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Thrush in pregnancy — GPhC CRA MCQ

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ModerateInfectionsThrush in pregnancyGPhC CRA

A 35-year-old woman asks for treatment for vulvovaginal thrush. She is 24 weeks pregnant and has typical itch and curdy discharge with no pelvic pain or fever. What is the most appropriate alternative?

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

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Correct answer: C — Recommend intravaginal clotrimazole and avoid oral fluconazole unless medically advised

Topical azole treatment such as clotrimazole is generally preferred for vulvovaginal candidiasis in pregnancy. Oral fluconazole is usually avoided in pregnancy unless specifically advised by a clinician. The presentation does not suggest bacterial vaginosis requiring metronidazole. Delaying treatment for months is unnecessary and may prolong symptoms.

Reference: BNF; NICE CKS Candida female genital