Feels like thrush, but it could actually be this

Ever experienced symptoms similar to vaginal thrush (candidiasis) like itching, irritation, discharge, soreness or stinging?

But when we get treatment it either doesn't work, or it only helps a little in the short term before it returns. Argh!

alternative causes to thrush-like symptoms

There are alternative causes for these irritating and frustrating symptoms. Conditions that can mimick them include...

  1. Bacterial vaginosis - An imbalance in vaginal bacteria leading to a thin, grayish-white discharge with a fishy odor. Unlike thrush, itching and irritation are less common

  2. Lichen sclerosus - A chronic inflammatory autoimmune skin condition affecting the genital area, causing intense itching, white patches and thinning of the skin

  3. Aerobic vaginitis - Characterized by inflammation due to the presence of aerobic bacteria, resulting in burning, stinging, and a yellowish discharge. The vaginal mucosa may appear thinned and reddish, sometimes with erosions

  4. Sexually transmitted infections - Infections such as chlamydia, gonorrhea, and trichomoniasis can cause vaginal discomfort, itching, and abnormal discharge. For instance, trichomoniasis often presents with a frothy, yellow-green discharge with a strong odor

  5. Atrophic vaginitis - Also known as genitourinary syndrome of menopause, this condition results from decreased estrogen levels, leading to thinning, drying, and inflammation of the vaginal walls, causing dryness, itching, and discomfort during intercourse

  6. Allergic reactions or irritant dermatitis - Exposure to irritants like scented soaps, detergents, or latex condoms can lead to vulvovaginal itching and irritation

  7. Systemic candida - Systemic infections may also need to be consiered as this can lead to recurrent thrush and could require systemic rather than just local support

Digging to discover the root cause, and dealing with it so these symptoms go away once and for all is my approach. Testing can provide invaluable insight.