Vulvovaginal candidiasis : Vulvovaginal candidiasis is the name often given to Candida albicans infection of the vagina associated with a dermatitis of the vulva (an itchy rash). ‘Vaginal thrush’, ‘monilia’, and vulvovaginal candidosis are also names used for Candida albicans infection.
symptoms
Symptoms of vulvovaginal candidiasis, i.e., an overgrowth of Candida albicans, include:
? Itching, soreness and/or burning discomfort in the vagina and vulva
? Heavy white curd-like vaginal discharge
? Bright red rash affecting inner and outer parts of the vulva, sometimes spreading widely in the groin to include pubic areas, inguinal areas and thighs.
These may last just a few hours or persist for days, weeks, or rarely, months. Vulvovaginal candidiasis may recur just before each menstrual cycle .
Treatment
Appropriate treatment for Candida albicans infection can be obtained without prescription from a chemist.
There are a variety of effective treatments for candidiasis. Topical antifungal pessaries or vaginal tablets containing clotrimazole or miconazole are usually recommended – in mild cases a single treatment is all that is necessary. A cream formulation may be preferred. Oral antifungal medicines containing fluconazole or itraconazole may be used if Candida albicans infection is severe or recurrent.
The creams can be used safely in pregnancy, but the tablets are best avoided.
Not all genital complaints are due to candida, so if treatment is unsuccessful it may because of another reason for the symptoms.