Vaginal yeast infection or candidiasis vulvo-vaginitis or vaginal or vulvovaginal candidiasis is a common cause of vaginal irritation. Doctors estimate that approximately 75% of all women will experience at least one episode of symptomatic yeast infection throughout their lives. Usually, the yeasts are present in the vagina in small numbers, and the symptoms appear only when their growth increases.
Signs and Symptoms
- irritation of the vagina.
- Uneasy or painful urination and intercourse are common.
- Vaginal discharge is not always present and may be minimal. Vaginal discharge is typically described as thick, white-grayish, like cottage cheese, although its consistency can vary between watery and thick. Many women with yeast infection do not experience any symptoms of the infection. However, a rash and a transient burning sensation on the penis after intercourse have been reported if condoms are not used. These symptoms are usually self-limiting.
- Uncontrolled diabetes mellitus
- Use of oral contraceptives or antibiotics
- Scented feminine hygiene sprays
- Topical antimicrobial agents
- Use of tight and poorly ventilated underwear
- feminine hygiene products
- detergents and fabric softeners
Yeast infection is not usually diagnosed by the patient’s history and physical examination. In general, the doctor diagnoses the yeast infection thanks to the microscopic examination of the vaginal secretion in search of yeast forms.
Treatment and Management
There are several antifungal medications available for the treatment of vulvovaginal candidiasis.
- Women may use clotrimazole creams, tablets or vaginal ovules or other azole derivatives for intravaginal topical treatment, usually after consultation and examination by the doctor.
- Other available products contain antihistamines or topical anesthetics that only mask the symptoms and do not treat the underlying problem.
- Women with chronic or recurrent candidiasis may require treatment for prolonged periods. And recently oral medications are available for the treatment of this infection. Identification of the individual predisposing factors of chronic yeast infections may be useful.
- Women infected with HIV may suffer from more severe candidiasis vulvovaginitis that does not respond to treatment.