Vulvovaginal candidiasis

DefinitionVulvovaginal candidiasis is symptomatic vaginitis (inflammation of the vagina), which often involves the vulva, caused by infection with a Candida yeast. Predominant symptoms are vulvar itching and abnormal vaginal discharge (which may be minimal, a “cheese like” material, or a watery secretion). Differentiation from other forms of vaginitis requires the presence of yeast on microscopy of vaginal fluid. The definition of recurrent vulvovaginal candidiasis varies among RCTs, but is commonly defined as four or more symptomatic episodes a year. This summary excludes studies of asymptomatic women with vaginal colonisation by Candida species.