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Recurring itchiness over vagina, monilia infection, pap smear showed class | smear, had taken oral medicine, pessaries

pap smear report show class I smear but got monilia infection detected what should i do now ? before pap smear result receive, doc prescribe oral medicine and pessaries for the itch recover for 2 weeks now the itch is back again but not everyday like 3 to 4 days stop then suddenly itch what should i do now ? see another doctor to get medicine or what? this problem keep coming back why is it so ?
Asked On : Sun, 10 Jun 2012
Answers:  1 Views:  256
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General & Family Physician 's  Response
Monilia infection is called as thrush
Thrush is an infection caused by a yeast fungus called Candida spp. Small numbers of Candida spp. commonly live on the skin and around the vaginal area. These are usually harmless. The immune system and the harmless bacteria that also normally live on the skin and in the vagina usually stop Candida spp. from thriving. However, when conditions are good for Candida spp., numbers multiply and may invade the vagina and cause symptoms.

The conditions most liked by Candida spp. are warm, moist, airless parts of the body. This is why the vagina is the most common site for candidal infection.   treatment options for vaginal thrush?
Topical thrush treatment
These are pessaries and creams which you insert into the vagina with an applicator. They contain anti-yeast medicines such as clotrimazole, econazole or miconazole. Commonly, a single large dose inserted into the vagina is sufficient to clear a bout of thrush. However, you may also want to rub some anti-thrush cream on to the skin around the vagina (the vulva) for a few days, especially if it is itchy. 
In oral preparations
Two options are available. Fluconazole, which is taken as a single dose, or itraconazole which is taken as two doses over the course of one day. You can get these treatments on prescription, and you can also buy fluconazole without a prescription from pharmacies. 
Avoid wearing tight-fitting clothing, especially clothing made from synthetic materials. Loose-fitting, natural fibre underwear may be better.
Avoiding using perfumed products around the vaginal area, such as soaps and shower gels, as these may cause further irritation.
Male sexual partners do not need treatment unless they have symptoms of thrush on their penis. Symptoms in men include redness, itch, and soreness of the foreskin and the head (glans) of the penis. Women do not catch thrush from men who have no symptoms.
Answered: Sun, 10 Jun 2012
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