{"id":16613,"date":"2019-12-17T13:25:20","date_gmt":"2019-12-17T12:25:20","guid":{"rendered":"https:\/\/www.intimina.com\/blog\/?p=16613"},"modified":"2020-09-25T09:11:49","modified_gmt":"2020-09-25T07:11:49","slug":"yeast-infections-during-pregnancy","status":"publish","type":"post","link":"https:\/\/www.intimina.com\/blog\/yeast-infections-during-pregnancy\/","title":{"rendered":"The Itch Is Real: Yeast Infections During Pregnancy"},"content":{"rendered":"<p style=\"font-size: 14px; font-weight: bold;\"><em>This article was medically fact-checked by <a href=\"#drscroll\">Consultant Obstetrician and Gynaecologist Dr. Shree Datta<\/a>.<\/em><\/p>\n<p><span style=\"font-weight: 400;\">While the list of body changes one experiences during pregnancy is on-going, it can be argued that an uncomfortable, itchy vagina is among the worst. If you\u2019ve ever experienced a yeast infection (3 out of 4 women), you know what I mean.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The itch is SO real. And it\u2019s not until you can\u2019t stop moving in every which position in hopes of finding comfort that you appreciate the moments when your vagina is not a fussy mess. Those days are truly under-appreciated (and feels like they are somewhere between slim and none while pregnant). Let\u2019s talk about why!\u00a0<\/span><\/p>\n<h2><b>What Is A Yeast Infection?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">As described by the American Academy of Family Physicians, \u201cvaginal yeast infections are caused by a fungus called Candida. Yeasts are tiny organisms that normally live in small numbers on the skin and inside the vagina. The acidic environment of the vagina helps keep yeast from growing. If the vagina becomes less acidic, too many yeasts can grow and cause a vaginal infection.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A normal vaginal pH is between 3.8 and 4.5. The acidic balance of the vagina can be affected by a number of things, including but not limited to:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Douching<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Bacterial vaginosis<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Menopause<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Presence of menstrual blood<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Presence of semen Antibiotics<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">UTIs\u00a0<\/span><\/li>\n<\/ul>\n<h3><b>Why Are Yeast Infections More Common During Pregnancy?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Yeast infections are more common during pregnancy than at any other time in a woman\u2019s life, especially during the second trimester. During this time, your body goes through so many fluctuations and it\u2019s difficult for it to keep up with the chemical changes in the vagina.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So why yeast infections?! During pregnancy, a change in hormonal balances, as well as a drop in the immune system\u2019s ability to fight bacteria can lead to higher estrogen levels and higher glycogen content in vaginal secretions. Which in turn, can <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3372330\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">increase a pregnant person\u2019s risk<\/span><\/a><span style=\"font-weight: 400;\"> of developing a yeast infection. Higher glycogen content means there is more sugar in vaginal secretion on which the yeast can feed. This causes an imbalance and results in too much yeast.\u00a0<\/span><\/p>\n<h3><b>What Is Safe To Do As Far As Treatment While Pregnant?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Generally, topical creams and ointments are safe to use while pregnant and oral medication should be avoided. The Center for Disease Control and Prevention recommends that only topical azole applied for at least 7 days to increase <\/span><span style=\"font-weight: 400;\">efficacy is accepted as safe for pregnancy. While the U.K.\u2019s <\/span><a href=\"https:\/\/www.nhs.uk\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">National Health Service<\/span><\/a> <span style=\"font-weight: 400;\">recommends creams or pessaries for treatment rather than oral medication.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Topical azole antifungals are well studied, commercially available, and do not require a physician\u2019s prescription.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This article, published by the College of Family Physicians of Canada, states that short-term use of a low-potency topical corticosteroids can be used for symptomatic relief and is considered safe to use in pregnancy.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Oral Fluconazole, on the other hand, should be avoided while pregnant. In this nationwide cohort <\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2480487\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">study<\/span><\/a> <span style=\"font-weight: 400;\">in Denmark, published in the Journal of the American Medical Association, use of oral fluconazole (the leading prescription pill) in pregnancy was associated with a statistically significant increased risk of spontaneous abortion compared with risk among unexposed women and women with topical azole exposure in pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The 2016 study found that pregnant women who took oral fluconazole were 48 percent more likely to have a miscarriage than women who didn\u2019t take the drug.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is of course always best to consult your doctor or midwife before treating yourself for a yeast infection. If left untreated, yeast infections can pass to your baby\u2019s mouth during delivery. This is called \u201cthrush\u201d.\u00a0<\/span><\/p>\n<h3>I Am SO Uncomfortable! How Can I Find Some Natural Relief Working With What I Have At Home?<\/h3>\n<p>The jury is still out on these natural remedies, but they may be worth asking your healthcare provider about.<\/p>\n<p>Some research shows that applying natural honey topically may inhibit the growth of bacteria and fungi due to its high concentrations of sugar. Honey also has a low pH, which is exactly the kind of environment Candida does not like. Adding antifungal plant chemicals by mixing it with powdered herbs will make an even more effective Candida fighting honey.<\/p>\n<p>Note: Eating honey is not the same and can in fact aggravate your problem due to high sugar content diluted in the stomach, which Candida feeds on.<\/p>\n<p><span style=\"font-weight: 400;\">Coconut oil (topically) \u2013 coconut oil is an established antifungal and may act as a natural remedy for yeast infection relief. This study found that the <\/span><a href=\"https:\/\/www.uniprot.org\/proteomes\/UP000000559\" target=\"_blank\" rel=\"noopener noreferrer\"><i><span style=\"font-weight: 400;\">Candida albicans <\/span><\/i><\/a><span style=\"font-weight: 400;\">strain was most susceptible to concentrated coconut oil and less coconut oil was needed to get rid of the yeast than fluconazole.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">ACV (consumption and\/or bath soak) \u2013 adding apple cider vinegar to a warm bath may help provide some relief from a yeast infection. The acidic component can eliminate harmful microorganisms, including yeast. You can also incorporate more ACV into your diet to help treat Candida. Take 1 tsp a day in a glass of water until you see results.\u00a0<\/span><\/p>\n<h3><b>Preventative Measures?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">It is of course best to try and do anything to fight Candida in the first place. I highly recommend taking a probiotic and\/or cranberry supplement. Other preventative measures include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Avoid tight-fitting clothes<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Wear cotton underwear and avoid synthetic fabrics<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Go commando when sleeping so your vulva can breathe<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Dry yourself well before getting dressed following a bath or shower<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Change out of wet swimsuits ASAP<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The same goes for sweaty clothes<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Limit your time in tubs and bodies of water<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Avoid douching\/the use of scented feminine products<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Take a probiotic<\/span><\/li>\n<li id=\"drscroll\" style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Lower sugar intake<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Of course one of the biggest steps you can take in healing and preventing further yeast infections, is to seek help early on so that it can be effectively diagnosed and treated.<\/span><\/p>\n<div class=\"drstamp\" style=\"margin-bottom: 10px; background-color: #fff5f7; padding: 20px 20px 5px 20px;\">\n<h3 style=\"padding-bottom: 10px;\">Facts checked by:<\/h3>\n<h3 style=\"color: #ed008c;\"><strong>Dr. Shree Datta<\/strong><\/h3>\n<p><img decoding=\"async\" class=\"alignleft wp-image-28100\" style=\"padding-top: 5px;\" src=\"https:\/\/www.intimina.com\/blog\/wp-content\/uploads\/2020\/05\/3LQ6bY-L_400x400.jpg\" alt=\"Dr. Laurie Mintz, Ph.D.\" width=\"110\" height=\"96\" \/><\/p>\n<p style=\"font-size: 14px;\">Dr. Shree Datta is a Consultant Obstetrician and Gynaecologist in London, specialising in women&#8217;s health including all menstrual problems such as fibroids and endometriosis. Dr. Shree is a keen advocate for patient choice, having written numerous articles and books to promote patient and clinician information. Her vision resonates with INTIMINA, with the common goals of demystifying periods and delivering the best possible care to her patients<\/p>\n<p style=\"font-size: 14px;\"><strong><a href=\"https:\/\/www.themedicalchambers.com\/find-a-clinician\/ms-shree-datta\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Medical<\/a><\/strong> | <strong><a href=\"https:\/\/uk.linkedin.com\/in\/shree-datta-10320327\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">LinkedIn<\/a><\/strong> | <strong><a href=\"https:\/\/twitter.com\/drshreedatta\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Twitter<\/a><\/strong><\/p>\n<\/div>\n<h3 style=\"padding-left: 20px;\">Written by:<\/h3>\n","protected":false},"excerpt":{"rendered":"<p>This article was medically fact-checked by Consultant Obstetrician and Gynaecologist Dr. Shree Datta. While the list of body changes one experiences during pregnancy is on-going, it can be argued that&hellip;<\/p>\n","protected":false},"author":21,"featured_media":16614,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[11],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.12 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Yeast Infections During Pregnancy and How to Deal with Them<\/title>\n<meta name=\"description\" content=\"One of the biggest annoyances during pregnancy is hands down vaginal changes. 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