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Candida - female genital - Management
How should I manage vulvovaginal candidiasis in women who are pregnant?
- Treat with intravaginal clotrimazole or miconazole for at least 7 days.
- Advise the woman that care should be taken when using an applicator during pregnancy to avoid physical damage to the cervix. Some women prefer to insert pessaries by hand when pregnant.
- For vulval symptoms consider using a topical imidazole cream (e.g. clotrimazole), in addition to an intravaginal imidazole.
- Do not use oral antifungals such as fluconazole and itraconazole.
- Advise the woman to return if symptoms have not resolved within 7–14 days.
In depth
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