Do not treat if asymptomatic
Sexual partners should not be treated unless the patient has frequent recurrences
Antifungal
1st line: Oral Fluconazole
Pregnant: Topical imidazole (clotrimazole, miconazole)
1st line: Oral Fluconazole
Pregnant: Topical imidazole (clotrimazole, miconazole)
Clotrimazole 1 % cream applied vaginally for 7 days OR
Clotrimazole 2% applied vaginally for 3 days
Miconazole 2% cream applied vaginally for 7 days OR 4% cream x 3 days
Butoconazole 2% applied vaginally x 3 days
Tioconazole 6.5% applied vaginally x 1
Fluconazole 150mg PO once
a second dose at 72hrs can be given if patient is still symptomatic
a second dose at 72hrs can be given if patient is still symptomatic
Intravaginal Clotrimazole or Miconazole are the only recommended treatments
Duration is 7 days
PO fluconazole associated with congenital malformations and spontaneous abortions
Candida vulvovaginitis
Bacterial vaginosis
Atrophic vaginitis
Candida vaginitis
Contact vulvovaginitis
Trichomonas vaginalis
Balanoposthitis
Chancroid