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What is gynaecological mycosis?

Gynecological mycosis, often referred to as vaginal candidiasis, is a common fungal infection affecting the vaginal area. It is mainly caused by Candida albicans, a fungus naturally present in the human flora, but which can cause unpleasant symptoms when it proliferates excessively.

What are the symptoms of gynaecological mycosis?

The most common symptoms include intense itching, a burning sensation in the vagina and vulva, and an increase in the thickness of vaginal discharge, often described as being similar to cottage cheese. Pain during intercourse and a burning sensation during urination may also be observed.

What causes gynaecological mycosis?

Several factors can contribute to the appearance of gynecological mycosis, including :

  • Hormonal imbalances: often observed during pregnancy, menopause, or due to the use of hormonal contraceptives.
  • Antibiotics: their use can destroy the bacteria that naturally regulate Candida growth.
  • Diabetes: high blood sugar levels can encourage Candida overgrowth.
  • Weakened immune system: this can make it more difficult for the body to control Candida growth.
  • Inappropriate hygiene: for example, excessive use of intimate hygiene products can disrupt vaginal flora.

How is gynaecological mycosis diagnosed?

Diagnosis can usually be made by clinical examination. The doctor may also take a vaginal swab to confirm the presence of Candida albicans by microscopic examination or culture.

What treatments are available for gynaecological mycosis?

Treatment is mainly based on the use ofantifungal agents. These can be administered as creams, ova or oral tablets. It's important to follow treatment as recommended by your doctor, even if symptoms seem to disappear quickly.

Can gynaecological mycosis be prevented?

To prevent the onset of gynaecological mycosis, it is advisable to maintain good intimate hygiene without excess, avoid douching, wear cotton underwear and limit the use of perfumed or irritating products in the intimate area. It is also advisable to manage underlying health conditions, such as diabetes, and avoid unnecessary antibiotic treatments.

How can I distinguish gynaecological mycosis from other vaginal infections?

It's essential to differentiate gynaecological mycosis from other infections, such as vaginal bacteriosis or trichomonas infections. Unlike mycosis, vaginal bacteriosis can cause a more fluid, foul-smelling discharge, often gray in color, and is not usually accompanied by such intense itching. Accurate diagnosis by a healthcare professional is crucial, as treatments differ significantly.

Can gynaecological mycosis recur, and how can recurrences be managed?

Yes, gynaecological mycosis can recur. In the event of frequent recurrence, it is advisable to consult a doctor, who may consider prolonged antifungal treatment or adjust other aspects of treatment. It is also useful to reassess personal risk factors and modify them if possible, to reduce the likelihood of new infections.

Can men be affected by Candida albicans?

Although less common, men can also suffer from Candida albicans infections, particularly in the form of balanitis (inflammation of the glans penis). Symptoms include redness, itching and sometimes a rash on the penis. Treatment involves the use of antifungal creams and, if necessary, treatment of the partner may be recommended to avoid mutual reinfections.

What impact does diet have on gynaecological mycoses?

Some experts suggest that reducing sugar and yeast intake could help control Candida growth, as this fungus feeds on sugar. Although there's no complete scientific consensus on the subject, maintaining a balanced diet rich in fruits, vegetables, lean proteins and whole grains can support a healthy immune system, essential for controlling infections.

Are there any effective natural remedies for gynaecological mycosis?

Although medical treatments are preferable, some natural remedies can provide additional comfort. For example, topical application of plain yoghurt (sugar-free, rich in probiotics) can help rebalance vaginal flora. However, these methods should not replace the advice and treatment prescribed by a health professional. It is always advisable to consult a doctor before trying alternative treatments.