What should you know about over-the-counter yeast infection medicine?

Vaginal thrush is caused by an overgrowth of Candida yeast. It commonly causes intense itching, soreness, redness, and a thick white discharge that often has little smell. Burning during urination or sex can occur when the vulval skin is irritated. Similar symptoms can come from bacterial vaginosis, sexually transmitted infections, dermatitis, or other conditions, so repeated self-treatment can delay the right diagnosis.

A pharmacist or clinician can help decide whether a non-prescription antifungal is appropriate, especially if you have had diagnosed thrush before and the symptoms feel familiar. Follow the product instructions and avoid inserting products not intended for vaginal use. Ask before treatment if you are pregnant, taking regular medicines, or have a weakened immune system. Do not use antibiotics for suspected thrush unless prescribed for another confirmed infection.

Arrange medical review for a first episode, strong odour, green or yellow discharge, vulval sores, significant vulval pain, pelvic pain, fever, or symptoms after a new sexual partner. Seek review if symptoms do not improve after treatment, return soon, or keep recurring. Severe pain, fainting, or pregnancy with concerning symptoms warrants urgent care.

Ask whether testing is needed, which formulation suits your symptoms, whether sexual activity or products could be irritating the skin, and how to prevent further episodes. Tell the clinician about pregnancy, diabetes, recent antibiotics, and prior treatments.