Candidiasis of the vaginitis

Candida vaginitis is a vaginal infection caused by Candida spp or, most often, C. Albicans. Most often, candidal vaginitis is caused by C. Albicans, which is sown in 15-20% of non-pregnant and 20-40% of pregnant women. Risk factors for the development of candidal vaginitis are diabetes, the use of broad-spectrum antibiotics or glucocorticoids, pregnancy, contracting underwear, immunodeficiency and the use of intrauterine contraceptives. Candidial vaginitis is rare among postmenopausal women, except for those who use systemic hormone therapy.

[1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12]

Symptoms of candidal vaginitis

Typical symptoms and manifestations are vaginal or Bulbar pruritus, burning, irritation (which can intensify after sexual intercourse) and abundant, curdled discharge, adhering tightly to the walls of the vagina. Symptoms and signs of the disease are worse in the week before menstruation. Hyperemia, edema and fissures of the vaginal mucosa and vulva are common symptoms of the disease. Infected sexual partners may have no signs of disease.

Diagnosis of candidal vaginitis

The diagnostic criteria for candidal vaginitis are: the pH of the vaginal secretion is less than 4.5; detection of yeast, pseudomycelia or mycelium during the test with KOH.

[13], [14], [15], [16], [17], [18], [19], [20], [21]

Treatment of candidal vaginitis

Vaginal or oral drugs are highly effective. Improves the condition of a single application of fluconazole at a dose of 150 mg orally. Effective use of pharmaceutical preparations of butoconazole, clotrimazole, miconazole and thioconazole for topical use. However, patients should be warned that vaginal creams and ointments containing mineral or vegetable oil destroy condoms based on latex.

If symptoms persist or the course of the disease worsens with local therapy, allergic reaction to local antifungal agents should be ruled out. Relapses of the disease are rare. Frequent relapses require the appointment of distant therapy with oral medication: fluconazole 150 mg weekly for a month or ketoconazole 100 mg once a day.

Preparations for the treatment of candidal vaginitis

A type	Medicine	Dose
Preparations for topical application	Butoconazole	2% cream 5 g once a day for 3 days, 2% cream 5 g for a single application
	Clotrimazole	1% cream 5 times a day for 7-14 days. Vaginal tablets 100 mg once a day for 7 days, or 200 mg once a day for 3 days, or 500 mg once
	Miconazole	2% cream 5 g once a day for 7 days. Vaginal suppository 100 mg 1 time per day for 7 days or 200 mg 1 time per day for 3 days
	Nystatin	Vaginal tablets 100,000 units once a day for 14 days
	Terconazole	0.4% cream 5 g once a day for 7 days or 0.8% cream 5 g once a day during the day. Vaginal suppository 80 mg 1 time per day for 3 days
	Thioconazole	6,5% ointment 5 g once
For internal use	Fluconazole	150 m g single