Vaginal candidiasis - Gynecology


What is Vaginal Candidiasis?

Vaginal candidiasis, commonly known as a yeast infection, is a type of fungal infection caused by the overgrowth of Candida species, primarily Candida albicans. This condition affects the vaginal area and can cause significant discomfort and disruption to daily life.

Symptoms

The symptoms of vaginal candidiasis can range from mild to severe and often include:
Intense itching in the vaginal and vulvar region
A thick, white, cottage cheese-like vaginal discharge
Redness and swelling of the vaginal and vulvar tissues
Pain during urination or sexual intercourse
Soreness and rash

Causes and Risk Factors

The primary cause of vaginal candidiasis is the overgrowth of Candida species. Factors that can contribute to this overgrowth include:
Antibiotic use, which can disrupt the normal vaginal flora
High estrogen levels, often due to pregnancy or hormone therapy
Weakened immune system, such as in diabetes or HIV
Wearing tight or non-breathable clothing
High-sugar diet

Diagnosis

Diagnosis of vaginal candidiasis typically involves a pelvic examination where the healthcare provider examines the vaginal discharge and collects a sample for laboratory analysis. A microscopic examination or culture can confirm the presence of Candida species.

Treatment

Treatment options for vaginal candidiasis include both over-the-counter and prescription medications. Common treatments include:
Topical antifungal creams such as clotrimazole or miconazole
Oral antifungal medications such as fluconazole
Probiotics to help restore normal vaginal flora
It is important to complete the entire course of treatment to prevent recurrence.

Prevention

Preventative measures can significantly reduce the risk of developing vaginal candidiasis. These include:
Wearing breathable, cotton underwear
Avoiding douches and scented feminine hygiene products
Maintaining a balanced diet low in sugar
Practicing good hygiene and keeping the genital area dry
Managing underlying health conditions such as diabetes

When to See a Doctor

If you experience recurrent yeast infections, severe symptoms, or if over-the-counter treatments are not effective, it is important to consult a healthcare provider. A doctor can provide a more accurate diagnosis and recommend appropriate treatment options.

Conclusion

Vaginal candidiasis is a common and treatable condition. Understanding its causes, symptoms, and treatment options can help manage and prevent this uncomfortable infection. If you have any concerns or recurring symptoms, seeking medical advice is essential for effective management.



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