Recurrent Vulvovaginal Thrush
Living with thrush and looking forward
The people we spoke to had recurrent thrush for different durations, from a few months to numerous years. Over time, perspectives, priorities, and coping strategies could change. This section covers:
- Adapting to live with thrush
- Concerns about recurrent thrush never going away
- Hopes for the future and getting better
- Hopes for research and new treatments
Adapting to live with thrush
Those who had been living with recurrent thrush for a long time had different ways of coping. Often, people had learnt to accept their condition which could bring up complex feelings.
Billie said that getting used to recurrent thrush was a “double-edged sword”.
Billie said that getting used to recurrent thrush was a “double-edged sword”.
I’m partly used to it now, which obviously you shouldn’t have to be used to anything that’s uncomfortable, and... but I think that being used to it, in a way, is a bit of a double-edged sword because I’m like, OK, I’m used to the symptoms, I know what I’m looking out for and I think that that can be... like there is a lot of power in knowledge for sure, in really knowing what you’re looking out for, but at the same time it’s like that, [sighs] ‘how annoying,’ when I do get it again.
Some people focussed on managing recurrent thrush rather than trying to cure it. Georgia said she “I’ve definitely like moved from initially thinking that this was going to be something that I could treat and then never have a problem with again to, I definitely now just accept that like this is what I’ve got and how can I manage it?". Similarly, Zoya said “I know I get it every month, I have to live with it now”. Ayesha felt, "I just try and accept that this is reality." Emma came to accept “this is just you” when it came to recurrent thrush.
Georgia said that they had accepted recurrent thrush similar to “bad period cramps” (read by an actor)
Georgia said that they had accepted recurrent thrush similar to “bad period cramps” (read by an actor)
Yeah, I guess I’ve just sort of... I feel like I’ve just accepted that is like... a bit like I get quite bad period cramps, like that’s just... I feel like that’s something I’ve just accepted that that’s something I experience, so I just want to work out how to like best manage that, rather than... I think I’ve sort of given up on the idea that I’d ever be able to get rid of it and never experience it without taking any kind of treatment or anything.
Other people said that they felt the need to push through their discomfort and were unsure whether they should keep asking for help.
KJ says she is from a generation (born in the 1980s) that just accepts and “soldiers on” with health problems like recurrent thrush.
KJ says she is from a generation (born in the 1980s) that just accepts and “soldiers on” with health problems like recurrent thrush.
I think they were just... I just accepted it I think. I was just like, ‘yeah, yeah, whatever, I’ll just get on with it.’ And you know... I’m coming from that 80s generation of kind of like you just get on with things and you just soldier on and all this like mentality, you know, and I kind of think sometimes that is engrained in me sometimes a little bit. You know I’m not... I mean you see it every day when you... you know when I’m out and about, and in this day and age I just think, ‘God.’ Sometimes I feel really young, you know I’m quite a young 42-year-old, and then I think, ‘oh God, no you’re not,.' Some of the things that you grew up with, you know like this mentality... pardon me, and you just kind of get on with it and soldier on and you just... like I... like I say, when I get it, I just go to the chemist, get the fluconazole and boom, get on with my day and I just think, ‘OK, fine.'
Jody questioned whether this was an issue that they should try to keep getting help for, or just accept as part of life (read by an actor).
Jody questioned whether this was an issue that they should try to keep getting help for, or just accept as part of life (read by an actor).
I'm not quite sure, it’s hard to remember exactly kind of my feelings at the time, but I think I definitely started to just almost accept that this was just who I was, ‘like this is you know... this is a... the condition that I have and I have to live with this... this is me for life now, this is you know... do I even bother like getting help anymore, do I just kind of...?’ Yeah, I think there’s this kind of point where you come to, you're just so fed up with it that you just start to accept that you've got this problem and that you should be putting up with it, I think... yeah.
The severity of people’s symptoms could change over time as well. Chloe felt her symptoms had got milder over time and wondered whether her body had adapted to the condition “I don’t know if it [was] just I was tolerating it more because like my body was sort of almost getting used to the thrush.” Imogen and KJ said they became “used to” thrush. Leah said "I’ve had it for a good 10 years...you do get used to it because it’s so hard to control”.
Some people spoke about recurrent thrush and discomfort becoming their “normal”, however, this was not always a comfortable or positive outcome.
The recurrent presence of thrush made it feel like it had become a normal part of Chloe’s life.
The recurrent presence of thrush made it feel like it had become a normal part of Chloe’s life.
As the years kind of progressed, like I would start... I was starting to get it two to three times a year, it seemed to be like... I don't know if it just I was tolerating it more because like my body was sort of almost getting used to the thrush, so it wasn’t appearing to be like as much of a nuisance, it was more just a: ‘oh gosh, here we go again,’ but over the last, I’d say, two to three years... or probably three to four years, it’s got to the point where I was getting it every other month, every month.
I think that it... it’s... and it’s been going on for so long, it’s just part of me now, like my brain I think has got to the point now where it just seems to think that I will just have thrush forever and that is that, so it... it’s just part of me now, which sounds weird to say, but it’s just something that I have to put up with, and I, for me, it’s normal now.
Imogen was so used to coping with discomfort from recurrent thrush that she didn’t know what would be considered normal.
Imogen was so used to coping with discomfort from recurrent thrush that she didn’t know what would be considered normal.
I didn’t know what my normal was, I didn’t know what my body was like normally without it, and when people would ask like, “Well, is this normal?” I just wouldn’t be able to answer because I think you probably end up coping with a certain amount of discomfort, and also it meant like I had no idea about what normal discharge was because often when I thought I didn’t have it, I would then find out, via a swab test, that I did, and there were also sometimes where I thought I had it, and I didn’t.
Concerns about recurrent thrush never going away
Some people told us that it was hard to feel hopeful about the future and worried that their recurrent thrush would not get better. Ayesha said “I try not to think about the future, because it doesn't make me feel as good, so I just try and stick to what I can control at the moment.”
Zoya was very concerned to read online that there is no cure for recurrent thrush.
Zoya was very concerned to read online that there is no cure for recurrent thrush.
Well, this is the thing, you know what I struggle with the most obviously you... everyone loves to Google everything and when I knew it was recurrent thrush, I was looking... I was trying to find... I know this sounds really sad, I was trying to find the cure for it, and I was like, ‘Why isn’t there a cure?’ like it doesn't make sense, and it... it was quite upsetting because I think I read something where it said there is no cure, and I was like, ‘ohh...’ I took that... oh, oh my gosh I’m getting upset, because I took that really quite hard because I remember saying to my husband like, “There’s no... there’s no cure, there’s no cure, this... I'm going to have this for the rest of my menstrual life.” And it hit me quite hard, I think I was really down and out for about a week.
Julia and Ayesha thought they’d be living with recurrent thrush for years to come. Hannah felt there was “no end in sight” for recurrent thrush. Georgia said “I think I’ve sort of given up on the idea that I’d ever be able to get rid of it and never experience it.” Leah said “I know it sounds horrible to think you’ve got to live with it for... well, till it decides to go forever, hopefully it does”.
Younger women sometimes said they were concerned about whether their thrush might get worse during or after pregnancy. Nancy who is in 30s worried about how menopause would influence recurrent thrush. You can read more about people’s experiences with recurrent thrush and hormonal changes here (Recurrent thrush across different ages and life stages).
Hopes for the future and getting better
Keeping hope for the future was important for many. Kayla hopes that recurrent thrush will “clear up” or at least be less symptomatic. Leah hopes for more effective treatments or management approaches in the future. Sasha said “I’m a bit hopeful that things can look up for me”.
Chloe hopes for a day where they will never have thrush again.
Chloe hopes for a day where they will never have thrush again.
I mean I... there’s... whilst part of me is very much like just accepted that it is what is now, there is part of me that hopes one day I’ll never have thrush again, but I feel like that’s very much a pipeline dream of it’s just wishful thinking, but I think I’m just kind of working on being OK with it myself and accepting that that’s something that I have and I have to deal with and, you know, moving forward within sexual relationships and romantic relationships, that’s just something that’s going to have to play into that basically.
Some people found relief from recurrent thrush. After finding some success with long-term antifungal medication, Harry was remaining cautiously hopeful and said “I’m just hoping in my little bubble that it’s not going to come back”.
Jody felt they were now able to be more in control of recurrent thrush after making some hygiene and product changes (read by an actor).
Jody felt they were now able to be more in control of recurrent thrush after making some hygiene and product changes (read by an actor).
Slowly I've noticed like a change in that I wasn't getting flare-ups so often, and I guess now I've probably found like a little routine that works for me in terms of like you know my hygiene and the products that I use, and even just you know sex and stuff, like making sure that I go to the toilet after sex, and make... making sure that like I have a little like rinse off afterwards, so just little things that I now do which can prevent me from having like a... another episode, so yeah, it’s been really... well, it’s changed my life really because it... that’s how bad it... it kind of was, it was, yeah, just getting in the way of everything; whereas now like I feel like I have more control, which is kind of what I wanted I guess when I was going to the appointments, that’s what I was you know asking for in the end, it was like I need control of this, like this thing is controlling me, like I don’t know what more I can do.
Rowan was able to find relief from recurrent thrush and hoped she would be able to manage it better if it came back.
Rowan was able to find relief from recurrent thrush and hoped she would be able to manage it better if it came back.
I guess it’s like when you... when you have a cold, you don’t really notice how... like until you have a cold, you don’t notice how nice it is to be able to breathe out of your nose, so... like, and that I didn’t really think about it, but it is actually, yeah, it’s really nice, and to... like looking back on it, you’re like, ‘oh, that was like... yeah, that was not ideal,’ so yeah, it’s really nice to be... to have... well, touchwood, have solved that problem. But also, for like if it happened again, having gone through the experience once, I would know, like I would have the tools to be a little bit more proactive and perhaps to suggest that like it might be recurring a little bit earlier, than I did the last time.
Others found that the duration of thrush reduced over time. KJ and Nancy found the condition less recurrent. Sai said they were “feeling better” as they used to have thrush at least once or twice a month, but now has it every few months. Anna said the recurrence started slowing down and she had not had thrush for seven months.
After removing a contraceptive coil, Beth Sarah no longer had recurrent thrush and was working on feeling comfortable again (read by an actor)
After removing a contraceptive coil, Beth Sarah no longer had recurrent thrush and was working on feeling comfortable again (read by an actor)
It’s... yeah, God, it’s amazing. Like, looking back at how bad it was and just like... I was just crying all the time, I was distressed all the time, I felt terrible all the time, and it’s been a bit of a... I would say in some ways like a slow process out of it in some ways, you know, feeling... feeling better, you know, me and my partner feeling comfortable with each other again and things like that, there’s... there has been some things that have taken longer.
I wouldn’t say I’m still working through them now... there was definitely a bit of a kind of a mental connection like, you know like... and probably still now really, like if you get any kind of itch, it’s like, ‘is it back?’ things like that, and not knowing like... and worrying that like... will I spot the symptoms, will I know what it is, worrying that it will come back and it won’t have been the coil. Like I said, it was me and my partner kind of slowly feeling comfortable with one another again and, you know, feeling like we could be intimate and it wasn’t going to make anything worse between us, or like, you know, we weren’t going to pass anything, but yeah, I’ve managed to not have it at all since.
Hopes for research and new treatments
Many of the people we spoke to felt that thrush had not received much attention, research, or funding. Laura felt that recurrent thrush was not receiving much attention and was not “high on anybody’s agenda”. Some said they wondered whether this would have been the case if it was a condition that mainly affected men and suspected that it was minimised as a ‘women’s issue’.
Laura discusses how she thinks that recurrent thrush has been “side lined” as a women’s issue (read by an actor)
Laura discusses how she thinks that recurrent thrush has been “side lined” as a women’s issue (read by an actor)
I don't... as I say because it is... I think if men had it all the time, like women do, and men suffered from recurrent thrush, I think it would probably be different, and that there would be more money into you know trying to develop treatments and preventative measures and things like that, but because it’s a women’s issue I think it’s side-lined.
Zoya and others remarked that women are brought up to see discomfort as normal, and encouraged to carry on and be “strong” no matter what, without complaining. This could mean that doctors were less aware of how many women were affected by the condition.
The trans and non-binary people we spoke to felt that their specific experiences of recurrent thrush received even less attention. Teddy and Elliott criticised societal expectations that minimised trans and non-binary health problems.
Teddy felt that vaginal health was a neglected area.
Teddy felt that vaginal health was a neglected area.
I mean with anything to do with kind of like vaginal health it’s very easy to just be like... pretend you don't see it and pretend that you can just kind of tough it out, because I do think we're expected to do that a lot, like even with something like really severe period pains: if men were dealing with that they would not, like... it wouldn't be expected that cis-men tough it out and just cope without proper treatment or without kind of a... like the right medication for it, so why should that be expected of people with vaginas when you're experiencing something painful?
Beth thought that all gynaecological issues were “minimised quite a lot”.
Beth thought that all gynaecological issues were “minimised quite a lot”.
It made me feel pretty angry to be honest, I felt like I... like, I'm kind of a bit fed up of having like... especially... like, I feel like this happens more for me with like gynaecological issues, they get like minimised quite a lot, or like brushed... and like across... and also they don't actually know a lot about that area of the body, it’s like the area of your body that you basically know the least about, and just being told that like what you're experiencing it’s actually what you're experiencing, or like that it’s not... it can't really be that bad, or it can't really be the case, but... I don't know, it’s made me... made me pretty annoyed to be honest.
Some had become aware that celebrities and influencers were raising the profile of women’s health, and that in 2023 the government had appointed a lead (Dame Lesley Regan) to champion a new women’s health strategy. However, few had high hopes that there would be a major breakthrough in treatment or (even better) prevention. Harry said “women’s health is so underfunded in general, I don’t hold out too much hope on it”.
Billie considers that there needs to be more information, training and research on women’s health.
Billie considers that there needs to be more information, training and research on women’s health.
I would say... I mean I know that the Government’s just appointed... I can't remember her name, just appointed someone that’s essentially going to manage women’s health for the NHS and for UK, which... or it might just be England, which is something that it’s a bit closing the door after the horse has bolted, you know we've got an enormous issue with women’s health and understanding women’s health, there needs to be better understanding, there needs to be more research, there needs to be more understanding and available information about women’s health and hopefully that’s something that you can see that is happening.
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