Q: Doc please am pregnant and in my second trimester, before being pregnant. I was having candida .So i complain to my doc and was given gyno-daktarin pessary to insert for three days. After the insection i don’t discharge like first and the itching has stop too. Want to know if it can affect my babies, because since it’s an infection
A: Hello dear, thanks for writing in.
Candida infections occur when the fungi which live normally in the vagina overgrow and cause an infection. Usually, there is yeast (fungi) in the vagina and they generally mind their own business until something comes along to disturb the peace of the environment. This disturbance can be in the form of abuse of antibiotics (which kills off the good bacteria that hold the fungi at bay causing them to take over and overgrow the environment) or even in pregnancy (where the estrogen hormone produced in pregnancy messes with the normal order of co-existence of fungi and bacteria, again, allowing the fungi to take over). Other conditions associated candidiasis include Diabetes Mellitus, disorders of the immune system, use of oral contraceptives, the hormonal changes associated with menstrual cycle etc
In pregnancy, the decrease in tolerance to glucose which may occur, also means that the vagina has a rich supply of sugar which encourages the fungi to grow and multiply as they love the dark, warm, moist and rich environment 😀
How can this be prevented? Trust me, I’m not going to suggest not getting pregnant LD There are things you can do to reduce your risk of this infection. They include:
• Wear cotton panties instead of tight fitting nylon panties.
• Always wipe from the front to the back, after using the bathroom
• Do not use perfumed personal care products like sanitary towels, tissue etc
• Do not spray perfumes in your genitals and avoid perfumed soaps
• Change out of wet swimming gear as soon as possible
Now, this infection can be treated using oral drugs (tablets to be taken by mouth) but these are not recommended during pregnancy and breastfeeding. Vaginal pessaries and creams are better bets in pregnancy. However, because of the very small possibility of hurting your cervix (the neck of the womb), it is advisable not to use the applicator to administer the pessary. Instead, use your finger to insert the pessary. It may be necessary to continue the drug application for about 6 days as opposed to the shorter 3 day course. Your doctor will advise on duration.
Now that you are done with treatment, you need not fear about infecting your baby. However, even if you do have it when having your baby, yes, there is a possibility of baby being infected while passing through the birth canal, but it is very easily treated. In babies, this usually manifests as white patches on the roof, sides of the mouth and tongue, too. Your baby’s paediatrician will prescribe an anti-fungal medication. Please note that babies can have this condition known as oral thrush, even if their mums did not have vaginal candidiasis/thrush.
For more on candidiasis, please click on the following links:
Have a good night, y’all 😀