###Human: I am suffering from recurrent vaginal thrush. What to do? ###Assistant: Hello. These are definitely (attachment removed to protect patient identity) old thrush lesions which have become inflamed and red, due to possible frequent scratching following itching over the region. The scratching has possibly led to abrasions or knife-like cuts. They are likely to be painful and oozing increases if scratching continues. Instead of using Plan Canesten cream, use cream Canesten-s (which contains Clotrimazole 1 % with Beclomethasone 0.025 % w/v) and apply it overall knife cut lesions thrice a day for the next three days. Beclomethasone is a steroid which blocks the production of certain chemical messengers (prostaglandins) that make the skin red, swollen and itchy (often following scratching- vicious cycle). Clotrimazole is an antifungal which stops the growth of fungi on the surface by preventing them from forming their protective covering. Keep the local area as dry as possible throughout the day, especially post micturition, use soft cotton towels to dry (clean sheets regularly and use a fresh one each time as tissues can cause further abrasions. So do not wipe, just pat and dry). After that, you may apply an antifungal dusting powder (Canesten dusting powder) after application of the cream, over both vulval and peri-anal region which shall help local moisture in check and allow lesions to heal. Please wear loose cotton undergarments to avoid any further frictional injury.