5th May 2024

A 25-year-old woman presents with symptoms of vaginal itching and a thick, white discharge.

A 25-year-old woman presents with symptoms of vaginal itching and a thick, white discharge. She denies any other systemic symptoms and has no significant past medical history. She is not pregnant and is not on any immunosuppressive medications. On examination, you note erythema and a cottage cheese-like discharge in the vaginal area.

Which of the following is the most appropriate first-line treatment for this patient?