Treatment options are below though in most cases a prompt referral to GUM for investigation and management is the most appropriate action.
- All topical and oral azoles give 75% cure
- Pregnant, OCP, Diabetes, HIV infection
- Steroids and chemotherapy, recently taken antibiotics
- Vaginal itching or soreness, Pain during sexual intercourse
- Pain or discomfort when urinating, Abnormal vaginal discharge
- Some women develop severe infections involving redness, swelling, and cracks in the wall of the vagina.
- Exclude diabetes - urine dipstick
- Clotrimazole 10% 5g vaginal cream, single dose
- Fluconazole 150mg single dose PO
Management in Pregnancy
- Fluconazole should not be used in pregnancy or in women of childbearing potential unless adequate contraception is used. Fluconazole is not recommended for patients who are breastfeeding. In pregnancy avoid oral azoles and use intravaginal treatment
- Clotrimazole 100 mg pessary at night (6 nights)
- Miconazole Vaginal 2% cream 5 g intravaginally twice daily (7 days)