Lily of the valley or candidiasis during pregnancy: specifics, risks, and treatment

According to statistics, up to 90% of women suffer from thrush during pregnancy, especially in late pregnancy. This condition, known as candidiasis, is caused by a fungus of the genus Candida, most often Candida albicans. Normally, these microorganisms are part of the vaginal microflora, but in small numbers. Under favorable conditions, such as during pregnancy, they can multiply actively and cause discomfort and inflammation.

Causes of thrush in pregnant women

Hormonal changes are the main triggering factor for thrush. The hormones necessary for the proper course of pregnancy promote the growth of the fungi. Additionally, during pregnancy, the body's immune defenses naturally decrease, which promotes the development of candidiasis.

Natural conception and IVF: differences in risks

Candidiasis can occur during both natural conception and assisted reproductive techniques. In a natural pregnancy, candidiasis primarily develops due to general hormonal changes and weakened immunity. In in vitro fertilization (IVF), especially during IVF with egg donation, the body is subjected to more pronounced hormonal stresses that promote the growth of pathogenic microflora. In women undergoing double donation protocols, the risk increases due to complete external control of the hormonal context and often associated factors: obesity, diabetes, frequent antibiotic use, and others.

What is the danger of thrush during pregnancy?

Thrush itself does not pose a threat to the fetus and does not lead to miscarriage. However, it causes significant discomfort in women and can lead to complications during childbirth. If it persists or is left untreated, the vaginal walls can become inflamed, their elasticity decreases, which increases the risk of tearing during childbirth and delayed healing.

A more serious consequence is the development of bacterial vaginosis against the backdrop of chronic thrush. This condition is associated with an increased risk of premature birth and intrauterine infection of the fetus.

Symptoms of thrush during pregnancy

The signs of candidiasis can resemble those of other vaginal infections, highlighting the importance of accurate diagnosis. The most common symptoms include

• White or white-yellow discharge (curdled or liquid);
• Foul-smelling and sour losses;
• Intense itching and burning in the vaginal area;
• Painful urination.

The diagnosis should not be made alone - it is necessary to consult a gynecologist and perform swabs and laboratory tests.

Treatment of thrush during pregnancy

The treatment of candidiasis in pregnant women is done with caution. Only local preparations are allowed: vaginal suppositories and creams safe for the fetus. The choice of medication depends on the duration of the pregnancy and the patient's condition and is made exclusively by a doctor.

General recommendations during treatment

• Sexual rest during treatment;
• Wearing only cotton underwear;
• Avoiding daily hygiene pads or changing them frequently;
• Avoiding thongs;
• Excluding sugary drinks and sugar - they promote fungal growth;
• Enriching the diet with fermented dairy products, vegetables, and fruits;
• Scrupulously following the doctor's prescriptions.

Timely screening and treatment of thrush can prevent complications and preserve the health of both the mother and the unborn child. Even if candidiasis seems to be an insignificant problem, it should not be ignored, especially during such a crucial period as pregnancy.