Intensity is usually mild and patients who find the symptoms intense should also be referred. Natural history Normal vaginal discharge is white or clear and odourless. There is little change in these symptoms with time. Your current medication Broad spectrum antibiotics are commonly implicated and patients should be questioned about recent use. The condition is seen in post-menopausal women and such patients may be treated in the usual manner.
Allergies There are few problems with allergies.
However, local anaesthetics, which may have been used previously by the patient, may cause sensitisation. Their use is not recommended in vaginal thrush. Reaction of proposed medication The active ingredient and bases of creams and pessaries occasionally cause problems for some patients. Establish patient preference Patients express particular preferences for internal or external preparations to treat their thrush. However, in vaginal thrush, internal application of the active agent is desirable.