A 30-year-old woman presents to the GP with vulval itching, soreness, and a thick white 'cottage cheese' vaginal discharge. She is 20 weeks pregnant. ...

Question

A 30-year-old woman presents to the GP with vulval itching, soreness, and a thick white 'cottage cheese' vaginal discharge. She is 20 weeks pregnant. This is her second episode during the pregnancy. Which is the single most appropriate treatment?

Accepted Answer

Intravaginal clotrimazole pessary 500 mg as a single dose

Answer

Oral fluconazole 150 mg as a single dose

Answer

Oral itraconazole 200 mg for 1 day

Answer

Intravaginal miconazole 1200 mg as a single dose

Answer

Oral nystatin 500,000 units four times daily for 7 days

uk-drcog MCQ (SBA): Vulvovaginal Candidiasis in Pregnancy

A 30-year-old woman presents to the GP with vulval itching, soreness, and a thick white 'cottage cheese' vaginal discharge. She is 20 weeks pregnant. This is her second episode during the pregnancy. Which is the single most appropriate treatment?