Things you should know to control Vaginal Yeast Infection By Dr. Asha Hiremath

Vaginal yeast infection is a common condition that contains yeast and bacteria cells. However once there is a change in the balance of bacteria and yeast they can multiply which can cause intense itching, swelling and irritation. But the condition is treatable and depending on the severity this can be either cured in a few days or may take upto 2 weeks. Vaginal hygiene is a must to keep fungal/bacterial infections at bay. Infact yeast infection is one of the most common infection that women complain most of the time.

Some of the symptoms to identify yeast infection is vaginal itching, burning sensation during sex/urination, painful sexual intercourse, swelling/redness around the vaginal area, rash and soreness.  Seeking help from a Gynaecologist at the earliest is of prime importance as this can help in arresting the symptoms early. Any foul smell in the vaginal discharge can lead to serious consequences and must be treated immediately.

Diagnosis of yeast infections

It is easy to diagnose yeast infection. Doctor will check for medical history on yeast infections or an STI. This will be followed by pelvic examination of vaginal walls & cervix and also check for any secondary infections around the area. Sample cells will be collected from the vaginal area and sent for lab investigations.

Some of the major causes that leads to yeast infections are; hormonal pills, pregnancy, birth control pills, uncontrolled diabetes, consumption of antibiotics and vaginal sprays. There is a common myth that women can contract this infection only during summer season but women are prone to this infection even during winters. Here are some easy tips to avoid yeast infection.

  • Wear right sized underwear Ÿ?? It is important to choose the right fit of the underwear and to avoid synthetic or a tight fitting underwear. As it can increase body temperature and enhance buildup of moisture in the vaginal area that can cause yeast infection.
  • Do not wear tight pants Ÿ?? Tight pants around vaginal area can provide an environment to thrive for yeast infection as this can lock the moisture around your private parts
  • Change your wet cloth Ÿ?? ItŸ??s important to change wet panties/clothes post a work out/ swim of exposure to heavy rains.
  • Scented products are a complete no : Use of scented sprays/wipes around vagina is not advisable
  • Barrier methods more suitable: It is advisable to use barrier methods for prevention of fungal infection transmission
  • Period Hygeine Ÿ?? It is extremely crucial to maintain vaginal Hygeine during menstrual cycle .Regular change of sanitary pads, tampons is important.
  • Keeping diabetes under check Ÿ?? Women must maintain sugar levels to avoid any serious infections and manage diabetes.
  • Limit the use of antibiotics Ÿ?? This must be taken only under medical prescription and if it is only absolutely necessary.

Early medical intervention and consultation with your gynaecologist can save you from all the suffering.

Pregnancy & Thyroid Things to know By Dr. Madhavi Reddy

Hypothyroidism is often associated with either slow pregnancy or difficulty in conception. Untreated thyroid can cause serious repercussions and leads to either miscarriage, premature baby. It is important that thyroid diseasesŸ??hyperthyroidism and hypothyroidismŸ?? are both treated & monitored closely during pregnancy.  Thyroid should be managed with proper medications and regular thyroid level investigations and proper dosage of the medications. Regular monitoring of thyroid stimulating hormones & T4 levels are imperative in order to conceive. Some of the high risk factors of developing thyroid include family history of thyroid issues, autoimmune disease and thus arresting thyroid symptoms in the early stages of pregnancy is critical, so a proper treatment can be provided and can lead to a more fruitful outcome.

Symptoms of hypothyroidism

  • Weight gain & fatigue
  • Sensitivity towards cold temperature
  • Muscle cramps
  • Difficulty in concentration

It is always advisable to undergo thyroid testing before conception and keep your doctor informed incase you are on medications. As TSH lab values must be reviewed every 3 weeks during the pregnancy journey. Generally during the pregnancy thyroid hormone requirements rise to support baby and the mother. The prenatal vitamins can hinder how the body may use up thyroid hormone replacement therapy. This can be avoided by keeping a 4 Ÿ?? 5 hour gap between thyroid medicines & prenatal vitamins. The doctor must pay special attention to treat hypothyroidism during pregnancy and can lead to blood pressure, still birth, low birth weight of the baby, maternal anemia and premature delivery. Unusual symptoms can impact babyŸ??s growth and brain development.

Post pregnancy thyroid care: Once the mother gives birth postpartum thyroiditis is common and is especially critical among women with auto immune thyroid disease as this can cause severe complications. The postpartum thyroiditis develop usually in first 3 Ÿ?? 6 months after giving birth and some of the symptoms can be hard to identify as they are identical with initial struggles of becoming a new parent.

Early symptoms of postpartum thyroiditis are

  • Disrupted sleep pattern, nervousness, cranky behaviour and pounding heartbeat, fatigue etc.
  • The other symptoms that may follow are loss of energy, dry skin, constipation, aches & pains etc.

Infact hypothyroidism can also disrupt the mil production, however a hormone replacement therapy can help in curing this condition.

Things to eat & precautions for women having thyroid troubles during pregnancy

  • Eating Cruciferous veggies can help in regulating the thyroid levels. Broccoli, cauliflower, cabbage, kale etc are great
  • Food rich in iodine is avoidable
  • Lean meat for boating protein requirements are a good source
  • Light exercises like walking, pregnancy walking, meditation & breathing exercises are advisable

Maintaining right balance in nutrition and prenatal exercises and aid smooth pregnancy for women facing thyroid troubles.  Healthy lifestyle is a key factor for overcoming difficulties in this condition.