30th April 2024

A 30-year-old woman, 20 weeks pregnant, presents to her obstetrician with complaints of thick, white, cottage cheese-like vaginal discharge and severe itching.

A 30-year-old woman, 20 weeks pregnant, presents to her obstetrician with complaints of thick, white, cottage cheese-like vaginal discharge and severe itching. She has no history of similar symptoms before pregnancy. There is no pain during urination or intercourse. She is otherwise healthy and taking prenatal vitamins.

Which is the most appropriate initial diagnostic investigation for vaginal candidiasis in this patient?