Candida in pregnancy

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Philippe Gloaguen
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Candida in pregnancy

Le vaginitis are a rather frequent problem in pregnancy: symptoms such as itching, intimate discharge and discomfort can indicate the presence of an infection in progress. Let's see how to prevent and how to cure candida in pregnancy.





Candida is caused by a very young mushroom, candida albicans, which can occur in different places on the body. This fungus is normally present in the human body but in the presence of some conditions such as immunosuppression, diabetes mellitus, prolonged antibiotic and corticosteroid therapies, stress, use of oral contraceptives and pregnancy, it can multiply abnormally, giving rise to ainfection.

L'Candida infection it is very common in asymptomatic women of childbearing age and about 75% of women develop Candida vulvo-vaginitis at least once in their life.

The main risk factors for the development of candida include:

  • the use of detergents-douches
  • administration of antibiotics that alter the normal vaginal flora,
  • diabetes,
  • pathologies with immunosuppression,
  • the administration of immunosuppressive drugs,
  • the use of oral contraceptives
  • the pregnancy itself.

During the pregnancy la vulvovaginal candidiasis it can be quite frequent - it is estimated that it affects one third of pregnant women - mainly due to the changes that occur in the epithelium of the vagina and the alteration of the pH that normally occur during the gestation period.

Symptoms of candida in pregnancy

L'candida infection it manifests itself very clearly to the point that most women are able to recognize them clearly and distinguish candida from any other vaginitis of any other nature.



The symptoms are:

  • intense itching,
  • leucorrhea (whitish discharge similar to cottage cheese),
  • heartburn when urinating,
  • vaginal erythema.

Is Candida in Pregnancy Dangerous?

La candida certainly represents a nuisance for the woman because of her symptoms that cause a lot of discomfort but in pregnancy the biggest concern women express is eventuality danger of infection to the fetus. In reality, candida itself does not cause damage during gestation, it does not cause malformations or complications to the woman or the child, but must be treated before delivery.



As AIFA recalls, extremely rare cases of spontaneous abortion, chorioamnionitis and fetal infection have been reported, but these are rare cases. The most important thing is to treat her before giving birth.

Also read: Urinary tract infections in pregnancy

Candida during childbirth

If the pregnant woman has a candida infection and gives birth vaginally, there is a real possibility that transmit the infection to the child: in practice there is a high risk that the baby at the time of delivery can catch the infection by contact and develop candidiasis of the oral mucosa which in the infant is called thrush.

Precisely because there are these risks, the woman is regularly subjected to gynecological examinations by her doctor and the classic symptoms of candida should be immediately reported to the gynecologist so that she can cure the infection in a timely and effective manner.

La therapy for candida in pregnancy consists of the traditional one: topical products (candles, ointments, ova) or systemic therapies in the most resistant cases.

Candida in early pregnancy

Among the main symptoms of the first weeks of pregnancy there are precisely losses vaginal whitish. It is a completely normal phenomenon which does not indicate an infection in progress but which can cause some concern and questions in the woman who discovers she is expecting a baby.

When to be alarmed? If together with the leucorrhea the other symptoms of candida also manifest themselves as intimate itching and discomfort. Furthermore, the losses related to candida have a consistency similar to ricotta and are whitish, while the physiological losses of pregnancy have a more fluid consistency and are white-transparent.

How to prevent candida in pregnancy

Candida can occur as a result of particular conditions and during pregnancy some factors, as we have said, can favor its onset: stress, impaired immune system, changes in vaginal pH and hormonal changes typical of the nine months of gestation can increase the risk that a candida develops.
However, we can implement some precautions aimed at reduce the risk:

  • follow proper supply limiting fermented products (yeasts) and carbohydrates, alcohol, sweets, cheeses and excessive amounts of sugars,
  • wear a clothing comfortable: baggy pants, avoid tight jeans, tight tights and leggings and use cotton underwear avoiding synthetic ones,
  • use the right products fordaily intimate hygiene: in order not to alter the vaginal environment, it is advisable to use non-aggressive intimate cleansers. In particular, the most suitable products for intimate hygiene have a slightly acidic pH (from 3,5 to 5,5) which respects the natural one of the vaginal environment. Be careful not to overdo the washing, avoid washing that can alter the vaginal balance and washing from the vagina towards the anus and not vice versa in order not to transfer bacteria and other microbes,
  • avoid as much as possible stress and unnecessary tension, rest and relax because stress can negatively affect the immune defenses and alter some functions of the organism, favoring the development of infections.

Natural remedies for candida in pregnancy

Among the natural remedies, the calendula. Known for its countless virtues, it boasts anti-inflammatory and antiseptic effects: 30 drops of mother tincture in a bidet of warm water are enough to relieve burning and itching.

However, we remind you that candida in pregnancy must be treated in a timely and appropriate manner and therefore it is essential to contact your doctor to immediately start a adequate therapy.

Therapy can generally be of two types. In the first instance, drugs are used for topical use: topical antifungals such as Clotrimazole, Miconazole, Nystatin, Econazole, Ketoconazole. In more resistant and refractory cases they can be treated with antifungals systemic such as Ketoconazole, Fluconazole, Itraconazole, although systemic antifungals should be taken at the indicated dose and for a short period of time.


 

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