Womens Health Flashcards
Whats vaginal thrush
Overgrowth of candida in/ around vaginal area due to PH change
Vaginal thrush symptoms
White curd like discharge, odourless
Itching, soreness
Dysuria
Pain during intercourse
Causes of vaginal thrush
Hormonal changes - COC
Antibiotics
Wearing tight synthetic clothing which promotes moisture build up - candida overdevelop
Vaginal thrush referral
Aged under 16 or over 60
Symptoms of thrush for first time
Recurrent (more than twice in 6 months)
Treatment failure
Pregnant or breastfeeding
Weakened immune system
Vulval sores/blisters
Blood in urine/discharge
Yellow/green discharge- suspect bacterial
Fishy smell discharge
No improvement after 7 days
Treatment options for vaginal thrush
Fluconazole oral 150mg capsule
Clotrimozole 2% external cream
Clotrimozole pessary/ internal cream- canesten 10% cream
Fluconazole counselling
Onset?
12-24 hrs to work
Single dose treatment
Advised to treat partner same time
Can You use the external cream concurrently with the fluconazole tablet in thrush
Yes