Vaginal thrush

Question 1

What is vaginal thrush (4)

Answer 1

1. a fungal infection caused by a yeast calledCandida albicans.
2. antifungals are used in the treatment of this infection.
3. Candida lives in our bodies but it usually does not cause any problems that we are aware of.
4. Under certain circumstances, the amount of candida increases and triggers the occurrence of a number of symptoms.

Question 2

What are the symptoms of thrush (3)

Answer 2

1. Pain/stinging during sex or urination
2. soreness and itching outside the vagina
3. Thick, white odourless discharge

Question 3

What are possible causes of thrush (7)

Answer 3

1. Sexual intercourse
2. Weakened immune system
3. Certain medications
4. Pregnancy
5. Tight clothing
6. Poorly controlled diabetes
7. Irritants such as perfumed bath products

Question 4

What questions do you need to ask for vaginal thrush (2)

Answer 4

1. WWHAM
2. First time? yes = referral

Question 5

What is used to treat thrush (7)

Answer 5

1. OTC in the form of pessaries (internal) and creams (external and internal) containing antifungals.
2. clotrimazole
3. Fluconazole(tablet)
4. Partners do not need to be treated unless they have symptoms.
5. If a candida infection is suspected in men as the cause of symptoms, an antifungal cream is usually recommended.
6. If symptoms are severe, fluconazole oral capsule is recommended.
7. Any man who is experiencing symptoms for the first time, for example discharge from the penis or any sores on it, or where it is coming back regularly, should be referred to the pharmacist as it could be a sign of something more serious.

Question 6

Who should be referred to the pharmacist for thrush (9)

Answer 6

1. Children under 16 years
2. Women over 60 years
3. Pregnant and breastfeeding women
4. Women with sores or ulcers around the vaginal area
5. Customers whose symptoms are persisting, especially if already treated
6. Women who have had thrush more than four times in the last year
7. Those taking other medicines
8. Those presenting with symptoms for the first time
9. Men

Question 7

What is vaginal dryness (3)

Answer 7

1. might also be mistaken for thrush
2. although it tends to be more common in women who have gone through the menopause.
3. The hormonal changes that happen at this time can dry out the vagina, so vaginal lubricants can be helpful.

Question 8

What problems are associated with vaginal dryness (4)

Answer 8

1. vaginal irritation
2. a reduced libido
3. increased frequency of urination
4. recurring urinary tract infections.

Question 9

How is vaginal dryness treated (4)

Answer 9

1. There is an over-the-counter product called Gina®which contains estradiol, a female sex hormone.
2. It is a tablet for vaginal use only, that can be used to treat and relieve vaginal symptoms causing discomfort post menopause.
3. It is only suitable for women aged 50 years or over, who have not had a period for at least 1 year.
4. Patients must speak to the pharmacist first to determine suitability.