Vvc during pregnancy

During pregnancy, VVC may prove difficult to treat due to elevated estrogen levels, accompanied by concern about harm to the fetus. Response rates are lower and recurrences are frequent during pregnancy. Vaginal antifungals remain the preferred treatment during pregnancy, although therapy should continue for 1 to 2 weeks to ensure effectiveness.16 Most topical antifungals are classified as risk category C, while clotrimazole is classified as risk category B. The primary reason for the risk category C classification is the lack of studies, rather than increased risk. Fluconazole is also classified as risk category C. Despite oral fluconazole's classification, studies have not demonstrated an increased risk to the fetus when the pregnant mother was exposed to

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fluconazole, although case studies have reported congenital limb deformities.

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