Other infections causing vaginal discharge
- Trichomonads – eg trichomoniasis vaginalis
- Bacterial vaginitis – eg Gardnerlla, bacteroides,
- Neisseria gonorrhoea
- Chlamydial infection
Presence of yeast in vagina is common in women of reproductive age.
It can be found in non-sexually active individuals and is not classed as STI.
Most (70-90%) is Candida Albicans
Presence of yeast in the vulvovaginal area does not necessarily require treatment unless symptomatic – 10-20% of women are colonised with Candida.
It’s not associated with tampons/sanitary towels/panty lines when they’re used appropriately
- Topical for as long as necessary
- Avoid re-infection by sex – avoid until cure complete
- prevent auto-infection
- keep vulva cool and dry – careful hygiene, cotton not synthetic underwear and careful drying after washing
Intravaginal pessaries or cream inserted high into vagina at night
- Clotrimazole 200mg pesssary 1 at night for 3 nights
- clotrimazole 500mg pessary single dose
- miconazole 100mg pessary two, for 7 nights
- miconazole ovule 1.2g single dose at night
- Fluconazole single dose
- Itraconazole 200mg orally twice dialy
- don’t give oral treatment to pregnant or breastfeeding mothers