What about the antifungals?

After numerous exchanges in our Facebook support group, we present here a series of considerations and information about antifungal therapies.

Suppositories and creams, based on molecules with names often ending in “zol,” are now offered more often than antibiotics, sold without a prescription and sometimes used on the advice of pharmacists, friends, etc.

Resorting to these local therapies is very common for many women who use them at the slightest vaginal discomfort or even in prevention (!) while they take antibiotics (“to avoid the mycosis that comes with it”).

We talk a lot in this blog about antibiotics and their sometimes very damaging side effects on the flora and on the immune defenses (general but also specific of the urogenital sphere).

What is often not said is that antifungal treatments (local and oral) have similar, if not more serious, side effects.

In fact, these medications are often used without prior vaginal swab despite their significant contraindications.

In particular we can mention:

1) its fungicidal action will kill the yeasts and other fungal strains of the flora which, in the absence of mycoses (typical symptomatology of vaginitis with not excessive number of fungal colonies), will have a devastating effect on the balance of the vulvovaginal flora (and intestinal if we talk about oral intake)

2) its repeated use, compared to suppositories and creams, can have a very strong irritating action on the mucous membranes, leading to an aggravation of vaginitis and a chronification of local inflammatory processes

A vicious circle is thus established: vaginitis (stinging, itching, redness, etc.) that is interpreted as a mycosis -> absence of vaginal exudate -> antifungal treatment -> dysbiosis and worsening of vaginitis, etc.

In the same way and for the same reasons (chronic inflammatory processes + irritation of the mucous membranes), the repeated and prolonged use of these local therapies is usually pointed out in situations of vulvar neuropathies such as vulvodynia or vestibulitis.

We therefore invite you to exercise the greatest caution with regard to this self-medication and, in particular, to systematically perform a vaginal swab during acute episodes of vaginal discomfort (results indicating no mycosis may be surprising even if the symptoms seem unequivocal).

It should also be remembered that vaginitis is a problem that can be managed (and solved) in a completely natural way, as long as the appropriate measures are taken:

– reduce local irritation by choosing white cotton underwear, cotton pads, not wearing a wet swimsuit, using a water-based lubricant during sexual intercourse, avoiding sports such as cycling or horse riding, etc.

– hydrate and soothe the mucous membranes: apply a cream with a suitable formulation such as Ausilium Crema daily

– support and strengthen the Döderlein flora by consuming oral probiotics and, if necessary, applying probiotics locally (we will mention here the great interest of Ausilium Flora for its versatility of use but also Lenicand for its preventive action against mycosis and other opportunistic vaginal infections)

Ausilium Lavanda can also provide an anti-inflammatory, soothing and restorative “boost”

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