Hello doctor,I am 21 weeks pregnant and have intense itching in the vagina. I assume this is thrush. It started two weeks ago. So, I used a pessary and cream and things improved. About five days later, it got worse again. So, I repeated the pessary and cream treatment. Things again improved but four days later, the intense itching is back. I did a self-test for bacterial vaginitis but this was clear. I have some clear white discharge. Itching is the main issue. Should I treat for thrush again?
Hello. The test to be done is the high vaginal swab culture test (HVS) which can help isolate the causative organism and then the treatment should be directed towards the cause. The presence of itching and white discharge per vaginam do indicate thrush, but you have to understand that in cases of recurrence you have to take a complete course of six days with Clotrimazole and Clindamycin (Clingen) vaginal pessaries and also can take Lactobacillus capsules to improve the local flora against infection inside the vagina. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Regards. For more information consult an obstetrician and gynaecologist online -->