En finir avec les mycoses vaginales

Gênante et douloureuse, la mycose vaginale est causée par des champignons… et a une sérieuse tendance à revenir régulièrement. Mieux la connaître, c’est se donner toutes les chances de lui échapper et d’éviter les récidives.

À quoi sont-elles dues ?
À un champignon, le candida albicans, dans 80 % des cas. Il est naturellement présent dans la flore vaginale mais, quand il s’y trouve en quantité anormalement élevée, on parle de mycose . Soit ces champignons proviennent du tube digestif, où ils se sont développés à la suite d’un traitement antibiotique, d’une diarrhée , pour contaminer ensuite le vagin. Soit ils se sont multipliés sur une muqueuse vaginale fragilisée, par des vêtements trop serrés, une activité sexuelle plus intense… Rapidement apparaissent des démangeaisons, des sensations de brûlures et surtout des pertes blanches ressemblant à des grumeaux.

Est-ce parfois une question d’hygiène ?
Les toilettes trop fréquentes, trop intrusives (gel douche à l’intérieur du vagin) ou avec des produits agressifs détruisent les lactobacilles (flore vaginale) et favorisent les mycoses. Autre erreur, s’essuyer de l’arrière vers l’avant quand on va à la selle : on risque ainsi de ramener des champignons de l’anus vers le vagin.

La solution
Se laver chaque jour avec un produit sans savon et sans antiseptique, au pH neutre, afin de respecter les lactobacilles nécessaires à l’équilibre de la flore.
Comment traiter les mycoses vaginales ?
En cas de démangeaisons apparues après la prise d’antibiotiques, par exemple, on peut demander à son pharmacien des ovules antifongiques à libération prolongée (Gyno-® …). On en glisse un premier dans le vagin dès que possible, suivi d’un second 5 jours plus tard. Il faut aussi appliquer une crème antifongique sur la muqueuse vaginale, matin et soir pendant 8 jours, même si les signes ont disparu avant la fin du traitement. En cas de doute, il est conseillé d’en parler à son médecin.
Attention à ne pas confondre
Les mycoses ne sont pas des infections à chlamydia (sexuellement transmissibles) ni des vaginoses bactériennes. Même si ces infections provoquent quelquefois des démangeaisons et des pertes blanches. En cas de doute, il est donc toujours préférable de consulter.

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