Post Op Thrush

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Since my total hysterectomy on 6 October my vagina and surrounding areas have become extremely dry. After a few weeks I contacted my CNS who recommended a moisturiser for the surrounding areas and Replens for the vagina. These didn't help much and both of the areas became quite sore and itchy. I haven't had any discharge. I saw my ANP at my GP's surgery and, after examination, she prescribed Clotrimazole for thrush. I've been using it for 3 days with some slight relief although the dryness remains. Wondered if anyone had experienced a similar issue. I'm due to have brachytherapy in early December so imagine it would be a very uncomfortable experience if the dryness continues.

  • Hi SH53, I had brachy x 2 back in May and I don’t think vaginal dryness would cause any issue with brachy as lubricant is used. If you have any worries, concerns or questions about brachy, I’d recommend asking your CNS if a Brachy nurse could call you. I did this and her call made me feel much better about it all.

  • Hi SH53 I'm just wondering if it's due to unsettled hormones? You've had a total hysterectomy so your ovaries that we're releasing or making the hormones are no longer there and this could cause the dryness?  Just a thought, I'm sure it will settle, in the meantime use the Clotrimazole every time you use the toilet and it should clear, if it returns you may need oral meds or an internal pessary. Hope you get relief and back to some normality as the radiotherapy team may not want to give you brachytherapy until this issue has cleared. But if they do and like Marmitefan has mentioned  they lubricate you very well in that area when they insert the applicator.

    Take care XXX

    Madesp 
  • Thanks. I'm hoping the cream will do the trick. I've e mailed the CNS so hopefully I'll get some reassurance.

  • Thanks for replying. I'm 69 so well past the menopause but there's been quite a change since the op. Fingers crossed the cream will resolve it. 

  • Replens can itself cause yeast infections/thrush so it may be that you started off just dry and that made it worse. But the thrush cream may help with both.