What is the evidence of discharge during pregnancy? The main causes of leucorrhoea during pregnancy

So this wonderful moment has come in your life. Another heart beats in you, so during this period it is so important to pay as much attention to your health as possible. Absolutely any change can greatly scare the expectant mother. In order not to panic, you need to know what is the norm and what is pathology. Leucorrhoea during the period is not uncommon. Below in the article we will figure out whether this is the norm or not.

When is discharge considered normal?

If you have leucorrhoea, you don't need to panic right away. In girls during this period, the number of secretions increases, as a rule, they have an almost transparent color, while the woman is not bothered by concomitant symptoms such as:

• burning
• specific
• irritation on the genitals

Compliance with the rules of personal hygiene (regular washing, underwear should be made of cotton fabric, regular change of daily pads, i.e. every 4-6 hours) all this maintains the normal microflora of the vagina.

Discharge during gestation is a consequence of the appearance of a mucous plug in the cervix. Its main function is considered to protect the baby from infections and microbes that are in the mother's genitals. If such discharge does not have a pungent sour smell, then there is no cause for alarm.

In the event that you are still worried about this, you can seek advice from your gynecologist and take a smear.

In what cases is this a pathology?

Quite often, girls during pregnancy are faced with various pathologies that did not bother them before pregnancy. Among the often manifested, it is considered. What is the reason for its appearance? The answer to this question is simple. The fact is that during pregnancy, the female body begins to rebuild, and the immune defense begins to weaken, which creates a favorable environment for the development of pathology.

This disease is characterized by white cheesy discharge, which is somewhat reminiscent of thick curdled milk or cottage cheese. Do not self-medicate, especially during pregnancy. Basically, all pharmaceutical preparations for thrush are not recommended to be taken during pregnancy. diseases should take place under the strict supervision of a gynecologist.

In the last weeks of pregnancy, discharge of a white, almost transparent color may appear, this main feature approaching birth. If there is no pain in the lower abdomen or back, do not panic.

White, odorless, cheesy discharge

White, odorless, cheesy discharge occurs in women of absolutely any age. They indicate the development of infection, and they can also appear with more serious pathologies.

Vaginal discharge is considered normal if it white, no unpleasant odor and normal consistency. They lack blood or yellow clots.

Cheesecakes should definitely alert any woman, even if there is no unpleasant smell. It is not normal. They may indicate the presence of serious illnesses. Only a good specialist can identify them.

Read also:

Severe itching in the vagina: the main causes, classification and features of therapeutic treatment

The most common diseases:

As soon as you have the first signs of any of the above diseases, you should immediately seek help from a specialist. Only he, based on the test results, will diagnose and prescribe treatment.

Yellowish cheesy discharge

Typically, this discharge is odorless. This phenomenon occurs when microbes infect the area of ​​the appendages, uterus, or fallopian tubes.

In the acute course of the disease, in addition to discharge, the disease is accompanied by the following symptoms:

• fever
• pain in the lower abdomen
• general malaise of the body
• discomfort

Read also:

Consequences of ovarian resection, indications, operation process

If you do not turn to a specialist in time, the disease will acquire a chronic form that is difficult to treat.

In addition, such discharge also indicates a bacterial infection of the vagina, which could be transmitted through unprotected sexual intercourse. Then it is accompanied by itching, burning, a specific smell and redness of the genitals. And this is nothing but gonorrhea. The causative agent of the disease is bacteria - gonococci. Such a pathology during pregnancy can lead to infection of the fetus.

Infection can occur when a newborn passes through the birth canal of a sick mother. In this case, the eyes are affected in the baby, and the genitals in girls.

Self-treatment of this disease is simply unacceptable. This is fraught with the transition of the disease to the chronic stage and irreversible damage to the whole organism, as well as infection of the fetus. Disease therapy during pregnancy is no different from therapy in a non-pregnant state. The only difference is that girls during pregnancy do not do any manipulations on the cervix.

Green curdled discharge

In the event that you have a cheesy discharge that has a greenish tint, this may indicate an infectious disease such as trichomoniasis. The causative agent of this disease is vaginal Trichomonas, which is sexually transmitted. In the acute form, this disease is accompanied by the following symptoms:

• profuse vaginal discharge
• itching
• burning sensation
• acrid smell

In addition to the fact that this disease is sexually transmitted, it can also be infected through dirty bedding or through personal items: washcloths, towels. During pregnancy, this ailment is extremely dangerous and has its consequences.

With this disease, the risk of birth with abnormalities or the risk of early birth... Therefore, at the first signs of an illness, you should contact a medical institution as soon as possible. You should not self-medicate, only a good specialist can prescribe what is right for you.

Diagnostics

Only a doctor can diagnose this or that disease. At the same time, he assigns a number of studies:

• A smear on the flora from the vagina. As a rule, it is taken before a vaginal examination. take with a sterile cotton swab, after which the contents are applied to 2 glasses.
• Analysis for sexually transmitted diseases or STDs. Blood is drawn from a vein. The result will be ready the next day. Such a study will show not only the general condition of the body of a pregnant girl, but also indicate the development of one or another.
• Examination of a pregnant woman using a gynecological mirror. As a rule, sometimes patients cannot accurately describe their discharge, in which case such an examination is simply necessary.

In addition, an ultrasound scan may be prescribed for a woman. This study allows you to assess the condition of the placenta and various pathologies of the fetus.

During pregnancy, the female body undergoes various transformations, which manifests itself in completely different ways. So, the expectant mother may notice a change in the nature of vaginal discharge, which naturally leads to doubts - is everything in order with her health? Most often, women note curd discharge during pregnancy. Do they indicate the development of some pathologies or not? Let's try to find out.

What is the norm and what is not?

Vaginal discharge can change its consistency, color, and odor. This is due to the high production of hormones required for the full formation of the fetus, as well as a decrease in immunity, since the female body during this period works for "two". In this regard, the microflora in the vagina also changes, which creates a favorable environment for the active growth of opportunistic microorganisms.

As a result of all these processes, vaginal discharge can be profuse, stringy and have a slightly sour odor. But all this is considered normal, unless it causes discomfort in the lower abdomen or in the perineum.

According to doctors, normally secreted secretion from the vagina, regardless of whether pregnancy has occurred or not, should:

• Either be transparent or have a slightly yellowish tint.
• It resembles in its consistency mucus or water.
• Stand out in a small amount (no more than 1 tsp per day).
• Be invisible to the woman herself and not cause her discomfort.

In the absence of pathological processes, a change in the color, consistency and amount of vaginal discharge occurs mainly a few days before the onset of menstruation, during ovulation and during pregnancy, which is characterized by sharp jumps in hormones in the body.

Discharge during pregnancy, as a rule, is abundant and in its consistency resembles snot, which has a whitish tint. At the same time, they do not deplete any specific smell. But the appearance of white cheesy discharge cannot be ignored, since in the overwhelming majority of cases their appearance is associated with the development of thrush, which must be treated without fail.

Consequences

If, during pregnancy, a woman notices that vaginal discharge acquires the consistency of cottage cheese, begins to deplete a sharp unpleasant aroma and causes irritation of the labia, then this may signal the development of thrush.

By itself, this disease does not pose a serious threat to a woman's health, but it can cause many problems for both the pregnant woman and her baby after birth. Firstly, candidiasis is accompanied by a number of unpleasant symptoms that negatively affect the psycho-emotional state of the expectant mother. She becomes irritable and nervous, as she constantly experiences discomfort in the perineum.

Secondly, fungi of the genus Candida are easily transmitted to the child during his passage through the birth canal. What is it fraught with? The appearance of thrush in a baby after birth. Moreover, in girls, it often occurs in the vagina, and in boys in the mouth. Its development in children also manifests itself in the same symptoms as in adults, and therefore children with thrush are always capricious, eat and sleep poorly.

At the same time, the woman herself also begins to be very nervous and worry about her child. And excessive stress negatively affects the production breast milk... It simply disappears, and this does not lead to anything good. Artificial feeding does not allow providing the child's body with all the necessary micro- and macroelements, as a result of which immunity decreases and thrush acquires a chronic form, which is characterized by frequent relapses.

So, if a woman suddenly noticed a discharge, she should not hesitate. It is imperative to go to the doctor, even if there is no itching and unpleasant odor, since at the initial stages of its development, candidiasis can proceed without these symptoms. If she responds in a timely manner to the appearance of thrush and undergoes an appropriate course of treatment, she has every chance of avoiding the occurrence of health problems in her child in the future.

Reasons for development

Thrush is a disease caused by fungi of the genus Candida. They are found in the body of every woman and are part of the opportunistic microflora of the vagina. The vital activity of these fungi is constantly monitored by antibodies produced by the immune system. With a decrease in immunity (the reason for this is the transferred viral diseases, the intake of certain medications, etc.), candida goes out of control and begins to actively multiply, while changing the microflora of the vagina.

The hormonal changes that occur during pregnancy also affect the vaginal flora. The pH of the vagina (acid-base balance) changes, which leads to the activation of the growth of candida fungi. And in order to normalize it, it is necessary to take special medications, which only a doctor can pick up.

And if we talk about the reasons for the development of candidiasis during pregnancy, then the following should be highlighted:

• Decreased immunity, which is noted in women in the first trimester of pregnancy.
• Frequent colds viral diseases before pregnancy, which were treated with antibacterial drugs (they reduce the body's natural defenses and inhibit the growth of "beneficial" bacteria in the vagina).
• Chronic diseases of the digestive tract, genitourinary system and respiratory system.

As for the latter, thrush during pregnancy is often observed in women suffering from gastritis, bronchial asthma, diabetes mellitus, stomach ulcers, dysbiosis, etc.

Signs

Thrush, regardless of whether a woman is pregnant or not, always manifests itself in the same way. And the main symptom of its development is the appearance of white vaginal discharge. It should be noted that they should not be cheesy at all. In certain women, the development of candidiasis is manifested by the discharge from the vagina of an abundant white secretion, the consistency of which is similar to milk. But there are always other symptoms as well.

First is the smell. As a rule, with the development of this disease, a pungent smell of sour milk appears. Secondly, it is irritation of the skin on the labia. They turn red and swollen. When using personal hygiene products, there is a strong burning sensation. Thirdly, it is a constant itching, which only slightly becomes less pronounced after taking a hygienic shower.

At the initial stages of development of thrush, odorless discharge appears. They come out in small quantities and do not cause much discomfort to a woman. But as the disease progresses, the above symptoms appear. And if nothing is done to eliminate them, the clinical picture intensifies every day.

Green tint

White discharge, which has the consistency of cottage cheese, acquiring a greenish tint, is the most dangerous, especially if it exudes a specific odor and irritates the skin on the genitals. After all, the discharge of a greenish tint indicates the development of serious pathologies that require immediate treatment, for example, STDs or infectious diseases of the genitourinary system.

In this case, the woman is required to undergo a full course of treatment and it is desirable that it takes place in a stationary setting. Since in the treatment of such pathologies, strong antibacterial drugs are used, which can adversely affect the course of pregnancy and lead to spontaneous miscarriage or premature birth.

Diagnostics

Since discharge can appear not only with thrush, but also with other diseases that were mentioned above, before prescribing any drugs to a pregnant woman, the doctor needs to make sure of the diagnosis. For this, a smear is taken from the vagina, which is sent for bacteriological examination to the laboratory. Thanks to him, it is possible to identify the causative agent of the disease and its resistance to certain drugs.

Only after receiving the results of this study, the doctor prescribes treatment that helps the woman get rid of the disease and the symptoms that manifest it.

Treatment of candidiasis, STDs and diseases of the genitourinary system is carried out in a conservative way. All medications are prescribed on an individual basis, depending on the identified cause of the appearance of vaginal discharge.

If it is a thrush, then anti-fungal drugs are prescribed to eliminate itching and burning in the perineal region. In parallel with this, multivitamin complexes are used, which provide the body with the necessary amount of vitamins and minerals.

As a rule, anti-fungal medications in the form of ointments and gels are used during pregnancy. Medicines in the form of vaginal suppositories and tablets are used extremely rarely, since they have many contraindications and their use for medicinal purposes is not always possible.

Among the antibacterial drugs used to treat thrush in pregnant women, the most effective are:

• Flucostat;
• Clotrimazole;
• Diflucan.

The dosage and duration of these medications are prescribed individually. As a rule, their use within 5 - 10 days allows you to completely get rid of the symptoms of candidiasis. If the disease has become chronic, local treatment can be supplemented with oral agents. At each stage of pregnancy "own" drugs are used, which have the least effect on the development of the fetus.

In addition to medication, your doctor may advise you to wash with a soda solution. It allows you to get rid of itching and burning, and also speeds up the process of stopping the growth of fungi in the vagina, as it ensures the restoration of the alkaline flora.

In the event that a woman has been diagnosed with STDs or diseases of the genitourinary system, antibacterial drugs are used. They are also prescribed strictly on an individual basis and in combination with multivitamins and drugs that ensure the normalization of the intestinal microflora. This avoids the development of dysbiosis and other health problems after undergoing antibiotic treatment.

White discharge during pregnancy can cause great anxiety in a woman. There are several reasons for this kind of discharge. First of all, such discharge is directly related to pregnancy, since the body at this time carries out colossal work in preparation for bearing and giving birth to a child.

As doctors explain, with the onset of pregnancy, a mucous plug appears on the cervix, which prevents the infection from entering from the outside, in this regard, the discharge from a woman may increase slightly. In this case, the discharge is considered quite normal and should not cause panic in a pregnant woman. Natural secretions during pregnancy are mucous, transparent or milky white, without a specific odor. The discharge, in principle, bothers the woman, does not irritate the vaginal mucosa. Subject to personal hygiene, such discharge is almost invisible. Discharge after childbirth goes away on its own, without any additional treatment.

There may be an increase in discharge before childbirth. It is also a natural process that precedes childbirth. If the discharge occurs painlessly, then you should not worry about it, the time has not come for the baby to be born. But if a moderate transparent discharge is observed for several hours, most likely, water began to flow away, in this case it is better to go to the doctor right away.

Discharge that occurs against the background of fungal, bacterial or infectious diseases is considered a pathology. When this kind of discharge appears, you need to consult a doctor as soon as possible and start appropriate treatment. If the discharge has a greenish, gray (or any other) shade, an unpleasant odor - you need to consult a doctor and, if necessary, get tested. Such discharge is characteristic of yeast infections, bacterial vaginitis, trichomoniasis. Timely treatment reduces the risks of developing serious consequences for both the woman herself and her unborn child. Self-medication during pregnancy cannot be done, since in order to correctly determine the causative agent of the disease, it is necessary to take a smear and then carry out appropriate treatment, taking into account the woman's condition and the duration of pregnancy.

A pregnant woman must pay attention to the color, consistency, amount of discharge, so this will help in time to determine the pathological processes in the genitals. If the nature of the discharge has changed, the reason for this may be hormonal surges in the body, diseases of the reproductive system, infection, etc. The most common reason discharge in pregnant women is candidiasis (thrush). In this case, the discharge has curdled consistency, they are plentiful, with a beer smell. Also, the possibility of the development of other conditionally pathogenic flora of the genital organs is not excluded.

During pregnancy, cervical erosion sometimes develops, while a woman can observe discharge from a yellow to brownish tint. If symptoms of erosion appear, you must inform your doctor.

In pregnant women, discharge of a white or pinkish tint appears during the period when menstruation should have begun. The discharge is odorless and does not cause anxiety or discomfort. If, with such discharge, pain appears in the lower abdomen, you need to inform your doctor as soon as possible, since such conditions may indicate various pathologies ( ectopic pregnancy, spontaneous miscarriage, etc.).

Carrying a baby is the most wonderful time for every woman, but sometimes it can be overshadowed by discharge in early pregnancy or the next two trimesters. Gynecological infections now occupy a leading position among all female diseases... According to statistical studies, 75% of the examined women have various vulvovaginitis, of which 25% are of candidal (fungal) origin.

Pregnant women are more at risk of genital infection. This is due to the characteristic changes that occur during the period of gestation. How are all organs and systems rebuilt to preserve the baby?

Features of the body of the expectant mother

Immediately after conception, the corpus luteum of pregnancy begins to grow and become active. Until about 12-14 weeks, the latter releases in large quantities the hormone progesterone, which many gynecologists call the "pregnancy hormone". Progesterone is responsible for several important points necessary for the successful bearing of the child.

The woman's immune system regards the fetus as a foreign object and tries with all her might to get rid of it. To prevent this from happening, progesterone suppresses the activity of the immune system and prolongs pregnancy. The hormone also enhances the growth of mammary glands, improves blood supply to the pelvic organs, relaxes the muscles of the uterus, reducing its contractions, and promotes the accumulation of subcutaneous fat.

After 14 weeks, the corpus luteum undergoes reverse development, ceases to function and secrete progesterone. Further production of the hormone is taken over by the placenta. As the fetus grows, progesterone levels slowly drop and estrogen levels rise. Such hormonal fluctuations will certainly affect the microflora of the vagina of a pregnant woman.

Thus, the suppression of the activity of general and local immunity, a change in the level of hormones, the acidic environment of the genital organs, a lack of vitamins and minerals leads to an increase in the growth of some microorganisms and the disappearance of others.

The imbalance of microflora makes the vaginal mucosa most susceptible to any infection, which leads to the appearance of any pathological discharge during pregnancy, not only curdled discharge.

What can be the discharge

All discharge during pregnancy from the genital tract can be divided into normal (physiological) and inflammatory (pathological). Normally, the volume, color and consistency of vaginal secretions can change in every woman. Also, the discharge changes during the entire period of bearing the baby.

In the first trimester, a thin, thick white discharge may appear. As the level of estrogen in the blood rises, the discharge becomes thinner, its amount increases, which can cause anxiety in a woman. Accelerated rejection of the vaginal epithelium, constant maceration of the mucous membrane and skin of the external genital organs lead to an increase in the number of yeast-like fungi Candida, gardnerella, nonspecific coccal microflora.

All of the above factors contribute to the addition of infection and the development of colpitis, vaginitis, cervicitis in a pregnant woman, which is manifested by cheesy, foamy, yellow discharge or leucorrhoea of ​​a different nature.

Thrush can cause curdled discharge.

An interesting position of a woman contributes to the appearance of vulvovaginal candidiasis in 50-60% of cases. Almost every pregnant woman is familiar with the unpleasant cheesy discharge that appears with the increased growth of candida mushrooms. What is this microorganism?

These are yeast-like microbes that normally live in our body on the mucous membranes of the genital tract, gastrointestinal tract, and oral cavity. With the normal functioning of all systems, the absence of other diseases, fungi do not cause harm and are found in small quantities in smears in women. As soon as the slightest fluctuations in the level of hormones, acidity appear, vitamin deficiencies, somatic diseases occur, Candida, secreted from smears, immediately makes itself felt by a growth spurt. A candidal infection of the vagina develops with corresponding symptoms.

Thrush symptoms

As already mentioned, candida belongs to opportunistic pathogens. The woman's body is reliably protected from the growth of fungi by the presence of the following factors:

• Normal balance of the vaginal microflora (acidic environment pH 3.7-4.6; high number of lactobacilli);
• Local protection (mucosal epithelium produces lysozyme, lactoferrin, ceruloplasmin);
• General immunity (provided by phagocytosis, immunoglobulins, T-lymphocytes);
• A small amount of glycogen in the epithelium.

Ladies in position are not able to resist infection, since all three factors are significantly reduced. That is why curd discharge occurs so often during pregnancy.

Clinical signs cannot be confused with other diseases, as they are very specific. The pathogen forms special biofilms on the surface of tissues, with the help of which it protects itself from external influences. Many drugs, douching solutions irrigate only the surface film, without affecting the mushroom itself. The symptoms of inflammation diminish for a while, but then Candida recurs again.

Clinical manifestations of candidiasis:

• Abundant, odorless, cheesy discharge from the vagina;
• White plaque (due to films) on the mucous membrane, is difficult to remove;
• Severe itching;
• Burning sensation when douching, sexual intercourse;
• Drawing pains in the lower abdomen;
• Eroded mucous membrane under a white coating;
• Sometimes bleeding;
• Swelling and redness of the vulva;
• Frequent and painful urination (sometimes).

Thrush in pregnant women manifests itself in varying degrees of intensity. It depends on the state of the immune, endocrine systems, concomitant diseases, age, complications of the pregnancy itself, the number of fetuses, lifestyle, diet and other factors. Symptoms of the acute period of the disease last from a week to a month. They often disappear on their own. In some women, without treatment, clinical manifestations are delayed, in others, the infection becomes chronic with frequent relapses.

Interesting! Taking vitamins and using means (soap) for intimate hygiene significantly reduces the risk of thrush!

As a rule, exacerbations occur after sexual intercourse, when wearing tight synthetic underwear, frequent use of sanitary pads by a pregnant woman, inaccuracies in the diet (a lot of sweet, flour, spicy). After childbirth, in 80% of cases, the level of Candida decreases and voluntary self-healing occurs.

Complications of thrush

Fungal inflammation of the genitals during pregnancy is not the most dangerous infection, however, it cannot be ignored. Severe and neglected forms of thrush can lead to the most sad consequences for mom and baby.

Frequent complications of candidiasis:

• Early miscarriages (up to 12 weeks);
• Fading pregnancy;
• Intrauterine growth retardation;
• The birth of low birth weight children;
• Infection of the fetus and amniotic membranes in utero;
• Placental insufficiency, hypoxia;
• Infection of the baby during childbirth with the development of candidal lesions of the eyes, mouth, genitals, systemic candidemia;
• Postpartum endometritis.

As you can see, the lack of adequate treatment for vulvovaginal candidiasis can cost the health or even the life of the mother and child. To prevent this, when the first suspicious signs appear (cheesy white discharge and itching), you should immediately contact the antenatal clinic.

Diagnostics and treatment

It is quite simple to detect Candida albicans in the genital tract, you just need to come to an appointment with your gynecologist and make a general smear on the flora. Sowing will be ready the next day. The detection of a large amount of fungal mycelium in the vaginal discharge, as well as the corresponding symptoms, indicate the need for treatment of a pregnant woman.

There are cases of carriage when fungi are constantly found in smears, but there are no clinical manifestations and complaints. In this case, the doctor decides on the appointment of treatment, based on the anamnesis, the presence of previous gynecological infections, somatic diseases. Often, in addition to candida, other pathological microorganisms can be found in smears: gardnerella, cocci, gonococci, Trichomonas. Mixed infection requires a different treatment regimen.

If the infection is confirmed microscopically and on the basis of clinical signs, therapy can be selected. The pharmaceutical market is now overflowing with medications for treatment. Do not forget that pregnant women are a special group of patients that require careful selection of medicines.

Most tablets for oral administration (Fluconazole, Diflucan, Flucostat) are prohibited for pregnant women due to the negative effect on the fetus. Also, care is needed in the treatment of women in the first trimester, when there is a high likelihood of miscarriages, uterine tone.

Basically, gynecologists use local drugs to eradicate Candida (suppositories). Vaginal products are safe, not absorbed into the bloodstream and do not cross the placenta, are well tolerated, and side effects are rare. Many of them deal effectively with thrush.

Topical preparations

• Pimafucin. Available in the form of suppositories, cream and tablets for oral administration. Each suppository contains 100 mg of natamycin (an antibiotic against fungi from the macrolide group). The active substance is well tolerated, has practically no side effects, is not absorbed into the bloodstream when taken orally (it acts only in the intestinal lumen). Resistance of yeast-like fungi to natamycin does not develop. Pimafucin is approved for use in nursing, pregnant women. For the treatment of vulvovaginal candidiasis, suppositories are used (1 per night), tablets to eliminate the focus of infection in the intestine (1 tablet 3-4 times a day), cream for a sexual partner. The course of therapy is designed for 5-10 days. Pimafucin already on the second day significantly reduces white cheesy discharge during pregnancy.
• Neo-Penotran. Suppositories contain metronidazole (antiprotozoal agent) and miconazole. The drug can be prescribed in the second and third trimesters of pregnancy, one candle at bedtime for 7-14 days. The duration of treatment is determined by the attending physician. Sometimes there may be slight irritation, discomfort, burning after the introduction of suppositories. This side effect is temporary and does not require discontinuation of the drug.
• Terzhinan. The composition of vaginal suppositories: nystatin, ternidazole, neomycin, prednisolone. The complex drug is practically not absorbed from the surface of the mucous membrane, therefore, it can be prescribed in pregnant women, if it is really necessary. The course of treatment is up to 14-21 days.
• Clotrimazole. Vaginal tablets can also be used to treat thrush (except in the first trimester). It is advisable to combine treatment with douching with antiseptic solutions (chlorhexidine, malavit) for the best effect.
• Viferon

Important! The use of borax in glycerin for the treatment of vaginal candidiasis is not considered an effective remedy!

Baths and douching

For a more effective treatment of thrush, vaginal irrigation with solutions of antiseptic drugs (soda, potassium permanganate, chlorhexidine, miramistin and others) is prescribed. For this purpose, use a syringe. You can buy it at any pharmacy. The product must be boiled for 3-5 minutes before each use. The finished solution is poured into a pear, a tip is put on and the vagina is washed 2-3 times.

In this way, fungal films, curdled plaque, dead epithelium are well washed off from the surface of the mucous membrane. After douching, one of the candles mentioned above is introduced. The procedure is repeated 2 times a day for up to 7-10 days.

Baths differ from douching in that the solution is poured into the vagina and remains there for 10-15 minutes. This method is used by doctors in an antenatal clinic or a gynecological hospital. Irrigation is not recommended in the first trimester of pregnancy.

Lifestyle and diet

Particular attention must be paid to your nutrition, because it is so important not only for complete recovery, but also for the proper development of the baby. The thrush is very fond of glucose, therefore, chocolate, all confectionery, rolls, honey should be excluded for the duration of treatment. Candida also multiplies intensively when a woman eats spicy, salty foods. It is best to increase the amount of fruits, vegetables, cereals, herbs, berries. Do not forget about taking a multivitamin for pregnant women (for example, Elevit).

So, what not to do with cheesy discharge:

• Do not take a hot bath;
• Do not use the sauna and public pool;
• Do not use pads for a long time;
• Give up synthetic underwear;
• Sexual rest during treatment (obligatory sanitation of the partner's genitals);
• Avoid constipation.

After the course of treatment, you need to consult a doctor again for control tests. It is necessary to make sure that Candida has disappeared from the genital tract, otherwise re-inflammation may develop.

Why relapses can occur

Relapses of infection are often observed in pregnant women, which is associated with a weakened immune system, high level estrogen, lack of vitamins. But not only these factors cause exacerbation of thrush.

Reasons for recurrent candidiasis:

• Resistance of Candida fungi to treatment;
• Failure to comply with the therapy regimen (replacing the drug with another, shortening the duration of treatment, a small dose, interruptions in treatment);
• Re-infection (if the sexual partner has not been treated);
• The presence of another focus of infection, for example, in the intestine;
• Certain factors that are conducive to reinfection (features of carbohydrate metabolism, the work of enzymes).

Recurrent discharge during pregnancy, curd discharge can be treated with the same drugs, but it is advisable to use other means. It is imperative to sanitize the intestines of a pregnant woman, otherwise a new case of thrush cannot be avoided.

Preventive actions

Every woman is simply obliged to monitor her health, and future mom especially! It has long been known that preventing an infection from developing is easier than treating it. During pregnancy, you need to constantly listen to all new symptoms, be especially careful about changing the amount and nature of discharge.

There are several ways to reduce the risk of recurrences:

• Regular visits to antenatal clinics;
• Timely examination (smear for microflora, blood and urine tests, ECG);
• Consult your doctor, especially if you have discharge during early pregnancy;
• You cannot refuse the proposed treatment (the doctor will not prescribe drugs that negatively affect the fetus);
• Conscientiously follow all the doctor's recommendations;
• Maintain intimate hygiene, correct daily routine, rest more and eat right;
• Strengthening the immune system with vitamins, walking in the fresh air, eating fermented milk products.