Recurrent vaginal thrush needs long-term prophylaxis

Treating recurrent vulvovaginal candidiasis with long-term antifungals can help avoid repeated treatment failures, a leading dermatologist says.

Dermatologist Associate Professor Gayle Fischer (pictured), from the University of Sydney, says maintenance therapy with prophylactic fluconazole is underused in chronic vulvovaginal candidiasis and should be seen in the same light as antiviral prophylaxis for preventing genital herpes.

“There is absolutely no difference here for people with chronic thrush. You have to draw the analogy and understand that this is a different situation to women who get the

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