Chapter 4 – The Vagina and Vulva

Vulvovaginal candidiasis

Vulvovaginal candidiasis is a syndrome and diagnosis relies on a combination of laboratory and clinical criteria. Isolation of candida is common in asymptomatic women and the disease spectrum ranges from ‘innocent bystander’ (where symptoms are wrongly attributed to its coincidental isolation) to complicated disease (where vulvovaginal candidiasis is severe, persistent or recurrent). Candidiasis is not considered to be an STI.

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Acute vulvovaginal candidiasis

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Symptoms

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Diagnosis

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Medical management

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Treatment of non-albicans species

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Recurrent and chronic vulvovaginal candidiasis

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Treatment of recurrent vulvovaginal candidiasis

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Hormonal contraception and vulvovaginal candidiasis

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Vulvovaginal candidiasis in pregnancy

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