Metrogel and yeast infection

Metrogel contains metronidazole, an antibacterial medicine used for certain bacterial infections. Vaginal thrush is caused by yeast, so an antibacterial medicine does not target the underlying organism. Symptoms can overlap with bacterial vaginosis, irritation, or a sexually transmitted infection, which is why treatment should follow an assessment rather than the symptom alone.

Thrush may cause intense vaginal or vulval itching, soreness, irritation, and a thick discharge. A change in discharge, itching, or vulval pain can also have other causes. A clinician or pharmacist can help identify the likely cause and recommend an appropriate antifungal treatment.

Do not use leftover Metrogel or combine treatments without advice. Arrange an assessment if this is your first episode, symptoms keep returning, you are pregnant, or the symptoms are unusual for you. Tell the clinician about medicines, allergies, recent antibiotics, diabetes, and any possibility of pregnancy.

Use prescribed treatment exactly as directed and avoid scented washes, douches, and fragranced products around the vulva. Keep the area dry, choose breathable underwear, and avoid scratching. If symptoms do not improve after treatment, seek reassessment instead of repeating Metrogel.

Seek prompt medical advice for pelvic or lower abdominal pain, fever, sores or blisters, bleeding outside your period, pain when urinating, or a strong-smelling discharge. Get urgent help for severe pain, fainting, or heavy bleeding. These features may point away from uncomplicated thrush and need examination.

Ask whether your symptoms fit thrush, bacterial vaginosis, or another condition; whether testing is needed; which antifungal is suitable; and when symptoms should improve. If you were given Metrogel, ask what infection it is intended to treat and whether you should continue it.