Meet Dr. Maria Yankova, a seasoned obstetrician-gynecologist and specialist in fetal medicine and prenatal diagnostics at Lozenets University Hospital. Graduating from the Medical University – Sofia in 2001, she’s been on a journey dedicated to women’s health ever since.

So, what’s the deal with vaginal fungal infections? Dr. Yankova explains that they stem from a disruption in the body’s natural defenses. Candida spores, the culprits behind these infections, lurk everywhere – on our skin, in our mouths, even in our guts and, yes, in the vagina. But normally, they mind their own business, staying inactive. It’s when conditions become favorable that they rear their itchy heads.

What messes with this delicate balance? Lifestyle factors play a big role. Changes in climate, diet, or weight can create a cozy environment for these pesky fungi to thrive. Interestingly, diet matters too. People who load up on carbs are more prone to fungal infections compared to those who keep it balanced.

Rapid weight gain can also be a trigger. Think about it: more weight means more folds and crevices where moisture builds up, especially in intimate areas. This creates the perfect breeding ground for fungi.

Now, what about swimming pools? While they might not directly infect you, walking barefoot in damp areas with untreated tiles can invite trouble. High chlorine levels in pools can also mess with vaginal pH, making it easier for yeast to flourish.

Summer’s not off the hook either. With rising temperatures and increased sweating, it’s like a buffet for candidiasis.

But how do you know if it’s a fungal infection? Symptoms are pretty distinctive. There’s intense itching, lots of white discharge with plaques, similar to what newborns experience in their mouths.

Treatment-wise, there’s been a shift away from heavy medication. Overuse of antifungals and antibiotics can mess up the vagina’s natural flora, paving the way for more infections down the line. Probiotics have stepped in as a gentler option, helping restore the balance. But for severe cases, oral antifungals may be necessary.

And what about recurrence? Sometimes, the body can handle it on its own with good hygiene practices. Other times, it’s a battle that needs medical intervention, maybe even for partners if the infection keeps coming back.

In the end, it’s about finding the right balance – in lifestyle, treatment, and understanding your body’s needs. Dr. Yankova’s insights shed light on how to navigate the itchy world of vaginal health with care and confidence.