Before recommending an OTC treatment it is essential to use the WWHAM questions to establish if the customer has been diagnosed by their GP or another healthcare professional with vaginal thrush and have previously experienced the same symptoms, otherwise it would require immediate referral to the pharmacist. Look back at the 'when to refer' section for any further risk factors that require referral.

Thrush treatments have two aims:

• Soothe the symptoms and relieve discomfort
• Clear the infection

The type of treatment a customer chooses will often depend on their personal preference and the convenience of the treatment.