Menopause Matters Forum
Menopause Discussion => Postmenopause => Topic started by: Midnight Shadow on November 09, 2024, 12:01:23 PM
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Sorry, I have already posted this but in the wrong section. I have had a really good few months after last years 7 months of thrush and on the treatments of Fluconazole and Canisten which my strain of thrush was resistant too. Anyway, it would appear I have got heavy yeast again. Last time I cleared it up with three weeks Boric acid pessaries. I have used a fortnights boric acid pessaries but the swab has come back still got heavy yeast. Can't speak to a doctor until Monday, so a weekend of worrying. I know it isn't life threatening, but it is a real pain. Used a Boric Pessary last night and within 3 hours I was in pain. Hoping that is the die off as somebody mentioned last time. Another doctor said to stop using the estriol cream as this could have caused the thrush so am now only using the vagifem. I know vagifem can cause thrush too. I am wondering if I haven't inserted the boric pessary high enough, not easy when they don't come with an applicator. Your replies are appreciated.
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U could have continued with your other thread as people had responded, otherwise both will become lost!
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Sorry to hear you're suffering again. Not sure how big the boric pessaries are but could you use the Estriol cream applicator, that's quite big? Break one up and put the pieces in the applicator if it's too small.
It could be die off pain, hopefully.
Are you able to use Clotrimazole pessary with boric acid? Did you use these with some success last time, I can't remember. Have they diagnosed the strain this time, could it be the common one this time and fluconazole may do the trick? You can get both treatments on line from Amazon now really cbeap and usually next day delivery.
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Let us know how you get on.
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Thank you for responding Deirdre. The Boric Acid Pessaries are quite small and smooth rather like a capsule. It just melts inside when inserted. Clotrimazole didn't work last time. I am pretty certain the estriol cream has set it off this time.The Doctor did prescribe a Fluconazole tablet. The strain has not been diagnosed, but symptoms are exactly the same as last time. Hopefully last night was the die off period. Not been so bad today so pleased about that. Don't think I have been inserting the Boric high enough hence me still having thrush. Hopefully the Doctor will let me do another week to a fortnights Boric to really shift it. Hope you are okay.
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If it's working ........ do U have to get the treatment on prescription?
:bighug:
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The fact you're feeling a bit better is a good thing. Perhaps try inserting whilst squatting , that kind of lowers the uterus foward and the cervix, better than lying down or standing. If the tablet melts I'd have thought it would spread everywhere and much better than the hard chalky pessaries that don't melt and go all crumbly. You can get a canesten soft gel pessary too now.
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:o. Canestan had me sitting in a cool bath for hours :o :o
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I'm same, can't use the pessaries, just burn like hell. I have to use the oral tablet.
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Just spoken to a senior lady Doctor who suggested I try the Canisten Pessary and cream. I sent a message back to see if It would be more beneficial to carry on with the Boric Acid Pessaries. Anyway, to cut a long story short she has contacted the hospital where my swab went and they have agreed to culture it for a little longer to find out what strain of thrush I have and to find out the sensitivities. Hooray!! I might get the correct treatment. After 7 months on the incorrect treatment last year she agreed I don't want to go through that again. Such a relief to be getting somewhere. I'll keep you posted. Thanks for all your support.
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Tnx for the update, at last a medic who actually listens and believes!
How R U feeling overall?
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Thanks CLKD yes a Doctor that actually listened. I am not feeling too bad today. Sure inserting the Boric higher is helping. At least I feel I am now getting somewhere. Will keep you posted once the strain has been identified. Thank you for your concern.
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:bighug:
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Good you've got a doctor that understands the importance of getting the correct treatment and hopefully get this sorted quickly now.
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Thanks Deirdre, quite right good that the doctor wants the right treatment for me. Feel somewhat relieved now. Thank you for your concern.
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Had results back from the swab test cultured at the hospital on the doctors request. It would appear the strain is still Glabrata. Apparently, a difficult strain to treat. Trust me to get that particular strain. The doctor has said to continue the Boric Acid pessaries as this is the best treatment for Glabrata. I am having better days, but last night was aching most of the night. Still one Boric pessaries to use tonight and then I might try another weeks worth like I had to last year, then do twice a week. I now use vagifem in the morning every other day. Ceased using the estriol cream as it may have been that that caused the thrush. Pleased I kept a diary last time because symptoms and days when I ache are pretty much the same. Hopefully this will all soon be over. Thank you for all your responses, makes one feel I am not alone in this journey. Take care everyone and have a nice day.
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I would think that any medication inserted into the vagina is likely to activate thrush rather than a specific product. When I had a couple of bouts years ago the itch was so high up that I was unable to reach in to scratch!
Did the Doctor give any idea as to why this strain is 'difficult to treat' and is there a support group? Is it known where abouts in the digestive tract this yeast is likely to be hanging around - ........ if the Boric Acid pessaries are working, use them for as long as necessary. As with VA treatment ?
I feel for you I really do! Chronic conditions are so limiting and tiring. :foryou: :foryou:
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Thanks for responding CLKD. Yes quite agree anything inserted into the vagina is likely to activate thrush. Fortunately, I haven’t itched with this strain of thrush so grateful for that. Will have a look for a support group. I have read that it is one of the difficult strains to treat and heard from members of the Atrophy site on Facebook, that they have found it difficult to treat. Glabrata thrush is resistant to the usual thrush remedies. Still eating live yoghurt, in fact I eat very healthily. Will carry on with the boric pessaries until it clears. Like you say conditions like this are very tiring. Thanks again for your support, it is much appreciated.
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Are you taking any additional oestrogen as I have certainly had the worst Candida flares when either had natural oestrogen spikes or tried estradiol replacement?
This explains more:
https://pmc.ncbi.nlm.nih.gov/articles/PMC8755443/
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Thank you for responding. I am using vagifem every other day all though I can use it more regularly if needed. Have been advised to stop estriol cream as thought it might have caused the thrush. May I ask, did your Candida flares cause pain? I seem to have better days, but last night barely slept. Slept like a log the previous night. Not sure whether it is an Atrophy Flare or pain from the yeast infection. Hoping it is just an Atrophy flare. Having to be so careful what I eat had some cooked pepper yesterday and a little spicy sauce. Probably a big mistake. Hope you are okay now. Thanks again.
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I had thrush and systemic Candida/SIBO which affected my digestion and mood quite badly. Yes there was pain and I had thought at one point that it was atrophy but the oestrogen topicals all made it worse.
Although Canesten and Fluconazole helped, stopping the oestrogen made the thrush go away completely (which I also agree was not the thick white discharge I occasionally had when younger).
I am still tackling the systemic yeast but have been on Utrogestan only for a week and it seems to be having quite an, unexpected, dramatic effect on reducing the symptoms (of which there are many). Progesterone creams helped but perhaps oral and stronger is why this may be more effective.
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Thanks for responding Dangermouse. I am a little better at present, after a bad night. I am taking Oral Kliovance daily and have done so for several years. Mine hasn't been the thick white discharge either plus I haven't itched. At least I am on the right treatment now with the Boric. Last year I was 7 months on the treatment which my thrush was resistant to. Let's hope we both get some relief very soon.
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Glad you have some relief!
Yes, no itching for me either which is why I assumed BV or atrophy - for which those treatments made worse.
My mum doesn’t remember having menopause symptoms but I do remember my Dad taking her to A&E with extreme thrush symptoms that were so bad they assumed something serious was wrong.
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Thanks again for responding. My mum who is now 97 and still very able didn’t suffer any menopause symptoms not even a hot flush. Funny how we are all different. I have decided I am coming back as a man or a dog. Take care.
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I would like to return as a cat, knowing my Luck I'd be an Alley cat :D. As a complete aside, I spent 3 hours last night watching videos of cats/dogs doing silly things ::). Cant' remember how I got there either :-\