Why do i keep getting thrush? Causes, symptoms, and remedies

Dr Yamini Ashokkumar
Date:  
November 10, 2025
Topics:  
Thrush
Author:  
10 min read
Introduction

If you’re wondering, “Why do I keep getting thrush?”, you’re definitely not alone. It's a frustrating cycle, but one thing is clear: this isn’t about hygiene. Almost every case of recurrent thrush comes down to an internal imbalance that turns your body into an environment where yeast can thrive over and over again.

Getting to the bottom of what is disrupting this delicate balance is the first real step toward breaking the cycle for good.

Uncovering The Root of Recurrent Thrush

Thrush is incredibly common—around 75% of women will have it at least once. But for a smaller group, it becomes a persistent, recurring problem.

This is officially known as recurrent vulvovaginal candidiasis (RVVC), which means having four or more diagnosed episodes within a single year. Research shows this affects about 5% of women, highlighting just how relentless this condition can be for some.

So, what turns a one-off infection into a repeating nightmare? Think of your body’s natural microbiome as a well-kept garden. Normally, beneficial bacteria (the 'good guys') keep the naturally present Candida yeast (the 'weeds') in check. Recurrent thrush happens when something keeps disturbing the garden, letting the weeds overgrow again and again.

Common Disruptors of Your Body's Balance

Several factors can upset this delicate ecosystem, leaving you vulnerable to frequent infections. Pinpointing these is key to understanding your personal triggers.

  • Hormonal Shifts: The natural fluctuations during your menstrual cycle, pregnancy, or even from using certain contraceptives can change the vaginal environment, making it a much more welcoming place for yeast to grow.
  • A Weakened Immune System: High stress levels, a chronic illness, or certain medications can lower your body's natural defences. When your immune system is compromised, Candida gets the upper hand.
  • Underlying Health Conditions: Issues like uncontrolled diabetes create a sugar-rich environment that yeast absolutely loves to feed on. Other conditions, like PCOS, can also play a significant role. For more on this, you can find great information on understanding PCOS and how nutrition and lifestyle can help manage its symptoms.

By looking beyond the immediate symptoms and digging into these deeper influences, you can start to piece together the puzzle. Our detailed guide on the various causes of thrush can offer even more insight into what might be triggering your episodes.

The Hidden Triggers Fuelling Recurrent Thrush

If you're stuck asking, "why do I keep getting thrush?", the answer usually isn't just one thing. It's often a handful of key triggers that repeatedly knock your body's natural balance off-kilter. Think of these culprits as the blueprints for the cycle of infection; once you identify them, you can start to break that cycle down.

These triggers are often tangled up with each other, creating the perfect storm for yeast to take over. The infographic below shows how major factors like antibiotics, hormonal shifts, and your immune system’s strength are all connected to this internal imbalance.

Infographic about why do i keep getting thrush

As you can see, what’s happening inside your body has a direct impact on how susceptible you are to thrush. It's rarely down to one isolated cause. Let’s take a closer look at these hidden drivers.

The Impact of Antibiotics and Medications

Broad-spectrum antibiotics are a massive—and very common—cause of recurrent thrush. While they're brilliant at fighting off nasty bacterial infections, they don’t really distinguish between 'good' and 'bad' bacteria.

Imagine it like using a powerful weed killer that also wipes out all the beneficial plants in a garden. By killing off protective bacteria like Lactobacillus, antibiotics leave a wide-open field for Candida yeast to grow without any competition.

This is exactly why so many women find themselves with a thrush infection either during or right after finishing a course of antibiotics.

Hormonal Fluctuations and Your Cycle

Your hormones, especially oestrogen, play a huge role in keeping the vaginal environment balanced. When oestrogen levels climb, they can actually encourage yeast to grow and attach more easily to the vaginal walls.

These hormonal shifts are a perfectly normal part of life, but they create windows of opportunity for thrush to strike.

  • Your Monthly Cycle: Many women notice thrush symptoms popping up at the same time each month, often just before their period is due.
  • Pregnancy: The consistently high oestrogen levels during pregnancy make it a very common time to deal with recurrent thrush.
  • Contraceptives: Some combined oral contraceptive pills can alter your natural hormonal balance, which for some people, contributes to the problem.

Underlying Health Conditions

Sometimes, recurrent thrush is less of a standalone issue and more of a signpost pointing to a deeper health problem that needs sorting out. An imbalanced internal system is the ideal breeding ground for yeast.

Uncontrolled high blood sugar is a major contributor to recurrent thrush. Yeast loves sugar, and having too much of it in your system is like laying out an endless buffet for Candida to feed on and multiply.

This is particularly true for diabetes. The risk of getting thrush again and again is higher in women with certain risk factors, and those with poorly managed diabetes are up to three times more likely to develop recurrent thrush.

If you have any concerns about your blood sugar, looking into your diabetes status can be a crucial first step. It's not just about the sugar you eat, either. Your body's response to certain foods can be a hidden trigger; understanding what causes insulin spikes can show how different dietary choices might be making you more susceptible.

On top of that, any condition that weakens your immune system—whether it’s chronic stress or an illness—lowers your body's ability to keep Candida in check, leaving you much more vulnerable to repeated infections.

To help put this all into perspective, here’s a quick summary of the main triggers we’ve covered.

Common Triggers for Recurrent Thrush and Their Mechanisms

TriggerHow It Contributes to Thrush
AntibioticsWipes out good bacteria, allowing Candida yeast to overgrow without competition.
Hormonal ChangesHigh oestrogen (from periods, pregnancy, or contraception) can help yeast grow and stick to the vaginal walls.
High Blood SugarProvides an abundant food source for yeast, fuelling its rapid growth.
Weakened Immune SystemReduces the body's natural ability to control and fight off yeast overgrowth.

Understanding how these factors work is the first real step towards managing the problem for good, rather than just treating the symptoms as they appear.

How Everyday Habits Can Contribute to Thrush

Beyond clear medical causes, some of your daily routines might be unknowingly creating the perfect conditions for thrush to thrive. If you're constantly asking, "why do I keep getting thrush?", it’s worth taking a closer look at your everyday habits. You might find some surprising connections.

Even small, seemingly harmless choices can add up, disrupting your body's delicate balance and making you more susceptible to those frustrating, recurrent infections.

Woman looking at a selection of healthy foods

Your Diet and The Sugar Connection

The link between what you eat and yeast overgrowth is often debated, but the science is pretty straightforward: Candida yeast feeds on sugar. Now, a single chocolate bar won't instantly trigger a flare-up, but a diet consistently high in refined sugars and carbohydrates can certainly help create an environment where yeast flourishes.

This doesn't mean you need to banish all sugar from your life. It's more about being mindful of your intake as a powerful preventative step. If you're concerned about how your diet might be affecting your overall health, a comprehensive lifestyle screen can offer valuable insights into your body's unique needs.

Clothing Choices That Create a Breeding Ground

Believe it or not, your wardrobe could be a bigger factor than you realise. Yeast loves warm, damp, and dark environments, and certain types of clothing create exactly that.

  • Synthetic Fabrics: Materials like nylon, lycra, and polyester just aren't breathable. They trap heat and moisture right against your skin, basically rolling out the welcome mat for Candida.
  • Tight-Fitting Clothes: Think skinny jeans, tight leggings, or shapewear. They restrict air circulation, leading to the same warm and humid conditions that yeast absolutely loves.

Simple swaps can make a huge difference. Opting for looser-fitting clothing and choosing natural, breathable fabrics like cotton for your underwear helps keep the area dry and cool. It makes it a much less hospitable place for yeast to set up camp.

A common misconception is that more aggressive cleaning equals better hygiene. In reality, harsh or perfumed products can do more harm than good, stripping away the protective bacteria that keep yeast in check.

Common Hygiene Myths Debunked

Many well-intentioned hygiene practices can ironically increase your risk of thrush. How? By disrupting the vagina's natural pH balance. The vaginal environment is clever – it's self-cleaning and relies on a delicate ecosystem of bacteria to stay healthy.

Try to avoid these common culprits:

  • Perfumed Soaps and Shower Gels: The chemicals and fragrances in these products can easily irritate the sensitive vulval skin and throw your natural flora out of balance.
  • Douching: This practice flushes out all the bacteria – both good and bad. This leaves the vagina vulnerable to all sorts of infections, including thrush and bacterial vaginosis.
  • Aggressive Washing: Over-washing strips away the natural protective oils and microorganisms your body needs. Gentle washing with plain water or a mild, unperfumed emollient is all that’s required.

By making these small but meaningful adjustments to your daily habits, you can help restore your body's natural defences and create an environment that actively discourages thrush from coming back.

Why a Proper Diagnosis Is a Critical First Step

https://www.youtube.com/embed/s8ORMwF-HHE

If you find yourself constantly asking, “why do I keep getting thrush?”, you know the frustrating ritual of reaching for the same over-the-counter cream all too well. While these treatments might offer some temporary relief, they don’t get to the heart of the problem.

When thrush becomes a recurring visitor, self-diagnosing is rarely enough to break the cycle for good. Securing a professional diagnosis from your GP is the most important first step. The classic symptoms—itching, soreness, and unusual discharge—can easily be confused with other common conditions. What feels like another bout of thrush could actually be something else entirely.

Ruling Out Other Conditions

Getting the right diagnosis is essential because the treatment for one condition won't work for another and could even make things worse. Several other issues present with very similar symptoms, which is where a lot of the confusion comes from.

  • Bacterial Vaginosis (BV): This is caused by an overgrowth of certain bacteria and needs antibiotics, not antifungals. Using a thrush cream for BV simply won't work.
  • Sexually Transmitted Infections (STIs): Conditions like trichomoniasis or genital herpes can cause itching and irritation that feel almost identical to thrush. You can get more information on the importance of proper STI testing to make sure you get the correct diagnosis and treatment.
  • Dermatitis: Sometimes, the irritation isn't an infection at all but a skin reaction to soaps, laundry detergents, or other products you're using.

The Importance of a Swab Test

To get a clear picture of what’s really going on, your GP may suggest taking a small swab from the affected area. It’s a simple, painless test, but it’s incredibly valuable. It will definitively confirm whether Candida yeast is the culprit behind your symptoms, putting you on the right path to effective treatment.

A swab test does more than just confirm a yeast infection. It can identify the specific strain of Candida causing the problem, which is vital for effective treatment, especially in recurrent cases.

Most thrush infections are caused by a strain called Candida albicans, which usually responds well to standard antifungal treatments. But every now and then, a different, more resistant strain is to blame. Surveillance from the UK Health Security Agency has even noted a slight rise in serious yeast infections, including emerging pathogens like Candida auris that can cause difficult-to-treat infections. You can learn more about these public health findings from their official report.

Identifying a less common strain allows your doctor to prescribe a more targeted and effective treatment plan. This is often the key to finally breaking free from the frustrating cycle of recurrence.

Effective Treatment Plans to Break the Cycle

When you’re stuck in a loop of recurrent thrush, a single-dose cream from the chemist often feels like putting a tiny plaster on a much bigger problem. It might offer temporary relief, but it rarely gets to the root of why it keeps coming back. To truly break the cycle, we need a far more structured and strategic medical approach.

This means shifting your mindset from just treating the symptoms as they pop up to creating a long-term plan. The goal isn’t just to clear the current infection, but to actively prevent the next one from ever getting a foothold. It's about moving from reactive fixes to proactive management.

The Two-Stage Approach to Treatment

An effective medical strategy for recurrent thrush is nearly always broken down into two distinct phases. This ensures we deal with the immediate problem head-on before putting strong preventative measures in place.

  1. Induction Therapy: Think of this as the initial, more aggressive phase. Its job is to get the current, stubborn infection completely under control. Instead of a single dose, your GP might prescribe a longer course of antifungal treatment to really knock it on the head.
  2. Maintenance Therapy: Once the infection is cleared, this phase kicks in. It involves a long-term, low-dose treatment plan designed to keep the Candida yeast suppressed and stop it from overgrowing again.

This two-pronged attack is crucial. Recurrent thrush often involves a more established colony of yeast that a simple one-off treatment just can’t fully eradicate.

What Does an Effective Plan Look Like?

A plan tailored by your GP will go far beyond standard over-the-counter options. Because recurrent cases are tougher, they almost always require stronger or more prolonged treatment to work.

For the initial induction phase, this could involve:

  • A course of oral antifungal tablets (like fluconazole) taken over several days or even a week.
  • Using antifungal pessaries or creams for an extended period, often for 7-14 days.

After that, maintenance or suppression therapy is the real key to long-term relief. This is a preventative strategy that continues for several months, sometimes longer.

Suppression therapy is the cornerstone of managing recurrent thrush. It typically involves taking a low-dose oral antifungal tablet or using a pessary just once a week for up to six months. This approach doesn't aim to wipe out Candida completely but to keep its population so low that it no longer causes any symptoms.

This long-term plan helps restore and maintain the natural balance of your vaginal microbiome, giving your body the space it needs to regain control. It’s a marathon, not a sprint, but it’s designed to finally stop that frustrating cycle of infection and reinfection.

It’s vital to have an open conversation with your GP to create a structured plan that’s right for you. They can help diagnose the specific cause and rule out other issues, such as different vulva conditions that can sometimes mimic thrush symptoms. By working together, you can develop a medical strategy that finally puts you back in control.

Your Action Plan for Preventing Future Infections

Breaking the cycle of recurrent thrush isn’t about drastic overhauls. It’s about making small, consistent changes that help restore and protect your body’s natural balance. Think of it as your personal toolkit for taking back control.

This action plan pulls together the most effective strategies into simple, daily habits. By putting these into practice, you can significantly reduce your risk of future flare-ups and finally get an answer to that frustrating question: "why do I keep getting thrush?".

Woman putting on trainers, ready for a healthy lifestyle choice.

Adopt Breathable Clothing Habits

The environment you create down there matters, a lot. Yeast loves warm, moist conditions, so improving air circulation is one of the simplest yet most powerful things you can do.

  • Choose Natural Fabrics: Make cotton underwear your daily go-to. Unlike synthetic materials like nylon or lycra that trap heat and moisture, cotton is breathable and helps wick it away from the skin.
  • Opt for Looser Fits: Try not to spend long periods in tight-fitting clothes like skinny jeans, leggings, or shapewear. Looser trousers, skirts, and dresses allow air to circulate much more freely.
  • Change Damp Clothes Promptly: This is a big one. Don't sit around in sweaty gym gear or a wet swimming costume. Changing as soon as you can stops you from creating the perfect breeding ground for yeast.

Rethink Your Hygiene Routine

When it comes to vaginal health, gentle care is far more effective than aggressive cleaning. In fact, harsh products can strip away the protective bacteria that keep your vaginal microbiome in balance. Your body has a brilliant self-cleaning system; your job is to support it, not disrupt it.

One of the most common mistakes I see is over-cleaning with harsh or perfumed products. This can disrupt the delicate vaginal pH, ironically making you more susceptible to the very infections you're trying to prevent.

To protect this delicate balance, stick to these simple rules:

  1. Avoid Douching: This practice flushes out all the bacteria, both good and bad, leaving you completely vulnerable to overgrowth.
  2. Use Gentle, Unperfumed Soaps: Wash the external vulval area with plain water or a mild, unperfumed emollient. Keep perfumed shower gels, soaps, and bubble baths well away from this sensitive area.
  3. Manage Known Triggers: If you’re prescribed antibiotics, have a chat with your GP or pharmacist. They might suggest taking a probiotic alongside your course to help support your good bacteria.

Your Questions Answered

When you're dealing with thrush that just won't go away, it’s natural to have a lot of questions. Let's tackle some of the most common ones that come up.

Could My Partner Be Giving Me Thrush?

This is a really common worry, but it's usually not the case. While it's technically possible to pass yeast between partners during sex, thrush isn’t classed as a sexually transmitted infection (STI). For most women, the real culprit is an internal imbalance in their own body, not something they've caught.

However, if your partner is showing symptoms themselves (like redness or irritation), treating both of you at the same time can sometimes help break a frustrating cycle of reinfection.

Should I Be Taking Probiotics to Stop It?

There’s a lot of buzz around probiotics, and for good reason. Certain probiotic supplements containing specific strains of Lactobacillus bacteria can help support a healthy vaginal microbiome, which is your body’s first line of defence against yeast overgrowth.

Some women find them particularly useful when taking a course of antibiotics, which can disrupt that delicate balance. The science is still growing in this area, so it’s always a good idea to chat with your GP to see if probiotics are a good fit for you.

Is Stress Causing My Thrush to Come Back?

Yes, it absolutely can be a factor. Chronic stress puts your immune system under pressure, making it less effective at keeping the naturally present Candida yeast under control.

While stress on its own is rarely the single cause of recurrent thrush, it can certainly lower your defences and make you more vulnerable to a flare-up. Managing stress through things like regular exercise, mindfulness, or simply prioritising a good night's sleep can give your immune system the support it needs to fight back.

Conclusion
why do i keep getting thrush? Causes, symptoms, and remedies
Dr Yamini Ashokkumar
November 10, 2025
10 min read
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