Use of the cream on the labia is a useful adjunct to treatment, especially if vulval itch is present. The cream should also be applied to the male partner's penis even if he is asymptomatic. Systemic treatment with fluconazole is available OTC as a single oral 150mg tablet. However, use of any systemic drug carries risks and it should be reserved for cases which prove recalcitrant to topical treatment. Other referral criteria have been mentioned above.
Pseudomembranous candidiasis is characterised by white areas on the mouth's mucous membrane.
Raised areas of fungus can be scraped off often leaving bleeding sore areas underneath. The most common areas of infection are the tongue and floor of the mouth. However, any part of the mouth may be involved. Ill-fitting dentures may provoke the problem by traumatising the local area, allowing fungal overgrowth which may spread to the entire denture area. The condition is often insidious in onset and gives little concern in its early stages, but soon becomes obvious by either the visible signs or by the pain associated with the infected areas.