Vaginal and Vulval Conditions

Question 1

For fungal infections of the vagina and vulva, what medication is used?

Answer 1

Topical clotrimazole or miconazole, or oral fluconazole.

Question 2

For non-fungal infections of the vagina and vulva, what medication is used?

Answer 2

Clindamycin cream and metronidazole gel.

Question 3

Define vaginal atrophy.

Answer 3

Inflammation of the vagina due to thinning and shrinking of the tissues. Commonly caused by a lack of oestrogen.

Question 4

What is the first line for the treatment of vaginal atrophy?

Answer 4

An oestrogen containing cream applied on a short-term basis to improve the vaginal epithelium. Should be used in the smallest effective amount to minimise systemic effects.