Candida vulvovaginitis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]

Overview

Definitive diagnosis is usually confirmed after obtaining cultures but cultures are not usually requested and the diagnosis is made based on the symptoms and physical examination.

Symptoms

Symptoms of vulvovaginitis caused by Candida species are indistinguishable and include the following:[1][2][3]

  • Pruritus is the most significant symptom
  • Change in the amount and the color of vaginal discharge: It is characterized by a thick, white "cottage cheese-like" vaginal discharge
  • Pain on urination (dysuria)
  • Pain on sexual intercourse (dyspareunia)
  • Vulvovaginal soreness
  • Symptoms aggravate a week before the menses

References

  1. Eckert LO, Hawes SE, Stevens CE, Koutsky LA, Eschenbach DA, Holmes KK (1998). "Vulvovaginal candidiasis: clinical manifestations, risk factors, management algorithm". Obstet Gynecol. 92 (5): 757–65. PMID 9794664.
  2. Eckert LO (2006). "Clinical practice. Acute vulvovaginitis". N. Engl. J. Med. 355 (12): 1244–52. doi:10.1056/NEJMcp053720. PMID 16990387.
  3. Sobel JD, Faro S, Force RW, Foxman B, Ledger WJ, Nyirjesy PR, Reed BD, Summers PR (1998). "Vulvovaginal candidiasis: epidemiologic, diagnostic, and therapeutic considerations". Am. J. Obstet. Gynecol. 178 (2): 203–11. PMID 9500475.

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