Urinary & Sexual Health

Thrush: Symptoms, Treatment & UK Online Doctor

6 min readLast reviewed 24 April 2026

Educational information — not medical advice.

This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.

Key points

  • Thrush is a yeast infection — itchy, sore, with thick white discharge.
  • Single-dose fluconazole tablet or clotrimazole pessary cures most cases.
  • Recurrent thrush (>4/year) may need longer treatment courses.
  • Triggers: antibiotics, pregnancy, diabetes, immunosuppression.
  • An online GP can prescribe and review.

Symptoms

  • Itching or soreness around the vulva
  • Thick, white, 'cottage cheese' discharge
  • Stinging on urination or sex
  • Redness and swelling

Treatment

  • Single-dose oral fluconazole 150 mg.
  • Clotrimazole 500 mg vaginal pessary.
  • Clotrimazole cream for external itching.
  • Recurrent thrush: induction-maintenance regimens (e.g. fluconazole every 3 days for 3 doses, then weekly).

Frequently asked questions

Common questions UK patients ask about vaginal candidiasis (thrush).

How an online doctor can help

This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.

See a UK GP about this today

Same-day video or phone consultations with GMC-registered GPs. Prescriptions, sick notes and referrals when clinically appropriate.