Vulvovaginal Candidiasis

11 min read

Vulvovaginal candidiasis (VVC) is a type of yeast infection that affects the vulva and vagina. It is caused by an overgrowth of the fungus Candida albicans, which is normally found in the vagina in small amounts. VVC is the most common type of vaginal infection in women of childbearing age, and it is estimated that 75% of women will experience at least one episode of VVC in their lifetime.

Causes of Vulvovaginal Candidiasis

VVC is caused by an overgrowth of Candida albicans, which is normally found in the vagina in small amounts. Factors that can increase the risk of developing VVC include:

  • Antibiotic use
  • Hormonal changes, such as those that occur during pregnancy or menopause
  • Diabetes
  • Weakened immune system
  • Uncontrolled stress
  • Tight clothing or underwear
  • Douching

Diagnosis of Vulvovaginal Candidiasis

VVC is usually diagnosed based on symptoms and a physical examination. Your doctor may also take a sample of the affected area to test for the presence of Candida albicans. If the diagnosis is uncertain, your doctor may also perform a culture test to confirm the diagnosis.

Prevention of Vulvovaginal Candidiasis

There are several steps you can take to reduce your risk of developing VVC:

  • Avoid tight clothing and underwear
  • Avoid douching
  • Maintain good hygiene
  • Eat a healthy diet
  • Manage stress
  • Avoid unnecessary antibiotic use
Take the Vulvovaginal Candidiasis Assessment

Symptoms

Common Symptoms of Vulvovaginal Candidiasis

  • Itching in the genital area
  • Burning sensation in the genital area
  • White, thick discharge from the vagina
  • Pain during urination
  • Pain during sexual intercourse
  • Redness and swelling of the vulva

When to See a Doctor

If you experience any of the symptoms of vulvovaginal candidiasis, it is important to see a doctor for diagnosis and treatment. If left untreated, the infection can spread to other parts of the body and cause more serious health problems.

Causes

Hormonal Changes

Hormonal changes can cause an imbalance in the vagina's natural environment, making it more susceptible to a yeast infection. This can occur during pregnancy, when taking certain types of birth control, or when going through menopause. Hormonal changes can also cause the body to produce more sugar, which can feed the growth of yeast.

Antibiotics

Antibiotics can kill off the beneficial bacteria that normally keep the yeast in the vagina in check. This can lead to an overgrowth of yeast, resulting in a yeast infection. Taking probiotics while on antibiotics can help to restore the balance of bacteria in the vagina.

Uncontrolled Diabetes

Uncontrolled diabetes can cause high levels of sugar in the blood and urine, which can feed the growth of yeast. Keeping blood sugar levels under control can help to prevent yeast infections.

Weakened Immune System

A weakened immune system can make it more difficult for the body to fight off a yeast infection. People with HIV or AIDS, or those undergoing chemotherapy, may be more prone to yeast infections.

Poor Hygiene

Poor hygiene can also increase the risk of a yeast infection. Wearing tight-fitting clothing, especially underwear, can create a warm and moist environment that encourages the growth of yeast. It is important to keep the area clean and dry, and to wear loose-fitting clothing.

Getting a Diagnosis

Physical Examination

During a physical examination, a doctor will look for signs of a yeast infection, such as redness, swelling, and itching in the vulva and vagina. The doctor may also take a sample of the discharge from the vagina to examine under a microscope. This can help to confirm the diagnosis and rule out other causes of the symptoms.

Laboratory Tests

A laboratory test may be used to confirm the diagnosis of a yeast infection. This test involves taking a sample of the discharge from the vagina and sending it to a laboratory for analysis. The laboratory will look for the presence of Candida albicans in the sample. If the test is positive, it confirms the diagnosis of a yeast infection.

Conclusion

Diagnosis of a yeast infection is typically done through a physical examination and a laboratory test. During a physical examination, a doctor will look for signs of a yeast infection, such as redness, swelling, and itching in the vulva and vagina. A laboratory test may also be used to confirm the diagnosis of a yeast infection. This test involves taking a sample of the discharge from the vagina and sending it to a laboratory for analysis. If the test is positive, it confirms the diagnosis of a yeast infection.

Questions for Your Doctor

Symptoms

When you visit your doctor, it is important to discuss your symptoms. Common symptoms of a yeast infection include itching, burning, and a thick, white discharge. You should also tell your doctor if you have any other symptoms, such as pain during urination or intercourse, or if you have any other medical conditions that may be related to your yeast infection.

Diagnosis

Your doctor may need to perform a physical exam and take a sample of your discharge to confirm the diagnosis. It is important to discuss any tests that your doctor may need to perform to make sure that the diagnosis is correct.

Treatment

Once your doctor has confirmed the diagnosis, they will discuss treatment options with you. Treatment options may include antifungal medications, such as creams, tablets, or suppositories. Your doctor may also recommend lifestyle changes, such as wearing loose-fitting clothing and avoiding douching.

Follow-up

Your doctor may recommend follow-up visits to make sure that the treatment is working. It is important to discuss any questions or concerns you may have about the treatment or follow-up visits with your doctor.

Prevention

Your doctor may also discuss ways to prevent future yeast infections. This may include avoiding tight-fitting clothing, wearing cotton underwear, and avoiding douching. Your doctor may also recommend taking probiotics or eating yogurt to help prevent future infections.

Treatment

Antifungal Medications

The most common treatment for a yeast infection is antifungal medications. These medications come in the form of creams, tablets, ointments, and suppositories. They work by killing the fungus that is causing the infection. Common antifungal medications include clotrimazole, miconazole, terconazole, and fluconazole.

Home Remedies

In addition to antifungal medications, there are several home remedies that can help relieve the symptoms of a yeast infection. These include soaking in a warm bath with baking soda, applying plain yogurt to the affected area, and drinking cranberry juice. While these remedies may help relieve the symptoms, they will not cure the infection.

Prevention

The best way to prevent a yeast infection is to practice good hygiene. This includes washing the genital area with warm water and mild soap, avoiding tight-fitting clothing, and avoiding douching. It is also important to wear cotton underwear and to change out of wet clothing as soon as possible.

Drugs & Medications

Types of Drugs Used to Treat Vulvovaginal Candidiasis

The most common drugs used to treat vulvovaginal candidiasis are antifungal medications. These medications work by killing the fungus that causes the infection. Common antifungal medications used to treat yeast infections include:

  • Clotrimazole (Mycelex, Lotrimin)
  • Miconazole (Monistat)
  • Fluconazole (Diflucan)
  • Terconazole (Terazol)
  • Butoconazole (Gynazole)

These medications are available in various forms, including creams, ointments, tablets, and suppositories. Your doctor will determine which type of medication is best for you, depending on the severity of your infection.

How to Use Antifungal Medications

It is important to follow your doctor's instructions when using antifungal medications. Depending on the type of medication you are using, you may need to apply it directly to the affected area or take it orally. Be sure to read the instructions carefully and use the medication as directed.

It is also important to finish the entire course of treatment, even if your symptoms improve. This will help ensure that the infection is completely cleared up. If your symptoms do not improve after a few days, contact your doctor.

Side Effects of Antifungal Medications

Antifungal medications are generally safe and well-tolerated. However, some people may experience side effects, such as skin irritation, itching, or burning. If you experience any of these side effects, contact your doctor.

Conclusion

Vulvovaginal candidiasis is a common type of fungal infection that affects the vagina and vulva. Treatment typically involves antifungal medications, such as topical creams, oral tablets, or suppositories. It is important to follow your doctor's instructions when using antifungal medications and to finish the entire course of treatment, even if your symptoms improve. If you experience any side effects, contact your doctor.

Diet

Foods to Avoid

Certain foods may increase the risk of developing a yeast infection. These include sugary foods and drinks, refined carbohydrates, alcohol, and foods that contain yeast. It is also important to avoid foods that can irritate the vagina, such as spicy foods, citrus fruits, and caffeinated beverages.

Foods to Eat

Eating a balanced diet that is rich in fruits, vegetables, and whole grains can help reduce the risk of developing a yeast infection. Eating probiotic-rich foods, such as yogurt, sauerkraut, and kimchi, may also help. Additionally, drinking plenty of water and avoiding tight-fitting clothing can help keep the vagina healthy.

Conclusion

Making dietary changes can help reduce the risk of developing a yeast infection. Avoiding sugary foods and drinks, refined carbohydrates, alcohol, and foods that contain yeast, as well as foods that can irritate the vagina, can help. Eating a balanced diet that is rich in fruits, vegetables, and whole grains, as well as probiotic-rich foods, can also help. Additionally, drinking plenty of water and avoiding tight-fitting clothing can help keep the vagina healthy.

Lifestyle

1. Wear Breathable Underwear

Wearing breathable underwear can help reduce the risk of developing a yeast infection. Cotton underwear is best, as it allows air to circulate and helps keep the area dry. Avoid wearing tight-fitting clothing, as this can trap moisture and create a warm, moist environment that is ideal for the growth of yeast.

2. Avoid Douching

Douching can disrupt the natural balance of bacteria in the vagina, which can lead to an overgrowth of yeast. It is best to avoid douching, as it can increase the risk of developing a yeast infection. If you do need to clean the area, use a mild, unscented soap and warm water.

3. Change Out of Wet Clothes

It is important to change out of wet clothes, such as swimsuits or workout clothes, as soon as possible. Wet clothes can create a warm, moist environment that is ideal for the growth of yeast. It is also important to dry the area thoroughly after showering or bathing.

4. Avoid Scented Products

Scented products, such as bubble bath, body wash, and scented tampons, can irritate the vagina and increase the risk of developing a yeast infection. It is best to avoid these products and opt for unscented, hypoallergenic products instead.

5. Eat a Balanced Diet

Eating a balanced diet can help keep the body healthy and reduce the risk of developing a yeast infection. Foods that are high in sugar and carbohydrates can feed the growth of yeast, so it is best to limit these foods. Eating plenty of fresh fruits and vegetables, as well as whole grains, can help keep the body healthy and reduce the risk of developing a yeast infection.

Conclusion

Vulvovaginal candidiasis is a common condition that affects many women. Fortunately, there are several lifestyle tips that can help reduce the risk of developing a yeast infection. Wearing breathable underwear, avoiding douching, changing out of wet clothes, avoiding scented products, and eating a balanced diet can all help reduce the risk of developing a yeast infection.