Question

56 yo F is evaluated for severe vaginal itching and discomfort. Her sx have progressively worsened over the last 4 months. No vaginal discharge or odor. Vaginal ph is 6.0. Wet mount shows occasional leukocytes. Whiff test result is negative. No clue cells, no hyphae on KOH.Most appropriate management?

Answer 1

The most appropriate management for the patient would be the treatment of candidiasis, specifically addressing the yeast infection causing the symptoms.

Step-by-step explanation:

The most appropriate management for the 56-year-old female with severe vaginal itching and discomfort, progressively worsening over the last 4 months, would be the treatment of candidiasis, or a yeast infection. This is determined based on the wet mount showing an overgrowth of yeast cells, indicating candidiasis. The treatment for vaginal candidiasis typically involves antifungal medication, such as oral or topical antifungals. It is important to address the underlying infection to relieve symptoms and promote healing.

Primary topic: Vaginal candidiasis