Recurrent Vulvovaginal Thrush

Finances and work

The people we spoke to had different financial and work situations. Recurrent thrush could have financial impacts including having to spend money on over-the-counter medication, off the shelf treatments, or prescription charges (for those living in England, who were not exempt) as well as those who decided to use private health care, or who found it hard to work. This section covers:

  • Medication costs
  • Additional expenses
  • Accessing private health care
  • Impacts on work

Medication costs

Over-the-counter medication for thrush could be expensive. Buying tablets, pessaries, and creams repeatedly added up over time.

Billie said that if she did not have a medical exemption card, recurrent thrush medication would “cost a fortune”.

Billie said that if she did not have a medical exemption card, recurrent thrush medication would “cost a fortune”.

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Yeah, I mean it was... I could say financially if I didn't have my medical exemption card it would cost a fortune to go and get prescriptions, alongside all the other medications I'm on as well, you know, and I can imagine that that really stacks up for a lot of people if they are constantly getting... like you're always having to go back to a GP, and especially with the hikes in prescription charges, and the assumption that just because it’s something that when... well, some people get on kind of a short-term basis, there’s no allowances for recurrent thrush in terms of the prescription charges, so like you'll just have to pay whatever it is now, like £9.85, every single time you go, and if like you say you know if you're getting anything between five and 10 times in 12 months, I mean like it’s so much money, so yeah, if I didn't have a medical exemption card it would cost me a fortune, and especially in a current you know cost of living crisis, I imagine that they may make some people choose between being able to afford a prescription and being able to afford food, which should not be... that should not happen.

Leah said that buying the treatment over-the-counter “costs me an absolute fortune to get the... to get the pessaries and everything, because in the... in the UK they’re about £15, and then the cream’s about £8, do you know what I mean, it’s... it’s expensive?”. Aditi said the medication costs were “very high” and KJ would like to see cheaper over-the-counter options be available.

Prescription medications, while more affordable, could still be costly for those who were not exempt from the payment. Anna said about prescription charges: “I dread to think how many £8s I spent over 10 years”. Beth Sarah estimates spending over £2,000 before getting on longer-term prescription.

Some participants were frustrated about having to spend money on thrush medication instead of other expenses. Imogen said “it’s something I hate already, and don’t want to talk about, and I have to spend money on it”.

Sasha said that spending money on recurrent thrush meant she was unable to do other activities.

Sasha said that spending money on recurrent thrush meant she was unable to do other activities.

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Yes, it’s so expensive. For example, you can go to the pharmacy, I think the cheapest you can get is I think from £9, when you’re getting this medication, and I think the most expensive I bought was... I think it’s slightly over £16 now, £18, I think this is the gel where you apply it I think with an application inside, I think that was one of the most expensive that I’ve bought, and even when I was checking on the shelf, there were some pills, and I think they were about 30‑something pounds, or something, 40‑something pounds, so it’s... you end up just buying, so it means that probably during the course of the year, I’ve spent over £200 trying to deal with this issue, so it’s... it’s very expensive. I can’t do the things that I like and wanted to do on that day because probably I’ve spent already £20 just on this medication, yeah, so it does affect my social life as well, and my mental health.

Some people discovered that it was cheaper to get a prescription from the GP, especially if more than the single tablet was prescribed. However, for a single-dose, some people said the price different was minimal.

Julia preferred to pay for over the counter treatment instead of waiting a week for a GP appointment to get a prescription (read by an actor)

Julia preferred to pay for over the counter treatment instead of waiting a week for a GP appointment to get a prescription (read by an actor)

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It’s a tenner, it’s still a tenner. But it’s not... like you said, it’s not a viable... like I don’t feel it’s a viable option because I suppose by the time you get to see a GP, like over a week later, and it’s just what you... [sighs] do you... don’t want to sit with it for a week, so it... the... the cost difference is marginal, £3 between a prescription and a... and buying it over the counter, but the difference is if you’re going to get a GP you’d have to wait forever and you’d have had it for a week by then, whereas if you just go and buy it at the pharmacy, it’s really good, you can get it at the pharmacy full stop, isn’t it? And if you get it from a pharmacy then it’s... you can get it that day, can’t you?

Financial hardship or unstable income made it difficult for some people to afford medication.   Jody could not financially afford to keep purchasing medication every month. Rowan did not have a stable income and said it was a stressor and consideration in the treatment she sought.

Financial hardship led Chloe to delay treatment until a significant flare-up happened.

Financial hardship led Chloe to delay treatment until a significant flare-up happened.

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I was doing the things as much as I could to kind of prevent... to prevent it coming on because I knew that as soon as I went to the doctor’s, every time it would be: “Well, have you done this, are you doing this, are you using scented this, are you using scented that?” and it’s: “No.” So I kind of use those because again obviously I can’t afford to be buying the Canestens and the fluconazole on a regular basis, and I... so I always seem to have it to a degree, like at least once a month I’ll get the symptoms, which I don’t tend to treat anymore if it’s... I’ll just kind of put up with the little bit... bit of an itch and do the wiggle on my chair and what have you, and maybe put a liner on, but every couple of months I’ll have like a really bad flare-up where I’ll go and buy some... like a full duo, so I’ll get the cream and the thing, and one way that I know that I’ve definitely got it as well is because the... the cream tends to really sting when you put it on, so... yeah.

The price of recurrent thrush medication could impact how and when people used treatment. Some people chose to delay treatment or try cheaper alternatives. There were concerns that over-the-counter thrush medication had become more expensive over time, with Ella noting a rise in cost for a smaller tube of cream.

Looking to save money, Laura ordered over-the-counter medication online. Aditi visited multiple pharmacies looking for the best price.

Aditi visited different pharmacies looking for more affordable medication

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Aditi visited different pharmacies looking for more affordable medication

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Yes, so when I went to Boots, they told me that they don't have the pill that the doctor had suggested. So the doctor had told me what is the... from some other website, the same one, but if you want it delivered then it would have taken like four or five days more, and I did not want to live with it for more than what was still going on, so that’s why I went to Boots and they did not have the same one, so they had a similar one which was I think £20 or £22, so then I was like, ‘no, that’s not happening,’ I mean from £1 I'm not spending £22 and this is very absurd, so then I left and when I was walking to my place there was like one more shop and I went there and I asked them, so they... they sold me the same one for I think £12 or £13.

When people had tight budgets, they sometimes looked for relief from products they already had at home. Chloe applied Sudocrem to her vulva when she could not afford antifungal medication.

Additional expenses

Managing recurrent thrush could have other costs beyond medication. People we spoke to spent money on items to reduce discomfort or prevent flare ups. This included cotton underwear, looser clothing, emollients, or dietary supplements.

Zoya and Chloe thought that probiotics were helpful but noted they were expensive. Emma suggested that probiotics could be worth the cost since they were the same monthly price as pessaries and she thought they could be used as prevention.

Zoya said she would rather spend money on her kids than on probiotics

Zoya said she would rather spend money on her kids than on probiotics

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My partner's just like, 'Go on, just get them if it’s helping,' and I was like 'they’re very expensive for a little bottle,' yeah, it’s just... well, because I was really struggling the last few months, I was like, ‘I need them, I'm going to see if it helps,’ and these ones have, but like I said it’s... it’s a very expensive... it’s just very expensive, [baby coos]  it’s not something I can do long term even though my partner’s like, 'Oh my gosh, it’s your health you know, you need it,' and things like that, but I'm just sort of like, 'No, I'd rather spend that money on the kids.' You know, there’s other things and I don't think I should be spending that much every month for something that I don't think I caused, you know it's the... it’s just... it's one of those things, it’s... yeah, the cost of it is not good.

Attending medical appointments could have costs when people had to take time off work or arrange childcare to attend. Nysha had to spend money on taxis to attend hospital appointments.

Accessing private health care

Some people we talked to explored private healthcare for more help. Ayesha spent “nearly a grand” on private care and had to work a second job to afford this care. She hoped that it would provide better care than the NHS because “at least with the private, they’re dealing with more desperate people like me, so they might have more experience and more options as well”.

Anna researched private clinics but high consultation fees, and the worry that it might be money poured down the drain, prevented her from accessing these services.

Anna thought that money played a “pretty big part” in her experience and wondered if more money would have led to quicker answers (read by an actor)

Anna thought that money played a “pretty big part” in her experience and wondered if more money would have led to quicker answers (read by an actor)

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When I Google it, it looks like the people who have the answers are on Harley Street, and there’s all these testimonies that like these women went to this clinic and it fixed their body and now they've never had thrush again, and then I would Google it and all of these clinics were like the consultation is like £500 and then your follow-up consultation is another £500 and... and I was... and like I'm trying to be a fucking musician and an actress on like 10p a year, and I couldn't go, and I was desperately wanted to go to the posh clinics where all the testimonials were like, ‘I'm cured,’ but I never went because I never had the money to, and by the time I had started to get anything near the money to, it was better, ish, but... but yeah, I think money was a huge... I definitely... I definitely got the sense that if I was richer, I would have been able to fix it faster.

So yeah, I think money played a huge part, well, yeah, I think money played a pretty big part. I wonder if I would have... but equally, I don't know, I see people now pour money down the drains of people who say they going to cure their problems on Harley Street and then you're like, ‘I don't know if that’s actually fixed it any faster than the NHS’; so, who can say.

Some people warned about private clinics and commercial online programmes that promised to cure thrush, considering them potential “money-making schemes” with misinformation.

Beth Sarah was sceptical about paid programmes advertising to help manage recurrent thrush (read by an actor)

Beth Sarah was sceptical about paid programmes advertising to help manage recurrent thrush (read by an actor)

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I did find somebody who was doing research on... I say ‘research’, they... they did something on... and it was on Instagram, and they were like offering this programme of how to manage it, but it... it just made me think it was a bit of a money-making scheme that... I just thought, you know, if I can’t find the information out there that’s concrete, how is this person selling a £400 retreat for like teaching you now how to manage it, but no... no like support groups or anything like that I saw. And it did kind of appear, so I’m only on Instagram, that there was like... there was like a hashtag that may be start... was starting to get used, so it felt like that might be something that would be coming in the future, or there was like networks kind of, you know, starting to form now.

Impacts on work

Work-related challenges varied but often included concerns around concentration, comfort, and disclosing to colleagues. Georgia would take a day off during a flare-up, unable to sit comfortably in the office or commute on her bike.

Joy found it difficult to work while having recurrent thrush (read by an actor)

Joy found it difficult to work while having recurrent thrush (read by an actor)

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At work I have had to sort of like walk off my own station to go and sort of like get a cold compress, put more cream on, hide the cream in work just in case it fell out my bag, and I would be embarrassed. So yeah, to be honest, yeah, I have you know... even though I’d talk about it, I wouldn’t like to show it, if you know what I mean? You know, yeah, so... but I have had to... to come off, instead of breaktime, I’ve had to come out of my own worktime to sort it out. Even walking, you know, would just be like, ‘oh my God, this is like agony,’ so yeah, there’s been a few times in work where it’s affected me, yeah, absolutely.

Work that required patience and concentration became challenging for some due to recurrent thrush. Beth Sarah worked in mental health support and found it difficult to manage discomfort as her “stress window” was lowered.

Teddy worked in childcare and worried about the impact of mood changes on their job.

Teddy worked in childcare and worried about the impact of mood changes on their job.

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Now that I think about it, now that I've... I've got... I now work in childcare, I'm like a teaching assistant, so that would probably be a problem there because I'm like, ‘I don't want to snap at children,’ I have to be like very calm at my job because I have 30 four-year-olds shouting at me all the time, so that’s the only time I can see it kind of having a negative impact because I would like to be nice and calm, presentable teacher mode, and not getting stroppy about things that don't really matter.

Physically demanding careers were affected too. Chloe, a competitive pole dancer, found it difficult to practice or compete with thrush.

For those currently not working, like Zoya, recurrent thrush impacted future career decisions, and she said, "I'm not going to look for a job that’s based in the office all the time".

Impacts on work and money were often linked to other impacts concerning daily life, social activities, and mental health. You can read more about these topics here (Emotional Impacts and Social life, exercise, and rest).

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