GP says it's thrush - is it?
October 20, 2008 7:09 AM   RSS feed for this thread Subscribe

The doctor says I have thrush. Five pessaries or so later, it hasn't gone away. What;s going on?

I've been having thrush-like symptoms since being given antibiotics for cystitis a few months ago - a bit of soreness during sex, discharge, yeasty smell. I;ve been given oral tablets, pessaries and creams; I'm doing all the things one should do to prevent it, and it's not going away. The doctor took a swab and said it was thrush, so why won't it work? Recently it's got worse - more itching, vinegary smell, yellowy discharge, vulva very tender to the touch (eg wiping after the loo) and when I had sex it felt like I'd been ripped inside for hours afterwards. It's driving me insane and bipolar meds make sex an odd area enough! I've had thrush before (antibiotics seem to bring it on) but it wasn't this bad. What to do, other than go back to the doctor and be given yet more pessaries?
posted by anonymous to health & fitness (9 comments total)
I'd get a second opinion from a different doctor -- ask him to check whether there are OTHER things it could be.

I had something similar happen to me -- I once self-diagnosed myself with thrush (I'm assuming that's what the U.S. term "yeast infection" translates to) and took the over-the-counter remedies for it, and they weren't doing anything. So I went to a doctor who ran a couple tests -- I actually tested negative for thrush. But I tested positive for something completely different. The symptoms were very, very similar, and it was only when you ran the tests that it would have been possible to figure out, "oh, I see!" It only took a weeks' worth of the PROPER medication to take care of it.

If the second doctor also says it's thrush, though, it may just be a stubborn case...you say you've done certain things to prevent it, but you don't elaborate, so forgive me if I mention a couple things you've already tried -- I just have found that they work for me. I also used to get thrush a lot, but since I started doing these two things I haven't had a single case, and it's been five years now.

1. If you use a lubricant during sex, make sure that it does not have glycerin in it. Glycerin is a form of sugar, and thrush just thrives on sugar -- I had been using a lube that had glycerin in it, and realized that in essence I was opening up a nice little all-you-can-eat restaurant for thrush on my person. Unfortunately, many of the most popular kinds of lube use glycerin. But they're starting to make more and more kinds of lube without it now, for precisely this reason; if you cut out the glycerin in your lubes, that should make a big difference.

2. Yogurt is your friend. The more "natural" the better -- they make yogurt here in the U.S. that is just one step away from being pudding, it's got so many sweeteners and artificial ingredients in it; but if you go for the more natural kinds with the good bacteria in it, that helps a lot as well. Some people try to actually insert the yogurt into their nethers, but I just eat it -- the good bacteria find their way to the right place eventually.
posted by EmpressCallipygos at 7:27 AM on October 20, 2008 [1 favorite]


Thrush is a bitch to get rid of, so I could see a persistant case hanging on and driving you crazy.

But yeah, a second opinion wouldn't hurt.
posted by unixrat at 7:32 AM on October 20, 2008


Doesn't sound like a yeast infection to me. Are you itchy? Since you didn't mention it, and since yeast infections are INSANELY itchy, I'm presuming you're not. Also, yeast infections don't usually smell of anything, let alone vinegar. Back to the doctor with you (and possibly to a different one).
posted by Hildegarde at 8:00 AM on October 20, 2008


Has your partner also been treated? Both men and women can get thrush and it's possible to keep passing an infection back and forth between partners if both aren't treated.
posted by weebil at 8:36 AM on October 20, 2008


Definitely go back to the doctor.
posted by micawber at 10:04 AM on October 20, 2008


I'd find another doc. You might have bacterial vaginosis, and not a yeast infection/ thrush.
posted by fairytale of los angeles at 10:04 AM on October 20, 2008


Get an HIV test
posted by hworth at 11:12 AM on October 20, 2008


Yes, go to a different doctor. Also read this page from the Mayo Clinic on Vaginitis. There are a number of different things that you could have and from what I've heard (IANAD), it is not uncommon for people to be misdaignosed with a yeast infection (thrush).

You could also try the Symptom Checker.
posted by triggerfinger at 11:18 AM on October 20, 2008


You may need to help yourself with a candida diet, especially if you eat a higher carb diet or drink regularly.
posted by Dreama at 11:58 AM on October 20, 2008


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