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Managing recurrent candidal vulvovaginitis in primary care

Linda Nazarko explains the causes and treatments for the common condition of thrush

Recurrent candidal vulvovaginitis (VVC) is a difficult to manage condition that affects 5-8% of women of reproductive age. It can be difficult to treat, relapse rates are high and this can adversely affect quality of life.1 This article aims to explain what candidal vulvovaginitis is, why it develops, how it is treated and how to address treatment failure and recurrence.

What is candidal vulvovaginitis?

Candidal vulvovaginitis is caused by infection with candida. Candida albicans causes 90% of candidal vulvovaginitis, followed by Candida glabrata.2 Candida is part of the normal vaginal flora in many women and does not usually cause infection.3

Why does it develop?

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