Thrush in men and women

Thrush is a common yeast infection that affects men and women. It's usually harmless but it can be uncomfortable and keep coming back. It is not classed as a sexually transmitted infection (STI).

Symptoms of thrush in women include:

  • white vaginal discharge (often like cottage cheese), which does not usually smell
  • itching and irritation around the vulva and vagina
  • soreness and stinging during sex or when you pee

Thrush symptoms in men

Symptoms of thrush in men include:

  • irritation, burning and redness around the head of the penis and under the foreskin
  • a white discharge (like cottage cheese)
  • an unpleasant smell
  • difficulty pulling back the foreskin

Thrush in other areas

Thrush can affect other areas of skin, such as the armpits, groin and between the fingers.

This usually causes a red, itchy or painful rash that scales over with white or yellow discharge. The rash may not be so obvious on darker skin.

Sometimes thrush causes no symptoms at all.

See a GP if:

  • you have symptoms of thrush for the first time
  • you have thrush and are under 16 or over 60
  • thrush keeps coming back (more than 4 times in 12 months)
  • treatment for thrush has not worked
  • you have thrush and are pregnant or breastfeeding
  • you have thrush and a weakened immune system – for example, because of diabetes, HIV or chemotherapy

You may also be able to get help from a sexual health clinic if you think you have thrush.

Find a sexual health clinic

The GP will want to confirm it's thrush and rule out other infections.

You'll be asked about your symptoms.

If it's not clear it's thrush or if you have thrush that keeps coming back:

  • a doctor or nurse may look at your vagina, penis or skin
  • a cotton bud may be wiped over the discharge to check what's causing your symptoms and to test for other infections

You'll usually need antifungal medicine to get rid of thrush. This can be a tablet you take, a tablet you insert into your vagina (pessary) or a cream to relieve the irritation.

Thrush should clear up within 7 to 14 days of starting treatment.

You do not need to treat partners unless they have symptoms.

Recurring thrush

You might need to take treatment for longer (up to 6 months) if you keep getting thrush (you get it more than 4 times in 12 months).

Before you begin treatment, a GP can help identify if something is causing your thrush, such as your period or sex.

They'll recommend how often you should use treatment.

There are things you can do to ease thrush and stop it coming back.

Do

  • use water and an emollient (like E45 cream) instead of soap to wash the affected area

  • dry properly after washing

  • wear cotton underwear

  • avoid sex until thrush has cleared up if sex is uncomfortable

Don't

  • do not use soaps or shower gels

  • do not use douches or deodorants on your vagina or penis

  • do not wear tight underwear or tights

Important

If you have sex during treatment, be aware that antifungal creams can damage condoms and diaphragms. This means your contraception might not work.

You can buy antifungal medicine from pharmacies if you've had thrush diagnosed in the past and you know the symptoms.

A pharmacist can recommend the best treatment for you. Ask if they have a private area to talk if you're embarrassed.

You should not use antifungal medicine more than twice in 6 months without speaking to a pharmacist or doctor.

Find a pharmacy

Thrush is not classed as a sexually transmitted infection (STI), but it can be triggered by sex or, less often, passed on during sex.

Thrush is caused by a fungus called candida that is normally harmless.

Thrush tends to grow in warm, moist conditions and develops if the balance of bacteria changes.

This can happen if:

  • your skin is irritated or damaged
  • you're taking antibiotics
  • you have poorly controlled diabetes
  • you have a weakened immune system (for example, because of HIV or chemotherapy)
  • you're having hormone replacement therapy (HRT)
  • you're pregnant