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Recurrent thrush and its effects

Vulvovaginal candidiasis is a common problem, but may require further investigation, writes Suneeta Kochhar

Acute vulvovaginal candidiasis is caused by an overgrowth of Candida albicans, a commensal fungus, in the majority of cases. It may present as a non-offensive white discharge with itching.1 Vaginal pH is typically less than 4.5. The discharge usually occurs in the presence of vaginal erythema.

It occurs more frequently in women aged between 20 and 30, in people with diabetes, in those that are immunocompro-
mised and during pregnancy.1 There is sometimes a history of previous antibiotic use.

Up to 75% of women will experience an acute bout of vulvovaginal candidiasis in their lifetime. Four or more episodes of vulvovaginal candidiasis in a year is deemed recurrent vulvovaginal candidiasis. The episodes should be confirmed mycologically in order to make the diagnosis.

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