A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching?

A. "There is usually no itching with vaginal yeast infections as the fungus does not invade the vaginal wall.": Vaginal yeast infections commonly cause intense itching, burning, and irritation of the vulva and vaginal tissues. Candida organisms trigger an inflammatory response of the mucosa, making pruritus one of the hallmark symptoms rather than an absent finding. B. "Vaginal yeast infections present as a thick, white discharge.": Yeast infections typically cause a thick, white, curd-like discharge often described as having a “cottage cheese” appearance. This discharge is usually odorless and occurs alongside itching and vulvar irritation, making it a classic presentation of candidiasis. C. "The use of oral contraceptives will decrease the risk for vaginal yeast infections.": Oral contraceptives can actually increase the risk of yeast infections due to hormonal changes that alter vaginal flora. Elevated estrogen levels promote yeast growth rather than providing protection against infection. D. "Treatment for vaginal yeast infections must be prescribed by the provider.": Many uncomplicated vaginal yeast infections can be treated with over-the-counter antifungal medications. Provider-prescribed treatment is usually reserved for recurrent, severe, or complicated infections rather than being universally required.