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This sounds like a nightmare. If symptoms are ongoing despite standard azoles, the most important step is to reconfirm what’s actually going on. Ideally I’d do a High vaginal swab to confirm thrush. Not all thrush is caused by the same organism. ✅Candida albicans ✅Non-albicans Candida (e.g. C. glabrata, C. krusei)→ these are commonly azole-resistant (the standard treatment) It’s also important to note that some women labelled as “recurrent thrush” actually have something else. If it is standard
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