Thrush

Question 1

What is vuvlovaginal candidiasis?

Answer 1

symptomatic inflammation of the vagina and/or vulva caused by a superficial fungal infection

Question 2

What is the most common cause of genital thrush?

Answer 2

Candida albicans

Question 3

How is acute vuvlovaginal candidiasis treated?

Answer 3

-Oral fluconazole or itraconazole
OR
-Intravaginal imidazole pessary or cream

Topical anti fungal cream for vulvitis

Question 4

What are some predisposing factors to recurrent vuvlovaginal candidiasis?

Answer 4

-recent (up to 3 months before) antibacterial therapy
-poorly controlled diabetes mellitus
-pregnancy
-immunosuppression
-HRT use
-possibly oral contraceptive use

Question 5

What’s the treatment for recurrent vuvlovaginal candidiasis?

Answer 5

-oral fluconazole to ensure clinical remission
-maintenance regimen for 6 months

Question 6

What are some symptoms of thrush?

Answer 6

-Itching, burning, or pain in the vaginal and vulval areas
-A thick, white or yellow discharge
-Redness and swelling of the labia
-Painful sex or urination
-Bleeding between periods or after sex
-Needing to urinate more often
-A rash or blisters on the vulva