A 32-year-old woman presents to the GP with recurrent vulvovaginal candidiasis - she has had 5 episodes in the past 12 months. Each episode responds t...

Question

A 32-year-old woman presents to the GP with recurrent vulvovaginal candidiasis - she has had 5 episodes in the past 12 months. Each episode responds to fluconazole but recurs within weeks. She is not pregnant, not diabetic, and not immunocompromised. Which is the single most appropriate long-term management strategy?

Accepted Answer

Fluconazole 150 mg weekly for 6 months as maintenance therapy

Answer

Daily intravaginal clotrimazole indefinitely

Answer

Oral itraconazole 400 mg as a single dose monthly

Answer

Probiotics as the sole intervention

Answer

Refer for vulval biopsy

uk-drcog MCQ (SBA): Recurrent Vulvovaginal Candidiasis