Thrush, BV, and Other Vaginal Infections — Ireland Patient Guide
How to tell thrush from bacterial vaginosis and other vaginal infections, and what an Online Doctor can prescribe.
The three common ones
- Vaginal thrush (candidiasis) — itch, soreness, thick white “cottage cheese” discharge
- Bacterial vaginosis (BV) — grey, thin, fishy-smelling discharge; less itch
- Trichomoniasis — frothy yellow-green discharge, soreness; sexually transmitted
Treatment
- Thrush: oral fluconazole single dose, or clotrimazole pessary / cream
- BV: oral metronidazole 7-day course, or vaginal metronidazole gel
- Trichomoniasis: oral metronidazole + partner treatment + STI screen
Recurrent thrush
4 or more episodes in a year is “recurrent” — usually needs a longer course (e.g. 6 months suppressive therapy) and a check for predisposing factors: diabetes, antibiotic use, hormonal contraception, postpartum or perimenopause.
When to consult in person
Pregnancy, immunocompromise, fever or systemic symptoms, severe pelvic pain, or any abnormal bleeding should be assessed in person.
The lab vs the eye
Most uncomplicated thrush and BV can be treated on classical clinical features. A high-vaginal swab is useful for recurrent or atypical cases.
FAQs
Can an Online Doctor prescribe fluconazole?
Yes — for typical thrush in non-pregnant women.
Is thrush an STI?
No — but can be triggered by sex.
Should my partner be treated for thrush?
Usually no, unless symptomatic.
Why do I keep getting thrush?
Triggers include recent antibiotics, diabetes, hormones, and tight clothing. We will assess and adjust.
Cost?
€34.99.
Speak to an Online Doctor
Same-day video and phone consultations across Ireland, €34.99.