Vaginal Candidosis Causes And Treatments: Canadian Health Care Mall Review
Vaginal Candidosis Causes And Treatments: Canadian Health Care Mall Review
Troubles in the vulva region is a common reason why women seek out medical attention. The symptoms may be secondary to pathology higher up in the genital organs or general diseases, but the most common is that the disease is primary in the vulva. The region is involved in most general dermatological diseases, some of which, e.g., lichen sclerosis, the vulva being the organ where it is found most often.
Genitals is also the localization of many sexually transmitted infections. Malignant changes in the vulva is, however, relatively rare and usually occurs after menopause. Itching, pruritus vulvae, appearing as symptoms in almost all vaginal infections, are often cardinal symptom.
Candidosis Causes
The most common cause of genital itching in women of childbearing age are fungal infection, and about 75 percent of all women will at some point be diagnosed with it. Predisposing factors, antibiotic therapy, pregnancy, diabetes mellitus and impaired immune system by, for example, systemic disease. However, the vast majority of women with candida are completely healthy.
In acute candida vaginitis the patient is quickly starting to feel sick with severe itching. Pain and dyspareunia due to fissures are common. The affected organs is seen a sharp vaginal redness and sometimes a thick fresh cheese-like, or a thinner cloudy discharge. The infection is usually confined to the lining of the vagina and introitus but can spread diffusely on the skin in and around the vulva. The vaginal changes become less prominent the more often the symptoms occur. Characteristic of recurrent / chronic yeast infection, defined by four or more episodes in a year, is discrete redness with itching during premenstrual syndrome which subside during the period.
At the initial onset it is recommended to have a direct microscopy showing hyphae (and sometimes spores), which become more pronounced after addition of potassium hydroxide. If you are unclear diagnosis or treatment failure fungi cultivation is taken.
Treatment
For the treatment of acute candida vaginitis prescription includes vaginal suppositories, clotrimazole (Canesten) cream, or single-dose oral fluconazole 150 mg prescription. 90 percent of patients respond to antifungals, but a secondary non-allergic or, much more rarely, an allergic contact dermatitis to antifungal agent can occur. The patient’s symptoms get alleviated initially and then flare up again. If the patient is particularly bothered by the pain that does not go away despite adequate treatment, it can be that an allergic reaction to the fungus itself have occurred. Fungi cultivation is then negative and antihistmin can provide relief.
In chronic candida fluconazole 150 mg is given every other week for three months. Sometimes, this dose is not sufficient, and it may be repeated once a week. One can also give 50 mg a day for a few weeks to a few months. So-called oil hygiene is recommended, ie oil is applied and wiped off before the shower so that the genital area is cleaned and protected against water. It is not uncommon that the patient may need to undergo therapy for years for not having trouble. Chronic infections should not be treated locally. Nor is there any evidence that the partner treatment is needed. Underlying factors are that progestin-containing contraceptives, high sugar intake or tight clothing has no meaning in this context.
