What if antifungal treatment for thrush does not relieve vaginal itching?

Itching may linger because the skin is inflamed, because the medicine caused irritation, or because the problem is not thrush. Contact dermatitis from pads, wipes, laundry products or topical treatments can feel similar. Skin conditions and other vaginal infections are also possible. Note whether there is swelling, soreness, unusual discharge, odour, blisters, cracks or pain when passing urine; these details help guide an examination.

Arrange advice from a clinician or pharmacist before using another antifungal product. Mention the exact product, when it was used, and whether symptoms changed after application. Rinse gently with lukewarm water, pat dry, wear loose breathable underwear and avoid scratching. Stop new fragranced products around the vulva. Do not put household creams or antiseptics on the area, as they can worsen irritation and obscure the appearance during assessment.

Seek prompt care for severe swelling, open cracks, sores or blisters, fever, pelvic pain, bleeding, pain passing urine or rapidly worsening symptoms. Pregnancy or possible pregnancy is another reason to obtain tailored advice before further treatment. Same-day help is sensible if the discomfort prevents sleep, walking or urination.

Ask whether the skin needs examination or a swab, whether the treatment itself could be irritating you, and what cleanser or barrier care is suitable. Ask how long recovery may take, whether sex could worsen the area, and which changes should trigger review.