Final answer:
Clotrimazole is the recommended initial topical treatment for genital yeast infections. Oral fluconazole can be used but is not a topical medication.
Step-by-step explanation:
The recommended oral medication for initial topical treatment of genital yeast infections is fluconazole. However, it's important to note that topical antifungal medications like clotrimazole can also be used for this purpose.
The initial topical treatment for genital yeast infections usually includes over-the-counter antifungal medications such as clotrimazole, miconazole, tioconazole, and nystatin. While oral medication like fluconazole can be used for treating yeast infections, it is not considered a topical treatment. Clotrimazole is a common topical option for treating these infections, and it is available in various forms, including creams, tablets, and lotions for vaginal insertion. Clotrimazole is also regarded as safe for use in the second and third trimesters of pregnancy, and may even be used during the first trimester under a doctor's supervision. For systemic infections, oral treatments such as fluconazole are preferred.