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Treatment options

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Vaginal moisturisers and lubricants

These can provide relief from symptoms of vaginal dryness. Lubricants offer short-term relief, whereas moisturisers (in the form of gels and pessaries) provide a longer-term solution. Moisturisers should be used regularly, according to the product directions, to ease itching, irritation and discomfort. Examples include Replens MD and Balance Activ Moisture Plus. There are a variety of brands that have slightly different compositions and pHs, so customers may need to try a few different products before they find the one that works best for them. Petroleum-based or oil-based lubricants can damage condoms, so extra care must be taken when using these. 

Antifungal medication

Thrush can be treated with antifungal medication – either as topical treatments (e.g. clotrimazole) or as oral capsules (fluconazole). Topical formulations include pessaries, internal creams and external creams. Many products are sold in combination packs (e.g. pessaries and creams) so that customers can treat internal and external symptoms at the same time. Examples include the Canesten range. (Note that customers who are pregnant, breastfeeding or trying to get pregnant should not take oral thrush treatments.)

OTC products

OTC products that reduce the acidity of urine, such as sodium citrate sachets mixed with water, can help to relieve cystitis symptoms. Examples include Cystopurin and Canesten Oasis. If symptoms are severe, the customer may need antibiotics.

Counter gels or creams

BV can be treated with over the counter gels or creams that help to regulate the pH of the vagina. Examples include Balance Activ and Canesbalance. If a customer is unsure whether she has thrush or BV, she might like to try a testing kit such as Canestest, which should provide the answer. It is common for BV to come back, usually within three months, and these treatments may need to be used for up to six months if the condition keeps recurring. In some cases, the infection may need to be treated with antibiotics. 

Additional advice

There are plenty of self care tips that you can pass on to customers to help them maintain good intimate health: 

  • Only use plain, unperfumed soaps, rather than perfumed products, on the vaginal area
  • Change tampons and sanitary pads frequently
  • After going to the toilet, wipe from front to back to avoid transferring germs to the vaginal area
  • Change underwear after swimming or going to the gym.

In addition, the following advice can be passed onto women suffering from specific conditions: 

  • Vaginal dryness – customers may want to discuss hormone replacement therapy (HRT) with their GP
  • Thrush – avoid tight-fitting underwear and tights, and choose cotton rather than synthetic underwear. If a customer has diabetes, keeping her blood sugar under control may help
  • Cystitis – drink plenty of water. A hot water bottle held against the stomach may help. Cranberry juice and cranberry supplements may also be beneficial for the urinary tract. Avoid tight-fitting underwear and tights and wear cotton rather than synthetic underwear
  • BV – avoid washing out the vagina (douching) or using strong detergents to wash underwear.