A 30-year-old woman presents to the GP with an intensely itchy vulva and a thick, white, curd-like vaginal discharge. She has had two similar episodes...

Question

A 30-year-old woman presents to the GP with an intensely itchy vulva and a thick, white, curd-like vaginal discharge. She has had two similar episodes in the past year. She is not pregnant. Vaginal pH is 4.0. Which is the single most appropriate treatment?

Accepted Answer

Both A and C are equally appropriate first-line options

Answer

Oral fluconazole 150 mg as a single dose

Answer

Oral metronidazole 400 mg twice daily for 7 days

Answer

Intravaginal clotrimazole 500 mg as a single dose plus topical clotrimazole 1% cream

Answer

Oral itraconazole 200 mg twice daily for 1 day

uk-drcog MCQ (SBA): Vulvovaginal Candidiasis

A 30-year-old woman presents to the GP with an intensely itchy vulva and a thick, white, curd-like vaginal discharge. She has had two similar episodes in the past year. She is not pregnant. Vaginal pH is 4.0. Which is the single most appropriate treatment?