<s>[INST] i have been experiencing re-occuring constant thrush for over a year now. the skin down below is very red and it burns and swells during and after sex, making it almost impossible. i have been given various treatments but nothing clears it up. my blood test just came back as having a low white blood cell count. can this be the cause of or be affecting the thrush? [/INST] Hi, Welcome to Chat Doctor. There are chances of low immunity if your white cell count is low, which could be predisposing you to opportunistic infection like thrush. But there are other factors also which play a role. I suggest you get a vaginal swab tested for fungal culture and sensitivity and then get appropriate antifungal treatment based on the test results. I would like to stress here that antifungal therapy has to be continued for at least 6 weeks to prevent recurrence. Thanks. </s>