Recurrent Vulvovaginal Thrush
Support networks and information
Support could take many forms and the people we spoke to accessed various networks and resources to help them cope with recurrent thrush. This section covers:
- Family and friends
- Social media and forums
- Support groups
- Research, websites, and finding information
Family and friends
Having a support system of understanding family and friends was important for many people we spoke to. Emily, Nancy, and Elliott received support from their friends. Support from mothers and sisters were mentioned as essential by Georgia and Julia. Partners played a crucial role in providing support for Aditi, Beth, KJ, and Marie.
Zoya discussed the importance of having a support system.
Zoya discussed the importance of having a support system.
Yeah, so mental health-wise it did affect me for a while but I'm quite lucky because I've got... like I said, I spoke to my partner, I spoke to my mum and my sister, so I have a support system and they're quite good, so I have that to... if I didn't have them to sort of offload, be like ‘oh my God,’ you know, and go through the process of and grieve [chuckles] or whatever, I probably would struggle more, but luckily because I have that and I can speak to them quite open, I'm not struggling that much with mental health if I'm honest.
Ayesha said her partner was always reassuring and telling her it was “going to be OK and to just keep going”. Georgia said it was nice to “vent” about her frustrations with loved ones.
Lydia highlighted the key role her mum played in offering support.
Lydia highlighted the key role her mum played in offering support.
Yeah, so I haven't... my mum is my main... I would say my mum has very much been my main support system with all of my health problems. She’s... especially when I was a bit younger, she came to all my appointments. I'll talk to her about everything. As soon as I sort of have a... have a hospital appointment, when I get out, I'm usually sending her a voice note – this is what’s happened. When I've wanted to travel places to access support, she’s travelled with me. She’s just my main support system in that way, and yeah, I speak with her about it a lot.
While friends and family could be sympathetic, others who had experienced similar issues were particularly appreciated. Sai, Teddy, and Aditi felt more able to talk to friends who had the same issue or similar experiences. Nancy said “I had a friend who had similar problems and she understood. Everyone else, they didn’t quite grasp how disruptive it was.” Similarly, Kayla found it hard to discuss as “my friends who have it, they get if for like a couple of days, take a couple of pessaries and it clears up; whereas, I've had mine for so long, it’s just an ongoing problem.”
Not everyone had supportive family or friends. Some people said that they found it difficult to talk openly about recurrent thrush due to shame and stigma (See Embarrassment, shame and stigma).
Social media and forums
People we spoke to had often used social media and online forums for support. TikTok, Facebook, Reddit, Instagram, and Tumblr were among the platforms mentioned.
Ayesha liked to follow people with similar issues on social media, stating “it makes me feel a bit more seen”. Imogen appreciated Instagram accounts that worked to destigmatise vulvas and vaginas; she first saw recurrent thrush discussed on social media. Aditi followed a gynaecologist on Instagram who shared health information.
Nysha said that social media accounts helped her learn about her anatomy and vulval health.
Nysha said that social media accounts helped her learn about her anatomy and vulval health.
But it’s only this year that I found online groups, like I said, Eve Appeal, Medical Herstory, and it’s seeing that... like see the information. Like I didn't... fully... I said even though I... please I don't... I don't want this to come across wrong and I'm not trying to be offensive to anyone, I was born a female and so you kind of take for granted that you know your body and your anatomy, but not knowing the vagina, like the difference between the vagina and vulva, and all that not knowing the difference, it was like an online community taught me that.
Joining online forums or interacting on social media helped Zoya and Nysha not feel alone. Elliott found a helpful Reddit forum for trans folks and found others with similar experiences of starting testosterone and dealing with recurrent thrush. Nysha said that anyone who might be worried about anonymity might consider setting up a fake “burner account” instead of using their regular profile.
Online conversations helped Billie to gain confidence before seeing her doctor.
Online conversations helped Billie to gain confidence before seeing her doctor.
But I do find that since I've been chatting about it more online and chatting to people that I know that have it, that’s been actually quite nice and being open about it because I do think that things like... like bacterial vaginosis, thrush, cystitis, they're all the things that you're just kind of expected to just get and get on with and go to a GP and sort it out and never talk about it, and I think it... you know, studies like this, and then talking about it with other people, it stops like vaginal thrush being so scary or so kind of hush-hush. So yeah, that’s kind of more of... I guess a silver lining to the itch [chuckles].
I found that speaking to girls through social media and people who have had it, like from experience, has been much more helpful, and especially it kind of almost gives you the confidence when you're speaking to someone that’s like, ‘no, keep going back to the doctor, keep telling them what you want, keep trying to advocate for yourself,’ that is much more helpful.
Finding dedicated spaces for discussing recurrent thrush could be challenging. Marie, Nancy, Teddy, and Ella looked for a recurrent thrush online group, but were not successful and ended up discussing their condition in groups focused on other health issues. Lydia and Jody started their own social media accounts, building a community to speak about vulvovaginal health and found that recurrent thrush seemed to be a common experience.
Leah did not find or join any online forums but thought they could have been helpful for her (read by an actor)
Leah did not find or join any online forums but thought they could have been helpful for her (read by an actor)
I never found anything on the internet other than what the NHS website was really. I never really found any forums as well either, do you know forums that the people go and talk about it? I didn’t find any of that either, which I thought there would be because it is... I know a lot of women get it, don’t they? But no, I didn’t... I didn’t see any of them, otherwise I would have joined in and asked for advice and stuff, but again I didn’t find anything which was, yeah, it’s not... it would be nice to have a platform like that, but then I suppose, you know, is there anything that can help us? But I suppose it would be a platform for people to share their experience so you don’t feel like you’re on your own with it.
Not everyone used social media, and some were hesitant to use online forums. Emma wondered whether the people who joined online forums might not have “the most positive or optimistic outlooks” making them not the “healthiest” place to go for advice. Laura avoided social media pages or forums as she was not sure the information would be accurate. Harry signed up to chat forums but found there was a lot of misinformation.
Support groups
Online or in-person support groups could offer valuable connections with others facing similar challenges. Ella expressed their preference for these groups, because they involved "actual faces and voices rather than just words on a page."
Ella said online support groups were a “lifeline” and valued the sense of connection and invaluable advice.
Ella said online support groups were a “lifeline” and valued the sense of connection and invaluable advice.
Anyway, and that was the first time I actually got to sort of live chat with other women, there was only five of us, and it was really... the women did just... you know which is unlike... it’s not usual for British women, they did just dive straight in and were just very kind of like, ‘this is what’s happening,’ and I when I mentioned clothes, you know, another woman in the group was like, “Oh my God, yes, I've... I've always worn trousers, it drives me up the wall, I have to wear skirts and dresses now,” I think that what the doctor gives is like... it feels like five percent and what I’m getting in these groups is... the rest is the 95, which is how it is, I'm just super grateful and I'm... you know so I talk about it, so... but anyway, but it’s... it’s... it’s good to... it’s good to... it’s really important to have those groups; they're a lifeline.
Lydia had attended an in-person vulval pain support group, but found it difficult due to distance, travel costs, and finding it hard to connect with the other participants who were mostly older than her. She built her own support group on WhatsApp and through Zoom calls to discuss recurrent thrush and pelvic pain saying “I made my own community of people because I didn't feel I had it.”
Rowan and Georgia said they looked online for information more than emotional support. and Julia said she did not need a support group, searching and reading articles was currently providing her with enough information.
Research, websites, and finding information
The people we spoke to found information on recurrent thrush through various, mainly online, sources.
Rowan, Beth Sarah, and Billie read the NHS website. Ella said that she thought the research she read there and on the British Medical Journal site could be ‘better quality arguably than some blog or something’. Sai, Laura, Nancy, and Hannah read research papers. Beth Sarah had read the NICE guidelines on recurrent thrush, which provide evidence-based recommendations for healthcare professionals and are available online.
Marie found information in magazines targeted at women. Harry and KJ consulted GP leaflets and medication boxes.
Chloe and Ayesha were among those who said that they had received more information about recurrent thrush online than from their doctors. Emma said “nobody really knows, nobody really is that interested, and I need to find a solution in managing this myself” so she used the Internet to find answers.
Georgia described Internet research as “a bit of a minefield” and preferred to stick to GP advice (read by an actor)
Georgia described Internet research as “a bit of a minefield” and preferred to stick to GP advice (read by an actor)
I think just after a while of like reading different websites and different, you know, people describing their experiences, I just realised that everything was so... saying so many different things that I sort of stopped paying that much attention to it because there seemed to be... I guess I found it reassuring to read that other people had had the same experiences that I had, but I wasn’t reading too much into like, ‘oh, you should... should do this, or shouldn’t do this,’ or... yeah, I... I don’t think I was expecting to find loads of... loads of information, so I wasn’t disappointed by a lack of information, but I also tend to try not to look up stuff like that on the internet because I feel like it’s a bit of a minefield and just sort of stuck to asking my GP for advice.
Leah said that there was not much research on recurrent thrush, and what was there presented many different opinions. Billie’s online searches seemed too generic to be useful, “obviously you need them to make sure that they're kind of blanket for everyone, but I do find that they're actually not very helpful”.
Teddy recommended sexual health websites which they found are less stigmatising and have more accurate information.
Teddy recommended sexual health websites which they found are less stigmatising and have more accurate information.
But yeah, I would say trusted sort of sexual health locations that you know aren’t going to be stigmatising and that you know are at least may be involved with the actual medical professionals, are probably the best way to go because something can be... something can be like sex-positive but not really know what it’s talking about still, or something can be very approved of by medical professionals but have a kind of stigmatising way of talking about something, so it’s kind of that finding that sort of happy middle between factual and affirming.
Joy and Julia wanted more information about the causes of recurrent thrush and its relationship to hormones. Kayla had found it difficult to get information on different strains of thrush. Elliott noted that generic online information was rarely appropriate for specific experiences such as being trans.
Several participants, including Beth and Kayla said it was challenging to identify reliable sources of information online. Jody emphasised the need to separate truth from marketing.
Jody warned about potential misinformation, especially in the booming feminine hygiene industry (read by an actor).
Jody warned about potential misinformation, especially in the booming feminine hygiene industry (read by an actor).
I think it’s hard. I think there is some brilliant information out there, but you have to kind of delve through it all and you know like separate the truth round all the kind of... well, I think there’s... the... obviously you know like the feminine hygiene industry is like absolutely booming at the moment and so you can... especially when you're quite desperate, you know you find yourself looking at products and you're thinking, ‘oh, this could be the solution, like it’s got good reviews, like maybe this is it,’ but yeah, I think it’s hard to know... I think now I'm sort of more kind of clued-up on you know vulval health and vagina health and all of that stuff, like I know now what to look out for and what’s kind of a... looks a little bit shady.
Beth Sarah understood why her doctors were suspicious of the information she had found online, but really wanted to find some answers (read by an actor)
Beth Sarah understood why her doctors were suspicious of the information she had found online, but really wanted to find some answers (read by an actor)
So, I think I must have spent hours of my life researching and trying to find bits of information, so I kind of did quite a lot of it, but then picked the things that came up the most from the most reliable sources. But having said that, when I actually saw like the GP, or gynae, they just completely dismissed everything that I... I’d learnt.
So, I think that that’s... that was the hardest thing, is not anyone telling me or giving me any kind of definitive information or advice, other than stop Googling things, which I do... I know it can drive you insane, like reading everything, but without anyone giving you clear advice of what to do – that was kind of what I was left with.
Chloe said that the information available today is much better than when she first started to have thrush over a decade earlier. Imani found there was a good amount of information, but was aware that the same treatments would be unlikely to work for everyone.
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