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Vulvovaginal candidiasis in pregnancy — GPhC CRA MCQ

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ModerateInfectionsVulvovaginal candidiasis in pregnancyGPhC CRA

A 29-year-old woman who is 10 weeks pregnant asks for treatment for vulvovaginal thrush. She has vulval itching and discharge, no pelvic pain, and no fever. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Refer or recommend an intravaginal imidazole after confirming suitability

Oral fluconazole is generally avoided in pregnancy for uncomplicated thrush. Intravaginal imidazole treatment, such as clotrimazole, is usually preferred, but pregnancy requires appropriate assessment and referral or supply under suitable arrangements. External cream alone may help symptoms but is not adequate as primary treatment for vaginal infection.

Reference: BNF; NICE CKS