Which clinical history findings are characteristic of vaginal candidiasis?

Updated: Dec 04, 2018
  • Author: Hetal B Gor, MD, FACOG; Chief Editor: Michel E Rivlin, MD  more...
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Answer

Candidiasis is a fungal infection common in women of childbearing age. Pruritus is the most common symptom. This is accompanied by a thick, odorless, white vaginal discharge (with an appearance similar to that of cottage cheese), which can be minimal. Usually, associated vulvar candidiasis is present, commonly with vulvar burning, dyspareunia, and vulvar dysuria (a burning sensation arising when urine comes into contact with vulvar skin).

Patients often have a history of recurrent yeast infection or recent antibiotic treatment. Symptoms of candidiasis often begin just before menses. Precipitating factors include immunosuppression, diabetes mellitus, pregnancy, and hormone replacement therapy. Candidiasis is usually not contracted from a sexual partner. About 75% of all women have at least 1 episode of candidiasis in their lifetime. Recurrent episodes may indicate underlying immunodeficiency or diabetes.


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