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Dr Hetal Gosalia answers common sexual health queries. She explains that thrush (candidiasis) is not an STD but a fungal infection caused naturally in the vagina, triggered by factors like antibiotics or hormonal changes. She also discusses female condoms as a safe contraceptive option & reassures that emotional distance in marriage often stems from difficulty expressing feelings, not rejection.

I am 29 years old. I have recently had thrush. Is it passed to me by my sexual partner? JG, Ghatkopar West

No, thrush (candidiasis) is not a sexually transmitted infection. The fungus that causes thrush lives naturally in the vagina. Sexual activity can trigger or pass the fungus to the partner. Sexually non-active person too can suffer. The thick white odourless discharge here is different from discharges of STD's which are yellowish with unpleasant odour. Common causes of Candidiasis are bad hygiene, antibiotics which destroy the normal flora of vagina or hormonal changes. Do not hesitate, and meet your gynecologist who will guide you with the right treatment. You can resume sexual activity thereafter.

I have heard of female condoms. Is it worth using? KD, Mulund East

The female condom is very thin plastic, polyurethane and does not contain any potentially allergic spermicidal lubricants. It can be inserted before intercourse with any oil-based products. It works similar to male condom, except that it fits inside the vagina. When a man ejaculates, his semen stays inside the condom, which is then removed and disposed of, thus preventing unwanted pregnancy. Only disadvantage is, penis may by mistake slip between condom and vaginal wall leading to pregnancy or any STD’s.