The reasons most women come to see me, and how I approach them.
Frequently asked questionsItching, burning and discharge that keep coming back despite treatment.
Many women spend months or years on treatments without finding a solution. The first step is to confirm that it really is Candida (and which species) with microbiome testing and a culture with antifungal susceptibility, and to rule out other conditions that look similar.
I then combine the right antifungal treatment with changes in hygiene and diet, care of your gut and vaginal microbiota, and support in managing stress.
Before repeating treatment, two things need confirming: that it really is Candida, and which species. Microbiome testing and a culture with antifungal susceptibility testing show that and which antifungal it responds to. And it is worth remembering that some conditions look very like thrush and are not.
Because the plan is not only the antifungal: it includes changes in hygiene and diet, care of your gut and vaginal microbiota, and support in managing stress. That is not an extra; it is part of the treatment.
When genital infections keep coming back, testing your partner stops the cycle of reinfection, and in men a possible prostatitis is assessed as well. If that fits your situation, we will consider it.
When the days before your period change your body, your mood and your life.
An inflammatory disease that takes far too long to diagnose and deserves a complete approach.
Irregular periods, excess androgens and a metabolism that needs attention.
The most common benign tumours of the uterus: often they only need monitoring.
A stage to live well informed and without fear, caring for your intimate health too.
Pain that stays in your pelvis for months is never normal and always deserves investigation.
Pain during sex, dryness or low desire often have a physical cause that can be treated.
Preparing your body before trying for a pregnancy.
Diet, lifestyle and environment as the foundation of any treatment.
Whether a test or treatment is right for you is decided together, in consultation, after assessing your case. This page is for information only and does not replace a medical assessment.
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