Some women are advised to take the medication five days before each period to prevent a flare up.
A low oxalate diet or calcium citrate tablets to reduce the oxalates in the urine may be offered. Oxalates make the urine more acidic which is irritating to the vulva.
Topical steroids can be given for a limited amount of time to calm genital irritation, but these creams should only be used briefly as they can thin the skin and make the problem worse if used longer term.
If the doctor thinks the problem is being caused by immune system hypersensitivity to candida, he may also prescribe anti-histamines to suppress the immune response.
Family Practice Notebook, Cyclic Vulvovaginitis - http://www.fpnotebook.com/gyn/vulva/CyclcVlvgnts.htm
DermNet NZ, Cyclic Vulvovaginitis - http://dermnetnz.org/site-age-specific/cyclic-vulvitis.html
NHS Choices, Thrush: Vaginal - http://www.nhs.uk/Conditions/Thrush/Pages/Introduction.aspx
Reviewed May 30, 2011
Edited by Alison Stanton
Joanna is a freelance health writer for The Mother magazine and Suite 101 with a column on infertility, http://infertility.suite101.com/. She is author of the book, 'Breast Milk: A Natural Immunisation,' and co-author of an educational resource on disabled parenting, in addition to running a charity for people damaged by vaccines or medical mistakes.