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Vaginal Candidiasis (Thrush)

A vaginal yeast infection causing intense itching and thick white discharge

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Vaginal Candidiasis (Thrush)?

Vulvovaginal candidiasis (VVC) affects about 75% of women at least once in their lives.

Candida albicans accounts for 90% of infections; non-albicans species (C. glabrata, C. tropicalis) may show azole resistance.

Antibiotic use, high oestrogen (pregnancy, COCPs), uncontrolled diabetes, and immunosuppression disrupt normal flora and promote overgrowth.

Recurrent VVC (RVVC) is defined as ≥4 symptomatic episodes per year and requires prolonged maintenance therapy after culture-guided species identification.

Symptoms

Intense vulvovaginal itching
Thick white curd-like discharge (no odour)
Burning and redness of the vulva
Burning during urination (external dysuria)
Dyspareunia (pain with intercourse)
Vulvar swelling and fissures

Risk Factors

Broad-spectrum antibiotic use
Pregnancy or high oestrogen states
Uncontrolled diabetes mellitus
Immunosuppression (HIV, corticosteroid therapy)
Tight synthetic underwear and prolonged wetness
Vaginal douching

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • With the first episode of candida
  • If over-the-counter treatment fails after one week
  • With 4 or more episodes per year
  • During pregnancy with any vaginal infection
  • If diabetes or an immune disorder is present

Treatment Methods

01
Topical azoles (clotrimazole, miconazole) for 1-7 days
02
Oral fluconazole 150 mg single dose (contraindicated in pregnancy)
03
Induction and maintenance for RVVC: weekly fluconazole for 6 months
04
Boric acid vaginal suppositories for non-albicans species
05
Correction of underlying factors (diabetes control, antibiotic stewardship)
06
Lactobacillus probiotic support

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.