thrush - male

Question 1

symptoms

Answer 1

• Irritation
• Burning
• Redness
• Around head of penis and under foreskin
• White discharge (cottage cheese)
• Unpleasant smell
• Difficulty pulling back foreskin

Question 2

treatment

Answer 2

ONLY IF SYMPTOMATIC AND SEXUAL PARTNER DIAGNOSED (if not, refer)

Clotrimazole 2% cream
- Apply to end of penis 2-3 times a day for up to 2 weeks
- only if partner has thrush

Question 3

referral

Answer 3

• Partner doesn’t have THRUSH
• U16, O60
• Diabetic
• Pregnant/bf
• 2 episodes in 6 months
• Systemic Sx -> fever, chills, lower back pan
• Patient/partner with Hx of STI (discharge, soreness, ulcers, blisters)
• No improvement after 7 days