Lorem Ipsum Dolor Vaginal thrush Definition Is a

Lorem Ipsum Dolor Vaginal thrush

Definition ❖ ❖ Is a symptomatic inflammation of the vagina and/or vulva caused by a superficial fungal infection with candida yeast Before making any recommendation, it is vital to question the patient to identify the probable cause of the symptoms

What you need to know ❖ Age( Child, adult, elderly ) ❖ Duration ❖ Symptoms (Itch, Soreness , Discharge (colour, consistency, odour) , Symptoms in partner , Dysuria, Dyspareunia , Threadworms ❖ Previous history ❖ Medication

When to refer ❖ ❖ First occurrence of symptoms Known hypersensitivity to imidazoles or other vaginal antifungal products ❖ Pregnancy or suspected pregnancy ❖ More than two attacks in the previous 6 months ❖ Previous history of STD ❖ Exposure to partner with STD ❖ Patient under 16 or over 60 years

❖ Abnormal or irregular vaginal bleeding ❖ Any bloodstaining of vaginal discharge ❖ Vulval or vaginal sores, ulcers or blisters ❖ Associated lower abdominal pain or dysuria ❖ ❖ Adverse effects (redness, irritation or swelling associated with treatment) No improvement within 7 days of treatment

Management ❖ ❖ Both single-dose intravaginal and oral imidazole preparations are effective Topical preparations may give quicker initial relief from itch or soreness Oral therapies are effective, but it may be 12– 24 h before symptoms improve. Patients find single-dose products very convenient, and adherence is higher

❖ ❖ The patient can be asked whether she prefers a pessary, vaginal cream or oral formulation. Imidazole cream(miconazole or clotrimazole)should be applied twice daily, morning and night

❖ ❖ Oral fluconazole interacts with some drugs: anticoagulants, oral sulphonylureas, ciclosporin (cyclosporin), phenytoin, rifampicin and theophylline. Oral fluconazole should not be recommended during pregnancy, and for nursing mothers

Practical points ❖ Privacy ❖ Treatment of partner ❖ Testing kit ❖ ‘Live’ yoghurt ❖ Prevention