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What is your gender?

Date of Birth

Have you been diagnosed with any medical conditions?

Yes

Are you currently taking any medication?

This includes prescription-only, over-the-counter and homeopathic medicines.

Yes

Do you suffer from any allergies?

Yes

Are you currently suffering from thrush?

If "No", please tell us why you need this treatment

Yes

Is this the first time that you have had thrush?

Yes

Have you previously had thrush diagnosed by a doctor?

Yes

Please select the symptoms that you are suffering from.

Select one or more answers

Irritation or itching under the foreskin or on the tip of the penis

Irritation or itching at the entrance of the vagina

Vaginal discharge (usually odourless and may be thick and white)

Discharge under the foreskin (usually thick and white – may have an unpleasant smell)

Redness on the genital skin

Stinging when urinating

Have you previously used any treatments for thrush?

Yes

Are you experiencing any of the following symptoms:

Abnormal vaginal bleeding or pain in your lower abdomen. Coloured or strong smelling discharge, or sores on the skin around your genitals. Discharge from the penis. High temperature (fever) of, or above, 38°C (101.4°F), shivering, nausea or headache. Open sores, blisters, or ulcers on the skin.

Yes

Is there anything else you would like to include to allow our prescriber to prescribe responsibly?

Yes

To support your care, we kindly ask for your GP details. If treatment is supplied, we may notify them. Providing accurate information helps avoid any delays.

Enter GP details Manually or search via GP postcode/name.

Yes

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