The 2007 United Kingdom national guideline on the management of vulvovaginal candidiasis

Clinical Effectiveness Group of the British Association for Sexual Health and HIV


  • Vulvovaginal candidiasis may be caused by Candida albicans (80–92%) or non-albicans species of yeast such as C. glabrata. The symptoms caused by the different species are indistinguishable

Diagnosis

Clinical features

  • Symptoms:
    • vulval itching
    • vulval soreness
    • vaginal discharge
    • external dysuria
    • superficial dyspareunia
  • Signs:
    • erythema
    • fissuring
    • oedema
    • satellite lesions
    • discharge
      • typically, but not always curdy
      • not associated with malodour
    • excoriation
  • None of these symptoms or signs is specific for the diagnosis of candidiasis
    • up to half of self-diagnosed women may have other conditions, e.g. allergic reactions, lichen sclerosus, dermatitis
    • 10–20% of reproductive-age women may harbour Candida species in the absence of symptoms and do not require treatment

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