Recurrent Vulvovaginal Thrush

Messages for patients

The people we talked to shared their key messages and advice for others who experience recurrent thrush. This section covers:

  • Advocating for yourself
  • Seeking medical help and searching for relief
  • Speaking up and knowing you are not alone

Advocating for yourself

The people we spoke to stressed the importance of self-advocacy in managing recurrent thrush.

Harry encouraged others to advocate for themselves.

Harry encouraged others to advocate for themselves.

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I’d say don't be ashamed of it, it’s not anything that you can control, it’s something that is just happening to you and you've been unlucky and had it, it’s not because you're dirty, it’s not because you've caught anything, it’s not because you've had too much sex or not enough sex, it’s just... it’s just one of those things. But I'd say advocate your own right because you know your body better than anyone else, you know if it’s going to come back, you feel it before you really get symptoms, you kind of... you get a niggle and you're like, ‘I know what this is, it’s coming,’ as soon as you get that: don't wait till it develops, just take something anyway. It’s not going to harm you if it wasn't going to be it, because they put me on it long term, so obviously it’s not a detrimental to my body, just take it and push for something you think is appropriate, say it comes back every month, be very clear with your expectations and make sure they... they listen to you, I suppose.

Determination and not giving up were seen as important for getting help. Zoya said “keep that belief in yourself, there is something wrong and it’s not normal”.

Self-advocacy was seen as important within healthcare visits. Harry, Marie, and Anna encouraged assertiveness in medical encounters and pushing to be taken seriously. Nysha suggested keeping a journal of symptoms including both the physical aspects and the psychological impact that could be used to self-reflect and be brought to appointments.

Marie said that with the rising pressure on the NHS, patients needed to be their “own self-advocate”.

Marie said that with the rising pressure on the NHS, patients needed to be their “own self-advocate”.

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Yeah, and sorry part of the question is what about people like me who are you know a few years into this? I think it’s pretty much the same: you have to get determined about your health, and you have to... I think it’s... it’s... we all go on the internet and self-treat and it’s probably not a good idea, we need to get to the right person and push, because no one else will that for us. The NHS has got, what, seven million people working... waiting for procedures at the moment: it’s breaking at the seams, so I think we've got to, as you've said, be your own self-advocate.

Beth Sarah advised others to not be afraid to ask healthcare professionals questions. Rowan said “I wish that I’d asked a few more questions and got a better understanding of it, because I think that would have made me feel like a little bit more in control of it”.

Billie encouraged patients to have the confidence to question clinicians if they feel something is wrong or they are not confident about a decision.

Billie encouraged patients to have the confidence to question clinicians if they feel something is wrong or they are not confident about a decision.

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I think for patients, it’s you know your own body, I wouldn’t... like don’t let a healthcare professional tell you what’s wrong with you if you don’t feel like that’s right, like don’t walk out of a doctor’s appointment going, ‘mm, I’m not sure about that,’ I think that it’s... it’s really, really hard to sit in front of a doctor and go, ‘I don’t agree with you,’ that’s so difficult and it’s something that is equally brave and scary to do at the same time, but it might be the one thing that makes them question it and go, ‘oh right, OK, if you don’t agree, you don’t think this is right, how can we work together to sort it out?’ I think that’s really important. It’s not easy, it’s really tough.

Many people stressed the importance of having others recognise the impacts of recurrent thrush and understand how it was different than experiences of “one-off” thrush. Elliott encouraged patients to explain recurrence and explain the “whole picture” rather than just the “situation as it is now”. In doing so, hopefully a pattern of recurrence could be recognised, and a treatment plan put into action.

Others recognised that self-advocacy would only be effective if healthcare professionals also understood the impacts of recurrent thrush (Messages for Healthcare Professionals).

Seeking medical help and searching for relief

Many people we spoke to felt it was important to encourage others to get medical help. In some cases, even those who had difficult experiences with healthcare professionals still recommended getting professional healthcare advice. Suggestions included regular visits with healthcare professionals, making sure tests were done to confirm thrush was present or rule out other conditions, and asking for referrals.

Jody emphasised the importance of seeing healthcare professionals (read by an actor).

Jody emphasised the importance of seeing healthcare professionals (read by an actor).

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I think not being afraid to kind of you know like stand your ground with you know healthcare professionals to get your point across and to... to really explain how things are affecting you. I would say also the importance of actually going to see someone about like recurring thrush, and just... to be honest any kind of thrush symptoms: I think it’s always worth getting checked out rather than self-treating. I know obviously that is an option that people can just go to pharmacy, or a supermarket, and can you know pick up a treatment and self-treat, but you never know. I know obviously I've had it sort of... you know, I've had all my tests and stuff come back so I knew that I had thrush previously, but a lot of people are just treating themselves for symptoms that it might not be that and equally that can be like really not good... good for your body and could be you know something that you're... a... a symptom that you could actually be missing out on that could be something a bit more you know dangerous.

Emily, Jody, and Julia encouraged others to talk to health professionals. KJ encouraged younger generations to be “vigilant” and see a doctor if something is wrong.

Sasha encouraged others to get recurrent thrush documented and “not procrastinate”.

Sasha encouraged others to get recurrent thrush documented and “not procrastinate”.

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I think I would advise them to take it seriously and not procrastinate in terms of talking to their doctor. I know going to the pharmacy, I think prolongs things personally from my point, you keep going to the pharmacy but going to… but you’re not getting the answers you need, especially so if it’s recurrent, I would definitely advise them not to procrastinate and make sure they have a doctor’s appointment, and talk about it, document all the things that have been happening to them in the past few months, and why it’s making them feel uncomfortable, and… yeah, and talk to the doctor, not put it last on the list, and not to be shy about it, yeah, and get the help they need.

Marie and Imani advised others to not delay seeking help and to address recurrent thrush early to avoid further issues. Aditi said others “shouldn’t wait as I did to talk to the GP”.

The people we spoke to sometimes felt dismissed by healthcare professionals or like thrush was not seen as important. They wanted patients to know that it getting help for recurrent thrush often required multiple appointments and investigations and encouraged others to not get discouraged and rather keep looking for the right person to help them.

Kayla encouraged others to see a specialist or sexual health professional who could offer more testing and treatment. Lydia emphasised the importance of asking for the type of thrush to be identified in case of resistance, and to remember that you can do the swab yourself to be more comfortable.

Anna suggested pushing for a referral to a specialist (read by an actor)

Anna suggested pushing for a referral to a specialist (read by an actor)

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But also, I would say to young women who... to me from 10 years ago I would say push harder at the doctor and say ‘something is wrong, I need to see someone who knows more about this than you.’ The GP is not the person who knows how to deal with your recurrent thrush, but there probably is some sort of gynaecological expert somewhere in a 100-mile radius from where you live who knows more about it than these people and you're being held at the barrier point, and like get past it. And I would also say stop going to the fucking pharmacy and buying over-the-counter stuff and lying about it because you don't know what you're putting into your body, and also it’s... that’s not the answer, I think.

Many people gave advice on what they found helpful to relieve recurrent thrush. Those who found relief from longer-term treatment options encouraged patients to ask their doctor about options (Longer-term medication). Others recommended looking at lifestyle factors such as avoiding tight clothes, not using perfumed soaps, and applying emollients daily to improve vulval skin health (Read more about and Prevention and changing daily practices).

Georgia recommended seeing a healthcare professional about getting on a longer-term course of antifungal medication (read by an actor)

Georgia recommended seeing a healthcare professional about getting on a longer-term course of antifungal medication (read by an actor)

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So yeah, probably like if... if someone was experiencing recurring thrush and was only managing it by like trying to... you know, trying to manage the symptoms every time they got it and so that it wasn’t so painful, I would sort of... I would definitely like share that from my experience going to see my doctor and taking this medication, these tablets for it has like made a massive difference for me, and so I would probably advise someone else to do that if they felt comfortable doing that because like for me it just... it’s made a big difference not like... not worrying about it, now I’m generally like confident that it’s not just going to spring itself on me at any moment, and that’s a nice feeling to have; whereas before it was like always sort of like around the corner was like another flare-up of thrush to worry about, so yeah, I think that’s it probably.

Joy offered advice on changing daily practices to prevent or soothe recurrent thrush (read by an actor)

Joy offered advice on changing daily practices to prevent or soothe recurrent thrush (read by an actor)

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Do you know, I think it would just be about the personal hygiene really, I think would be, you know, obviously not to carry on swooshing, washing as often, I don’t think I would do that, I... and I would always use soap-free, you know, no perfume, nothing, you know, that would aggravate in any way. Like I say, cotton knicks so it’s breathable, you know, and nothing that would hold onto any like you know... you know, like heat or sweat or anything like that, you know, just keep it as nice, fresh and open as possible. Yeah, and like I say, just, you know, if it’s really unmanageable just to... you know, cold compresses, and to just... just relax and just, you know, yeah, don’t stress, I think that’s just going to make it worse: don’t stress, relax, breathable underwear, soap-free, and yeah.

Speaking up and knowing you are not alone

The people we spoke to wanted others to know that they need not feel embarrassed or ashamed about having recurrent thrush. Imogen emphasised it is important not to feel shame and that “it doesn’t make you gross”. Beth Sarah said “you’re not dirty”. Lydia stressed “it’s something that can be treated” and “it’s not something to feel embarrassed about”.

Chloe urged others to not be ashamed or embarrassed and to get the "best treatment that you deserve”.

Chloe urged others to not be ashamed or embarrassed and to get the "best treatment that you deserve”.

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Don’t be ashamed, don’t... try not to be embarrassed, I know it’s really easy to say don’t be embarrassed, but try... try not to be embarrassed about it; it’s completely normal within a degree. You know, if... if it’s painful and it’s itchy and you don’t want to have sex, then don’t have sex, like you don’t have to do that, you don’t have to put yourself through that pain. Go and get the treatment, like don’t be embarrassed to go to your doctor’s or even your pharmacy to ask for that... that support, and if you feel like it’s too regular, you feel like it’s becoming too common, go and push... really push the GP to make sure that they are kind of ruling everything out and doing everything that they can to make sure that, you know, there’s nothing more going on, and that you are getting the best treatment that you deserve.

It was important to remind patients that recurrent thrush is a real condition and affects many people. Ayesha emphasised: “it’s not in your head, and it’s real, and there is a million other people suffering with the same thing as you; you're not alone”. Lydia said “it’s really common”.

Removing self-blame was a common theme. Julia said “it’s nothing you’re doing wrong, it’s just something that happens to some women and it’s nothing to be ashamed of, there’s nothing to be frightened of”. Ella reinforced “it’s not your fault”.

Jody advised others to speak with a trusted family member or friend (read by an actor).

Jody advised others to speak with a trusted family member or friend (read by an actor).

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And also, yeah, having... like don't be afraid to have conversations with you know like family members or friends and stuff like that because I think although they might not be able to... well they may not have gone through like exactly the same thing as you like, we do know that the majority of people with vulvas have experienced at least one episode of thrush in their life, and like, so just being able to have that kind of... I don't know, interaction with someone to make you feel like you're not some kind of... I don't know, freak, or like that this is a normal thing. I think, yeah, there’s some kind of, having those conversations which can really help you to... to kind of deal with what you're going through and to just... yeah, to release some of that because you know you do, yeah, feel quite embarrassed by it at times, and it is quite hard, and it’s like you're trying to carrying this like secret sort of thing which is... is quite hard to carry, so yeah, like trying to speak with someone about it, you know someone who you can... you can trust, I suppose.

Ella encouraged speaking openly about recurrent thrush and turning to others for advice.

Ella encouraged speaking openly about recurrent thrush and turning to others for advice.

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You know and I wouldn't... I wouldn't hide it totally from people, obviously choose who you speak to but... you know it’s... I think when we hide these things, I don't think that really helps, I think it is better to just kind of own up to the soreness and see what can be done and see what could be done in the future to make it come back less. So, it’s kind of like that thing of, yes, it may be a part of life for I guess a lot of people, I don't know what the percentages are, but actually there are a bunch of things you can do to make it happen less, or less kind of viciously, you know? Yeah, that’s enough.

Open conversation was seen as one way to remove feelings of isolation and shame. Lydia stressed the importance of finding support whether a friend, family member, or healthcare professional. She said “the more we talk about things – the more we make noise. The more noise we make – the more stigma we will break”. Teddy encouraged others to not “pretend that you don’t have it” or “tough it out”. KJ said “it could be talked about a lot more” and hopes younger generations feel empowered to remove taboos.

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