What is thrush?

Written by: Dr Nneka Nwokolo
Published:
Edited by: Lisa Heffernan

Thrush is the most common name given to a medical condition in which a yeast-like fungus called Candida albicans overgrows in the genital area or the mouth and throat. It can affect both men and women and although usually harmless, it can be quite uncomfortable and may keep coming back. Dr Nneka Nwokolo tells us more about the parts of the body that are affected by thrush, the symptoms that accompany it and how it can be treated.

As we’ve mentioned, thrush affects the genitals (vagina and penis) but can also affect the mouth. The Candida yeast lives naturally in the digestive system of everyone and because the exit point of the digestive system (anus) is so close to the genital area, it’s very common for this fungus to be found there.

Thrush in the genital area is generally more common in women than men, mainly because of the closeness of the vagina to the anus. It’s also more common in uncircumcised men than circumcised men. Anyone with a suppressed immune system is also more prone to developing this yeast infection.

 

Can thrush also affect babies?

Thrush can affect anyone, and it’s pretty common in babies, where it usually affects the mouth. It also commonly affects the mouth in people with asthma who use steroid inhalers and the mouth or genital area in people on steroid treatments.

 

Is thrush contagious?

Thrush isn’t considered to be a sexually transmitted infection, but sometimes male sexual partners of women with thrush can develop symptoms, usually because of an allergic reaction to substances on the surface of the yeast. Thrush isn’t contagious otherwise and can’t spread by normal contact, for example; through using utensils or sharing a bath.

 

Symptoms of thrush in men vs. symptoms of thrush in women

In women thrush in the genitalia usually causes itching inside the vagina and on the skin outside. The itching can sometimes be very severe and is usually accompanied by a thick white discharge that often looks like cottage cheese which typically has no smell.

Symptoms in men include itching and redness of the head of the penis, often with a white discharge under the foreskin.

 

How is thrush treated?

Thrush can be easily treated with anti-fungal treatments that can be bought over-the-counter without the need for a prescription. They usually come in either cream or tablet form or a combination of both.

If symptoms don’t subside after a course of treatment, it’s important to see a doctor or nurse, as there are other conditions that may mimic thrush.

 

If you are affected by thrush and you would like more information, visit the profile of Dr Nneka Nwokolo.

Dr Nneka Nwokolo

By Dr Nneka Nwokolo
Genitourinary Medicine

Dr Nneka Nwokolo is a London based consultant physician in Sexual Health and HIV Medicine who is known for her sensitivity and discretion.

Dr Nwokolo has extensive experience in the management of sexually transmitted infections STIs and HIV in men and women, and a special interest in the management of chronic and recurrent problems such as genital herpes, recurrent thrush and bacterial vaginosis. She has particular expertise in the treatment of syphilis and antibiotic-resistant gonorrhoea.

Other areas of expertise include contraception, management of the menopause, the sexual health of women and adolescents and pre and post-exposure prophylaxis against HIV infection.

She was the lead author of the 2015 UK National Guideline for the Management of Genital Chlamydia Infection. She has many publications in the fields of sexual health and HIV.

Dr Nwokolo provides the full range of contraceptive methods including implants and intrauterine contraception and is an instructing doctor for the Faculty of Sexual and Reproductive Health, providing training in contraception to doctors and nurses. She is the lead for young people in her NHS practice and provides sympathetic sexual health care and contraception to adolescents over the age of 16.

 


  • Related procedures
  • Sexually transmitted infections (STIs)
    Herpes
    Sexual dysfunction
    Prostatitis
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    Menopause
    Human papillomavirus (HPV)
    Contraceptive methods
    Intrauterine device (IUD)
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