to use at the time of critical days and use in complex therapy for vaginosis provoked by bacteria.

In the third trimester

Third-trimester candidiasis implies the presence of an abnormality such as an intestinal disorder or dysbiosis. Medicines for mycotic lesions during pregnancy in the 3rd trimester are quite diverse, in comparison with the initial two.

Allowed candles:

In the 3rd trimester, Pimafucin, Betadine, Ginofort, Clotrimazole can also be used. Treatment regimens and doses are similar to the second.
In addition, in the treatment of thrush in the 3rd trimester, Terzhinan, Gino-pevaril, Polizhinaks are widely used.

Only a gynecologist can help you choose the most suitable drug. Self-medication can be dangerous for both the baby and his mother.

Terzhinan for elimination of fungal infection is produced in the form of gynecological tablets, not suppositories. Development campaign - French medical laboratory "Bouchard-Recordati".

Terzhinan is approved for use in combination with other medicines.

Application features:

The approximate price of one box (6 tab.) In Moscow and St. Petersburg - 330 RUB For a box of 10 tablets you need to pay about 450 rbl.

The medication is prescribed for the introduction of the following scheme:

The cost of the drug from 680 to 850 rubles.

The use of Neo-Penotran is not acceptable in the 1st trimester after conception. In the 2nd and 3rd trimesters of bearing a child, the introduction of Neo-Penotran is permitted only in situations where the hypothetical benefit of treatment for the mother becomes significantly higher relative to the existing risk of death for the fetus.

Vaginal suppositories made in Switzerland or Belgium. The active ingredient is econazole nitrate, which is a very effective compound in the fight against dermatophytes, yeasts and molds.

Application rules:

The cost of this drug from pharmacists in Moscow and St. Petersburg within 450-470 rub.

Miramistin for thrush during pregnancy

The vast majority of women, recovering from this fungal infection, use a medication called Miramistin. The medicine has an anti-inflammatory, disinfecting and regenerating effect on the mucous membrane. It is produced in the form of a liquid solution and ointment.

Mode of application:

The cost of Miramistin in pharmacies from 220 to 280 rubles

This pharmacological product is very harmless, therefore, with the onset of conception, it is used very often. Numerous reviews of women "in position" show that this drug heals a fungal infection in three days and in no way does not affect the development of the fetus.

Complications of thrush for mom and baby

The candida fungus, when growing and spreading, is able to provide a negative effect on the state of organs and tissues of the female body and her unborn child:

Since the fungal pathogen infects the mucous membrane, the infection can be transmitted to the baby, however, this becomes possible only during delivery, at the moment when the child will leave through the infected birth canal.
At the start of pregnancy in the child, through the fault of the mother's thrush, the normal development of the umbilical cord is disrupted, the fungus penetrates the bronchopulmonary system, the mucous membranes of the oral cavity and the surface of the skin.
In a pregnant woman, candidiasis provokes an aggravation of the condition. in the form of an inflammatory disease of the entire reproductive sphere, the elasticity and smoothness of tissues is lost and the tone of the muscles decreases.
From the appearance of incessant itching many expectant mothers experience insomnia, and as a result - nervousness, which negatively affects the supply of nutrients and oxygen to the baby.

When visiting a gynecologist at the very early stages of pregnancy, the patient is tested for bacterial culture, since there is a threat that a fungal infection of the genitals can deplorably (termination of life) affect the development and growth of the implanted egg (zygote).

Fungal infection is negatively manifested in a cesarean section. With it, the healing process of stitches is slower, inflammation and pus appear. The disease increases the risk of PPH.

Treatment with folk remedies

If we compare the incidence of the disease with the emergence of new and fairly effective drugs on the pharmacological market, then it becomes clear that pregnant women want to look for an effective alternative, such as alternative medicine.

An important factor here is the harmlessness of folk recipes, in particular in the first trimester.

For example:

Summing up, we can say that the experience of grandmothers and great-grandmothers deserves attention and respect, and yet before using any of the "home" recipes, the patient should consult her doctor about this.

The difficulty is that “ unconventional methods»Are by no means always harmless and instead of recovery you can get an allergic response, or blood loss, etc.

When recovering from candidal colpitis, the patient is simply obliged to strictly follow all the recommendations given by the gynecologist:

Nutrition for thrush

Get rid of the fungal infection when carrying a fetus, in some cases, a change in diet helps.

The place of appearance of a pathological agent is often the intestine, respectively, the normalization and constant retention of the intestinal microflora become fundamentally significant stages in the fight against thrush.

A patient who has started treatment for this disease with the help of folk methods or resorted to traditional medicines, should follow the diet:

Foods that interfere with good digestion must be abolished altogether, since it is the preference for such foods that provokes thrush, but also has nothing to do with a healthy diet.

It should also be noted , that all fungi, including those of the genus "candida", always require a favorable and nutrient-rich environment to spread freely.

Provided that such is not developed, the vital activity of fungi gradually loses resources and disappears.

It follows from this that in order to combat candidiasis, the awakening of immunity, it is required to abandon all foods that are nutritious for the pathological agent, and these are:

Prevention of candidiasis

With therapeutic measures aimed at destroying fungi - pathogens, at the time of bearing a child, certain instructions become very fundamental that can contribute to the early elimination of thrush:

The implementation of such unpretentious measures for prevention and prevention will provide a quick cure for the existing infection and the prevention of recurrence of the disease.

During pregnancy, the timely establishment and cure of this insidious ailment becomes the main thing; a neglected form can lead to irreversible consequences. In no case should you self-medicate, the use of suppositories is possible only after the appointment of a gynecologist.

Genital candidiasis occurs in most expectant mothers, causing a lot of inconvenience. The symptomatology of the disease is bright and unpleasant (itching, burning, soreness, redness of the intimate organs, hyperemia, dense discharge in the form of curd crumbs, unpleasant odor, etc.). All this makes it necessary to treat the disease with the help of drug therapy approved for pregnant women.

Doctors are inclined to believe that early dates(when taking pills is undesirable) local therapy should be used, and special vaginal suppositories have proved to be most effective. In fact, they contain the same antifungal substances as in tablets (creams, ointments), but they are targeted to the inflamed area, producing high-quality symptomatic treatment.

Features of the use of suppositories during pregnancy

Regardless of the gestational age, thrush should be treated in a timely manner and at the same time as the husband (sexual partner). In males, candidiasis, as a rule, proceeds in a latent form, but the husband remains an active carrier of the disease and can affect re-infection after therapy.

For the period of treatment with candles, doctors advise to give up intimate life or limit the frequency of intercourse, be sure to use condoms.

Suppositories are prescribed by your attending gynecologist based on the test results and, depending on the stage, form of the disease (acute, recurrent, chronic). Store most of them in a dry, dark place or refrigerator, but not in the area of heaters or batteries (many candles have a wax or fat base that melts when the temperature rises).

So, the pregnant woman should take a comfortable position (horizontal position or pelvis just above the head). The legs should be bent and spread apart as wide as possible. The candle taken out of the individual packaging with the help of your index finger is pushed deep into the vagina to the maximum allowable depth, which will allow the medicine to cover a large area and be absorbed with high quality.

important The procedure must be performed at night, when the body is resting and relaxing, and is in a horizontal position for a long time. If you put a vaginal suppository in the morning or in the afternoon, then 2 variants of events are possible: during the suction process, it will begin to flow down the legs or it will immediately come out (if the muscles of the vagina are weak).

It is also recommended to wear natural cotton or other pads (not scented) when installing the suppository. In the morning, the topical medicine comes out and the liner absorbs it, reducing the risk of leakage onto the bedding.

information For the greatest effectiveness, vaginal medications must be combined with the main therapy (except in the early stages, when most antifungal pills are prohibited). Among all the variety of suppositories, the gynecologist will select those that best match your symptoms and the form of thrush.

For the treatment of acute forms (1 suppository each) is prescribed the following drugs: Lomexin, Sertaconazole. For 3 suppositories, you can use such medicines:, Gyno-pevaril, as well as Livarol.

For the treatment of chronic candidiasis (from 5 to 14 suppositories), Clotrimazole, Terzhinan, Iodoxide, Irunin, and others are prescribed.

information Wear natural underwear (linen, cotton) during treatment. It is not recommended to wear lace and synthetic panties, tight-fitting underwear (including leggings), thongs.

Particular attention should be paid to intimate hygiene, using a gel or detergent approved by the doctor that does not violate the vaginal microflora. Otherwise, some cosmetics may react with the contents of vaginal preparations and neutralize the therapeutic effect.

What candles from thrush to choose for a future mother

There are many safe drugs that are effectively used by pregnant women.

Sertaconazole

The active ingredients are imidazole and benzothiophene. The package contains 1 suppository for single administration. If the symptoms persist, re-administration is prescribed in a week. Before the introduction, hygiene of the intimate organs with a hygienic product is required.

Among the contraindications, there is an allergy to the components, and the side effects: itching and burning of the labia, vagina.

Plus: effectiveness (elimination of symptoms in a single administration). Minus: the price is high. Analog: Zalain.

Ketoconazole

In the acute form of candidiasis, the candle is placed at night for 3-5 days, and in the chronic course is 10-12 days. Contraindications: allergies, use in the first trimester. Side effects: itching, irritation and inflammation of the mucous membranes, skin rashes and dermatitis. Pros: rare cases of allergic reactions, duration of the effect of treatment. Minus: with regular use, the pathogen develops immunity, it can only be used in the 2nd and 3rd trimester. Analog: Livarol.

Itraconazole

Itraconazole (form of production - vaginal tablets). Apply daily at bedtime for 1 to 2 weeks. Contraindications: 1 trimester, allergies, breastfeeding. Consequences of use: skin dermatitis, itching, redness and burning.

Pros: actively fights against relapses of candidiasis, does not develop resistance to the active substance in the fungus. Minus: prohibited for 1 trimester. Analog: Irunin.

Clotrimazole

It is inserted into the vagina as deep as possible, 1 suppository per night. The course of therapy is 6 days (there are so many suppositories in the package). Contraindications: allergies, 1 trimester, lactation. Consequences of admission: itching and burning in the vagina, unnatural discharge, cramps in the lower abdomen, cystitis and difficulty urinating, painful intercourse, weakness, etc.

Advantages: affordable price and prevalence in pharmacies. Cons: large amount side effects, in fungi, with regular use, immunity develops, it is not prescribed in the 1st trimester. Analogs: Antifungol, Kandizol, Kandibene, Yenamazol, Kandid, Kanesten.

Miconazole

At night, 1 candle is introduced, while the entire course of treatment (1 week) is prohibited from drinking alcoholic drinks... Contraindications: allergies, 1 trimester, diabetes, liver disease, herpes in the active phase, breastfeeding. Side effects include irritation of the genitals, lower abdominal pain, nausea, and eating disorders. All symptoms are observed only at the beginning of the course. Pros: supports the vaginal microflora, high efficiency, quick recovery, used for relapses. Minus: not recommended for expectant mothers, prohibited in the 1st trimester. Analogues: Mikozon, Daktarin, Gyno-dactanol, Metromicon-Neo, Neo-Penotran.

Gyno-pevaril

Suppositories of 50 mg are used, the course of treatment is 2 weeks (even if symptoms stop). Suppositories of 150 g are placed overnight for 3 days, but if the culture analysis is positive after a week, the course is repeated. Contraindications: allergy, 1 trimester (active substances are absorbed into the bloodstream), lactation. Side effects: itching, dermatitis, redness of the genitals. Plus: high efficiency. Disadvantage: unsafe for the fetus in the 1st trimester, price. Analogs: Ifenek, Econazole.

Pimafucin

Pimafucin is a popular drug that is prescribed during pregnancy, due to its safe effect on the body of the mother and child. Apply 1 candle for 3-5 days.

Contraindications - allergies, and a side effect - slight irritation or redness of the genitals.
Plus: safe for pregnant women, effective. Cons: high price. Analogs:, Natamycin.

Povidone iodine

Applied once a day for 14 days (chronic form), 2 times a day for 7 days (acute). Contraindications: liver and kidney disease, thyroid adenoma, thyrotoxicosis, allergies, 1 trimester. Side effects: allergy and hyperemia. Plus: comprehensive treatment of thrush and bacterial vaginosis. Minus: not used in the 1st trimester. Analogs: Betadine, Iodoxide.

Nifuratel

Intravaginal application (1 piece for 8 days). Contraindications - allergies, and side effects - itching (rarely), dermatitis.

Advantage: prescribed for pregnant women. Cons: high cost. Analog: Macmiror.

Fluomisin

Dequalinium chloride - Fluomizin (form - vaginal tablets). It is an antiseptic drug that helps to fight candidal vaginitis and thrush before childbirth and gynecological procedures. It is applied in 1 tablet intravaginally for 6 days.
Contraindications: ulcers in the vagina and on the cervix. Side effects: allergies, dermatitis, irritation and erythema. Pros: sanitation of the vagina, efficiency. Cons: high price, no information about safe use in the 1st and 2nd trimester.

important Nystatin cobminated drugs. Contains various active substances, including nystatin. The most popular are Terzhinan, Nystatin, Polygynax. Expectant mothers should pay attention that they are contraindicated at any stage of pregnancy, have serious side effects and develop dysbiosis.

Pros and cons of prescribing suppositories for candidiasis of pregnant women

The positive properties of local therapy lie in the direct effect on the affected area.

The drug enters the breeding zone of the yeast fungus and eliminates unpleasant symptoms within 1-2 days.
Modern suppositories are effective after a single dose.
The absorption of the suppository by the body is quite low, so the likelihood of side effects is reduced significantly.
The only possible therapy in early pregnancy, when the use of effective antifungal pills is prohibited.
Availability in pharmacies, relatively low price.

There are also many disadvantages of this treatment.

Discomfort during therapy: the agent flows out of the vagina, stains the body and underwear, interior items.
Doctors recommend strongly limiting or stopping sex life while using suppositories.
Effectiveness extends to mild and acute forms of thrush. A neglected chronic form should be treated in a complex with the use of antifungal therapy.
As a rule, after the use of suppositories, the disease recurs in the near future, requiring re-treatment.
A number of fungi develop immunity to active substances suppository.
The likelihood of vaginal dysbiosis increases significantly.

important Suppositories are a necessary solution for pregnant women in the first and third trimester, when many other antifungal medications are prohibited. Almost all candles do not affect the fruit.

In the first "dangerous" trimester, it is recommended to limit yourself to Betadine and Pimafucin.
In the second trimester, Gino-Pevaril and Gynofort are also used.
For the 3rd trimester, Clotrimazole is suitable. In addition, the gynecologist can prescribe the "Borax in glycerin" remedy, which is still familiar to grandmothers.

Subject to the rules for using candles and a reasonable choice of the drug, the symptoms of thrush disappear in a couple of days, greatly facilitating the condition of the expectant mother.

Carrying a child is associated with hormonal changes in the female body. This causes the uncontrolled growth of the Candida fungus (species C. globrata, C. tropicalis, C. crusei). Symptoms of infection include cheesy discharge and severe itching. The doctor's assistance consists in examining the patient, taking a smear for research and prescribing medications. Candles from thrush during pregnancy are safe and do not threaten the health of the baby.

What is the peculiarity of suppositories for the therapy of pregnant women

A woman in a position does not have to know complex medical terms in order to understand the treatment of candidiasis. But she must understand the responsibility that is entrusted to her for the health of the child. It is necessary to treat candidiasis during pregnancy only after talking with your doctor. For therapy for thrush, only suppositories or creams are prescribed.

Candidiasis does not harm the fetus. He only gives "trouble" to the mother-to-be. The woman feels itching, burning and pain in the vagina and perineum.
Suppositories and creams are safe thrush medications that work topically to help suppress the growth of disease-causing fungi.
Oral medications should not be taken during pregnancy.
The ingestion of an active substance into the bloodstream can harm the fetus during intrauterine development.
Candles in the composition have an active ingredient that is mixed with the base element.
Most often it is a fatty base, which, when inserted into the vagina, melts from body heat. Such a consistency is better distributed along the walls of the organ, it lasts longer on the mucous membrane.
The oily base "lubricates" tissues inflamed from thrush, reduces pain and burning sensation.
Creams during pregnancy are prescribed for the same reason, their application alleviates "acute" symptoms, treats against candidiasis and cares for the inflamed vaginal mucosa.

Candles are prescribed by a doctor, with thrush, a medicine is selected taking into account the patient's well-being, the duration of pregnancy and concomitant diseases. During the use of suppositories, a woman needs to be careful not to injure the vaginal mucosa and not to infect. Subject to hygiene measures, thrush can be cured in a few days.

What are the best suppositories for thrush? Of course, those that quickly treat the disease during pregnancy, relieve symptoms and do not have pronounced side effects. Unfortunately, self-treatment cannot do without consequences: a chronic form of candidiasis or a violation of the microflora inside the vagina. The absence of opportunistic fungi can be confirmed laboratory research vaginal smear.

Useful rules for the treatment of thrush

Thrush will require treatment for both partners. A man often does not suspect that he is a carrier of candidiasis, his infectious and inflammatory process is often asymptomatic. Candles are prescribed for a woman during pregnancy, pills for a man. Lack of therapy in both partners simultaneously leads to recurrence of candidiasis.

Simultaneous treatment of partners.
Elimination or minimization of factors provoking thrush.
The exclusion of genital infections by confirmed laboratory tests.
Thorough hygiene (washing without soap, daily linen change).
Compliance with the terms of introduction and the rules for the use of vaginal preparations against Candida fungi.

Drugs for the treatment of candidiasis in pregnant women

Suppositories from thrush during pregnancy should be effective and not cause side effects. A complete overview of pharmacological agents that help reduce the manifestation of symptoms with thrush during pregnancy and treat candidiasis allows the doctor to choose the necessary drug. The list of suppositories contains gentle preparations with less toxic effects that do not pose a threat to a woman during pregnancy and lactation.

What suppositories from thrush can be used during pregnancy without taking into account the trimester

Zalain (Sertaconazole) 300 mg. The package contains a single capsule. It is used once against symptoms and for the treatment of thrush, injected deep into the vagina at night. No data has been received that would directly indicate the potential harm from Zalain's suppositories during gestation, for fetal development and lactation.
Macmiror complex. The package consists of 8 oval capsules containing nystatin. Treatment is carried out daily, 1 capsule is injected into the vagina at night, after hygiene procedures.
Primafungin, Pimafucin (Natamycin) 100 mg. Suppositories for thrush are well suited for the treatment of pregnant women. The course of treatment is adjusted by the doctor. One package contains 3 capsules. Apply daily. The duration of therapy can be 6 days. Missing Negative influence on the fetus.
Betadine. It has established itself as it does not have many side effects and allergic reactions.
Polygynax. Suppositories based on nystatin and neomycin. Prescribed by a doctor to eliminate risks for pregnant and lactating mothers.

What candles can be used by pregnant women from thrush to a limited extent, taking into account the trimester

Livarol (Ketoconazole). Antifungal suppositories in the amount of 5 pieces. In the 1st trimester, admission is prohibited, in the 2nd and 3rd trimester they are prescribed with caution. The advantage of the drug is in its quick effect, in the complete absence of allergic manifestations.
Irunin (Itraconazole) 200 mg. Vaginal tablets (10 pcs.) Are allowed to be prescribed during pregnancy only in the 2nd and 3rd trimester. Suppositories are effective for recurring candidiasis.
Clotrimazole. Inexpensive suppositories for thrush, in a package of 6 pieces for daily use. During pregnancy, the use of the drug in the first trimester is prohibited. Treats disease but has many side effects. Women during lactation are prohibited from using Clotrimazole against Candida fungi.
Ginesol 7 (Miconazole nitrate) 100 mg. The package contains 7 suppositories. The doctor will prescribe this drug only in the 2-3 trimester of pregnancy. When feeding a baby, it is necessary to take a break during use. Thrush can be cured in 7 days. Introduce 1 suppository into the vagina daily at night. The disadvantage is the risk of premature pregnancy.
Terzhinan. Has a wide range: antifungal effect, relieves inflammation, inhibits the growth of bacteria. The package contains 6 suppositories, which are inserted into the vagina every night after genital hygiene. By decision of the doctor, it is prescribed for the treatment of pregnant and lactating women.
Iodine oxide. Prescribed with extreme caution throughout pregnancy. The decision on the application is made by the doctor. Iodine enhances the effect of the active substance.

Suppositories for thrush during pregnancy provide a safe therapy, work well against the spread of Candida fungi and help get rid of symptoms in a short time and normalize the vaginal microflora.

Thrush often appears during pregnancy, since it is at this time that a physiological decrease in immunity is observed and the body's vulnerability to fungal diseases increases.

In the complex therapy of candidiasis in pregnant women, drugs are used that strengthen the immune system, multivitamins and topical drugs produced in the form of suppositories, creams and ointments. The most effective and easy-to-use medicinal form, acceptable for use during gestation, is a suppository.

Medicinal suppositories for thrush are divided into several groups:

Antifungal(Pimafucin, Clotrimazole, Zalain). Etiotropic agents that destroy the causative agents of thrush.
Antiseptic suppositories(Hexicon). Effective for candidiasis and other inflammatory diseases of the genitourinary system. They are safe for mother and child, since they act only on the mucous membrane at the injection site. Often prescribed by specialists for prophylactic purposes before childbirth, diagnostic and surgical procedures.
Vaginal suppositories containing iodine (Betadine). Means that provide a combined antimicrobial and antiseptic effect due to the presence of active iodine in the composition. They have a broad spectrum of action against bacterial, fungal, viral and protozoal flora.
Complex means containing antimycotic and antibacterial components (Terzhinan, Polygynax). Contains glucocorticosteroids, which have a powerful anti-inflammatory effect.
Recovery drugs normal vaginal microflora (Bifidumbacterin, Lactobacterin). They contribute to a speedy recovery and are the prevention of relapses.

The choice of a suitable drug, determination of the frequency of injections and the duration of its use, is the responsibility of the attending physician. The remedy is selected on the basis of the sensitivity of microorganisms to its active components, the severity of symptoms, the duration of pregnancy and the individual characteristics of a woman.

The use of probiotics in the complex therapy of thrush allows faster clinical recovery, and also prevents the likelihood of recurrence of the disease.

Pimafucin

Pimafucin is the most commonly used and effective remedy for thrush and contains natamycin. This drug does not have a systemic toxic effect, therefore it can be used at any stage of pregnancy.

To the merits of this medicinal product relate:

Variety and availability of release forms. You can buy the drug at any pharmacy in the form of vaginal suppositories, creams and tablets.
Convenient sealed packaging for 3 or 6 suppositories, which corresponds to the course of treatment for uncomplicated vulvovaginal candidiasis.
The need to administer the drug once a day.
No side reactions. An exception is the appearance of itching in the vagina with individual intolerance to the components of the product.
Fast clinical effect. Improving well-being and reducing manifestations unpleasant symptoms occurs after a single use of the product.

When treating with Pimafucin, it is necessary to inject medicinal suppositories with clean hands in the supine position, at night (before bedtime). The duration of treatment is determined by the doctor individually. It is important not to interrupt the course of treatment and continue to inject suppositories for 3 days after the onset of improvement. The disadvantages of Pimafucin include its relatively high price (from 233 to 545 rubles) and large size candles, making them uncomfortable for some women.

Patients using Pimafucin for thrush, the features of the drug include its softness. This can lead to leakage of the product, especially with active movements. That is why the drug should be administered in the supine position and try not to move for a while after its application.

Zalain

An antifungal drug, the active ingredient of which is the substance sertaconazole. Effective against fungi, yeast microorganisms, including those that cause thrush, dermatophytes and bacteria (staphylococci and streptococci that cause infections of the skin and mucous membranes). The product comes in the form of a cream and vaginal suppositories. The drug acts mildly and is not absorbed into the systemic circulation, therefore it is approved for use by pregnant women. The product is available in the pharmacy network without a doctor's prescription.

The features of using Zalain include:

A single use of the product, in which the candle must be inserted as deep as possible into the vagina before going to bed.
The possibility of re-use after 7 days with a high risk of recurrence of the disease.
Good portability, lack of systemic action. All side effects from the action of the drug are due to allergic reactions to its components (itching, burning, hyperemia, swelling).
During treatment with Zalain, in order to increase its effectiveness, it is not recommended to use intimate hygiene products with acidic pH.

The disadvantages of the drug, patients consider its high, in comparison with other drugs for thrush, the price (from 484 to 580 rubles). When using suppositories or vaginal cream, there have been no cases of overdose.

In order to maintain effectiveness, the storage conditions of the product should be carefully observed. Candles or cream should be kept in a dry place protected from light sources at a temperature of 15-20 degrees.

Clotrimazole

A powerful antifungal agent available in vaginal tablets containing 100 mg of the active ingredient. The drug is absorbed into the bloodstream and can have a systemic effect. The drug metabolites are found in the blood within 48-72 hours after use, so it is not recommended to use it in the early stages of pregnancy.

Clotrimazole has wide range actions and is prescribed by gynecologists:

With vulvovaginal candidiasis(including women who are in 2-3 trimesters of pregnancy with the ineffectiveness of other treatment).
With trichomoniasis in women.
On the eve of childbirth with the aim of improving the microflora and preparing the birth canal.
For prevention the occurrence of infectious complications before surgical interventions and diagnostic gynecological manipulations.

The advantages of the drug include its high efficiency, ease of use, availability and low price (from 14 to 186 rubles, depending on the size of the package).

Suppositories should not be used in the early stages of gestation and during breastfeeding, as numerous adverse reactions are possible. The undesirable effects of the drug include burning and swelling of the mucous membrane at the site of application, headache, increased urination.

It's important to know! During the full course of treatment, it is necessary to completely exclude sexual intercourse, since one of the side effects of Clotrimazole is the occurrence of burning and itching on the skin of the partner's penis. In addition, it eliminates the likelihood of re-infection.

Neo-Penotran Forte

Complex antifungal (due to miconazole) and antibacterial (metronidazole) drug used in the complex therapy of trichomoniasis, chlamydia, gardnerellosis and candidiasis.

Vaginal suppositories are easy to use. The drug must be released from the packaging and inserted deep into the vagina. The candle does not leak during use and does not require the use of sanitary napkins. Gynecologists note that, despite careful hand hygiene, nails should be cut short during treatment. Overly long and sharp nail plates can lead to additional damage to the inflamed mucous membrane and the appearance of a secondary infection.

The standard course of treatment is 7 days, but it can be changed by the attending physician, taking into account the individual characteristics of the patient and the course of the disease. During pregnancy, Neo-Penotran is allowed to be used from 14 weeks. In the early stages, the remedy is not used due to the high likelihood of developing malformations in a child.

The product contains a local anesthetic - lidocaine, which quickly and effectively relieves such unpleasant symptoms of candidiasis as burning and pain in the vagina.

The cost of the drug is from 662 to 890 rubles.

Livarol

Vaginal suppositories manufactured by the Russian pharmaceutical company Nizhpharm. These antifungal suppositories, the active ingredient of which is ketoconazole, have a number of advantages that make them popular among patients with thrush.

The features of the tool include:

Fast course of treatment. Complete recovery (with a low probability of disease recurrence) is noted 3-5 days after the start of therapy.
Relief of unpleasant symptoms from the first application.
Lack of interaction with other medicines.
The ability to use suppositories from the 12th week of gestation and during breastfeeding.
OTC vacation, availability in pharmacies.
Price. The cost of one candle is on average 40-50 rubles.

The disadvantages of Livarol suppositories include a decrease in their effectiveness with frequent use, as well as the occurrence of undesirable reactions in the form of dermatitis and urticaria.

You can not use the product without a doctor's prescription. Self-medication leads to the formation of microflora that is resistant to treatment with standard drugs.

Hexicon

An antiseptic drug used for treatment and prevention gynecological diseases... Available in the form of a solution and suppositories.

The main advantages of the drug are:

Low price and availability. Geksikon is sold in pharmacies without a prescription, and its cost ranges from 40 to 270 rubles, depending on the size of the package.
High efficiency and absence of undesirable reactions in case of mild manifestations of candidiasis.
Suitable for use at any stage of pregnancy and lactation.

Limits the use of Geksikon suppositories for a long period of treatment (usually 10 days) and profuse leakage of the drug after administration.

Geksikon refers to topical antiseptic drugs. The active ingredient is chlorhexidine, so the drug is ineffective in severe thrush.

For a detailed review of the Hexicon candles, see the video.

Terzhinan

A complex drug used in treatment regimens for thrush, genius mycoses, vaginosis, trichomoniasis, gardnerellosis and other female inflammatory diseases.

The active components of Terzhinan are:

Ternidazole- an antibiotic effective against anaerobic flora, including gardnerella.
Neomycin- inhibits the activity of pyogenic bacteria.
Nystatin- an antimycotic drug that acts against the causative agents of thrush.
Prednisone- has an anti-inflammatory effect.

Terzhinan is used for the treatment and prevention of diseases. Recommended for administration at night (before bedtime). In the case of using the product during the daytime, it is necessary to maintain a horizontal position for 20 minutes after insertion, to prevent leakage.

Vaginal suppositories contain potent ingredients that can affect a woman's hormones. The use of Terzhinan during gestation is allowed from the second trimester, but only after the appointment of the attending physician.

The cost of the drug is from 300 to 450 rubles.

Betadine

A powerful disinfectant based on povidone iodine. Effective against many bacteria, viruses and fungi.

The indisputable advantages of the remedy are:

Low cost (from 330 rubles), availability and the ability to use at any period of gestation.
There is no addiction to the components of the drug.
The complete absence of toxic effects on the body of a woman and a fetus.
Rapid elimination of disease symptoms, long-term effect.

The disadvantages of Betadine are considered to be inconvenient, difficult to open packaging and strict storage conditions (in a dry, cool place, protected from light sources). In addition, Betadine suppositories leak intensively after insertion and can leave stains on the sheets.

Despite the seeming safety of suppositories, Betadine should be used only as directed by a doctor, since the iodine in their composition can cause allergic reactions.

Macmiror complex

One of the most modern and effective means used to treat genital infections. Contains in its composition the antifungal component nystatin and nifuratel, which makes it possible to use the agent for bacterial vaginitis, protozoal infections, vaginal candidiasis.

The advantages of the tool are:

High efficiency even with chronic, advanced forms of genital thrush.
Low toxicity of the drug, no systemic action.
Lack of influence on the normal flora of the vagina, which reduces the likelihood of dysbiosis.
Possibility of use during pregnancy.
Rare side effects caused mainly by hypersensitivity to the components of the drug.

The weaknesses of the drug include its relatively high cost (from 700 to 900 rubles per package) and prescription dispensing in the pharmacy chain. During the use of Macmirora, sanitary pads should be used, since against the background of the therapy, discharge from the genital tract may increase.

Due to the sparing effect of the drug, during treatment it is permissible not to use specialized means to normalize the vaginal microflora.

Bifidubacterin

This drug is intended to restore the normal microflora of the vagina, it is recommended as part of complex therapy for vulvovaginal candidiasis.

Bifidumbacterin has the ability to alkalize pathological acidic environment vagina, which prevents the growth of fungi.

Gynecologists recommend using suppositories with lactobacilli 3 days after the start of therapy with antifungal agents. According to independent medical research, this allows you to speed up the healing process, eliminate unpleasant clinical manifestations associated with dysbiosis, and prevent the likelihood of re-illness. Treatment with suppositories Bifidumbacterin also allows you to restore local protective immunity and serves as the prevention of other inflammatory diseases of the genital tract in women.

If necessary, in the case of widespread thrush or with a fungal infection of the rectum, Bifidumbacterin suppositories can be used anally.

The cost of the drug is 70-80 rubles.

Preparations for thrush, prohibited during pregnancy

Despite the wide selection, availability and safety of drugs for candidiasis, there are drugs that are strictly prohibited from using during pregnancy. These include the antifungal medicine Fluconazole.

Vaginal use, especially oral administration of this medication during gestation, can lead to:

Miscarriage, stillbirth.
The formation of congenital heart defects in a baby, the most frequent and dangerous of which is Fallot's Tetrad.
The occurrence of anomalies in the development of the skeleton, cleft palate, cleft lip.
Pathological course and premature birth.
Increasing the risk of side effects (allergic reactions, toxic damage to organs and systems of the mother).

Fluconazole can be used only under strict indications, if the benefits of treatment outweigh the possible risks - with a high probability of generalization of the infection and the risk of damage to internal organs.

Many experts consider it advisable to use sparing antifungal drugs before childbirth for prophylactic purposes, even if there were no cases of candidiasis during gestation.

Treatment features

The diagnosis and prescription of specific therapy for thrush during pregnancy should be dealt with by a gynecologist. Self-medication can not only be ineffective, but also lead to the development of complications in the mother and fetus.

The features of the treatment of vulvovaginal candidiasis include:

In the first trimester, if possible, you should dispense with a specialized diet for thrush and careful adherence to personal hygiene (selection of suitable intimate gels, wearing natural fabrics, using gynecological pads).
It is extremely important to observe sexual rest, avoid excessive physical activity and stress.
In the early stages, preference should be given to topical agents (suppositories, creams) based on natamycin - Pimafucin, Natamax, Primafungin.
In the second and third trimesters, the list of safe drugs for thrush expands significantly. The attending physician may prescribe drugs such as Terzhinan, Betadine, Livarol.
During gestation, it is strictly forbidden to use systemic antimycotic drugs, since they have a toxic effect and can lead to severe malformations in a child.

Simultaneously with a woman, her partner should receive etiotropic treatment for candidiasis, since he can be a carrier of infection and cause re-infection.

) occurs from time to time in most women. It should be remembered that if you decide to treat these unpleasant manifestations, then you definitely need to treat thrush for both partners. And while taking medications, use condoms during sexual intercourse.

All drugs for the treatment of candidiasis are divided into systemic and local. Systemic, by which pills are meant, must be taken orally. They act primarily in the intestines, and then they penetrate the bloodstream and all tissues of the body. However, experts categorically do not recommend using pills for the treatment of candidiasis during pregnancy.

If you are pregnant and the doctor insists on, then most likely you will be prescribed local drugs, meaning different ointments, creams and, of course, suppositories. When carrying a child, it is the candles that are most preferable. Very often, for the treatment of candidiasis during pregnancy, the same drugs are prescribed as usual, but in the form of suppositories, for example, nystatin and. Sometimes it is also prescribed, but it should be noted that this medication is categorically contraindicated in the first trimester of pregnancy and is not very desirable in the subsequent.

For the treatment of thrush, specific antifungal drugs are also used. This is a solution of sodium tetraborate in glycerin and ordinary brilliant green. You should know that these solutions mechanically remove fungi from the walls of the vagina, and also stop their growth. The solutions also have an anti-inflammatory effect. The method consists in the fact that at night you need to wipe the walls of the vagina with a cotton swab dipped in a solution.

The main advantage of this method of treating candidiasis is that it does not have any side effects... Most often, it is the solution treatment method that is used in the early stages of pregnancy, when you cannot take any medications.

It should be remembered that candidiasis is a sign of immunodeficiency and if it cannot be completely cured, then this can be a sign of a serious pathology. In addition, thrush bacteria multiply more rapidly during pregnancy. It is very important to also include general strengthening immunomodulators in treatment. For example, during pregnancy, among such immunomodulatory drugs, rectal suppositories can be taken with.

To replenish the number of so-called "normal" bacteria in the body, it is permissible to take preparations of bifidobacteria.

All drugs, including suppositories, must be prescribed only by the attending physician. Indeed, the treatment should take into account all the features of the female body during pregnancy, including the tendency to allergies, the state of the kidneys and liver, and others.

In no case do not be unauthorized, it is very dangerous, especially for women during the period of carrying a baby.

It is best to treat thrush even before pregnancy, during the planning phase. But modern drugs and methods of treatment will help cure candidiasis with almost no harm to the baby, even if you have been diagnosed with thrush when you are already pregnant. Insist that your doctor prescribes local therapy for you and this disease can be cured within a week.

Especially for- Maryana Surma

From a guest

I inserted a Candide v6 candle and Viferon candles)) It helped a lot)) Before that, nothing helped)

From a guest

I don't have any symptoms of thrush at all. showed up after passing the analysis on the sowing tank, the doctor wanted to give candles from her bag, did not take. sat on the bgbq diet. Everything is okay.

From a guest

Ketodin-super candles helped me at 23 weeks

From a guest

My thrush appeared in the second trimester, I immediately went to the doctor, she told me to try pimafucin suppositories at the beginning. I bought it and came home, googled it and was upset, the reviews about it are not important. Well, I think I have already acquired it. I started lighting candles, and they helped me a lot. The itching has already passed in the evening. And by the way, the thrush did not recur later.