What to expect from antifungal treatment for vaginal thrush

Treatment may be a cream or pessary placed in the vagina, a tablet taken by mouth, or a combination chosen by a clinician. The medicine targets Candida, the yeast linked with thrush. External irritation can take longer to calm than the infection itself, so mild soreness may remain briefly after treatment starts. Discharge can change as vaginal medicine dissolves.

A first episode, pregnancy, repeated symptoms, or symptoms that do not fit typical thrush may need an examination or testing. Thrush symptoms overlap with other vaginal infections, so treatment should match the diagnosis.

Follow the product directions and complete the recommended course, even if itching improves early. Wash gently with water or an unperfumed cleanser, pat dry, and choose loose cotton underwear. Avoid douching and fragranced washes, which can further irritate the vulval skin. Some vaginal creams and pessaries can weaken latex condoms or diaphragms while they are being used; check the product information.

If you are pregnant, breastfeeding, taking other medicines, or have diabetes or a weakened immune system, ask a clinician or pharmacist which option is suitable before treating yourself.

Arrange medical advice if symptoms do not improve after treatment, return repeatedly, or include a strong odour, pelvic pain, fever, sores, or bleeding unrelated to your period. Seek prompt care for severe pain, swelling, or a possible allergic reaction such as facial swelling or trouble breathing.

Ask which formulation suits your symptoms, how long improvement should take, whether a test is needed, and what to do if symptoms return. You can also ask how treatment affects sex, condoms, and medicines you already use.