Vaginal thrush

Question 1

Vaginal thrush - key symptoms (4)

Answer 1

Thick, ‘cottage cheese’ disharge
Odourless
Burning itch
Vaginal soreness

Question 2

Vaginal thrush - extra questions (8)

Answer 2

How often (check for recurrent)
Any other symptoms
STDs?
Age
Pregnancy
Diabetic or immunocompromised
Blood in urine?
Pain when urinating?

Question 3

Vaginal thrush - causes (2)

Answer 3

Disruption to pH (feminine products)
Antibiotics

Question 4

Vaginal thrush - explanation

Answer 4

Yeast infection caused by overgrowth of a natural yeast due to a disruption to the pH/natural flora

Question 5

Vaginal thrush - first-line treatment (product, how it works, how to use it and how long to see effects)

Answer 5

Oral fluconazole (antifungal)
150 mg immediately
12-24 hours for symptoms to reduce

Question 6

Vaginal thrush - other OTC treatment (not oral fluconazole) (2)

Answer 6

Clotrimazole 500 mg pessary - at night
Clotrimazole cream - 2-3 times a day

Question 7

Vaginal thrush - lifestyle (6)

Answer 7

Use emollient as soap substitute
Avoid vaginal douching
Wear loose clothing and cotton underwear
Wipe front to back
Avoid wipes and feminine hygeine products
Avoid natural remedies

Question 8

Vaginal thrush - referral (8)

Answer 8

Recurrent (>4 per year)
Diabetic or immunocompromised
STD risk
Other symptoms
<16 or >60
Pregnancy
Abnormal bleeding
First presentation of symptoms