MANAGEMENT OF VULVOVAGINAL INFECTIONS IN PRIMARY CARE Part 1: Candidiasis

Vulvovaginal (VV) infections are a common and often recurrent presentation in general practice. In the first of a two-part feature on VV infections, GP and women’s health specialist Louise Newson focuses on candidiasis (thrush) and discusses the management options in cases of recurrent or severe cases. Part 2 will focus on bacterial vaginosis. Dr Louise R Newson GP, Shirley Medical Practice, Solihull, West Midlands CLINICAL CASE Mrs R G is a 34 year old lady who presents to her GP complaining of discharge and vulval irritation. She remembers having thrush five years ago when she was pregnant and she feels