Vulvovaginal Thrush

Question 1

Symptoms of vulvovaginal thrush

Answer 1

• vulvovaginal ithcing and soreness (intense burning)
• vaginal discharge (cream, curd like consistency)

Question 2

Associated symptoms with vulvovaginal thrush

Answer 2

• pain during sexual intercourse
• stinging of skin when urinating

Question 3

vulvovaginal thrush referral

Answer 3

• age under 16 or over 60
• OTC failure > 7 days
• first episode
• recurrent attacks

Question 4

vulvovaginal thrush referral part 2

Answer 4

• abnormal vaginal discharge
• vaginal spotting
• low abdominal pain
• vulva sores, ulcers, blisters
• sexually transmitted disease
• abnormal vaginal bleeding

Question 5

vaginal discharge smell and colour for bacterial vaginosis

Answer 5

• grey
• water
• fishy-smell

Question 6

vaginal discharge smell and colour for vaginal trichomoniasis

Answer 6

• yellow-green
• frothy
• foul smelling

Question 7

Medication that can cause vulvovaginal thrush

Answer 7

• broad spectrum antibiotics
• immunosuppressants
• combined contraceptive

Question 8

What patients groups are predisposed to thrush

Answer 8

• pregnancy
• diabetic
• immunosuppressants

Question 9

OTC treatments: Treating infection
(pessary / internal cream)

Answer 9

Clotrimazole pessary / internal cream
- administer pessary at night
- instant onset

Question 10

OTC treatments: Treating infection
(oral fluconazole)

Answer 10

Cansesten Oral Capsule
- single dose
- takes 12 to 24 hours for symptoms relief

Question 11

OTC treatments: Treating symptoms
(external cream)

Answer 11

External Cream
- for vulval symptoms
- use on sexual partners penis to prevent re infection

Question 12

Licensing for OTC treatments

Answer 12

• women 16 to 60 years
• men with symptoms of penile thrush whose female partner has thrush.

Question 13

vulvovaginal thrush

Answer 13

• wear cotton underwear and loose clothing
• avoid perfume soap and vaginal douche
• wipe front to back after defecation
• change sanitary pads
• live yoghurt