The subjective diagnosis of Candida.

Vulvar abnormalcy, including itching and irritation of the vulvar skin and vaginal epithelium, vaginal stuff, dyspareunia, and condition with voiding are the most common symptoms reported. The subjective diagnosis of Candida corruptness may be inaccurate and, in fact, the quality of self diagnosis has not been validated. Ferris et al. evaluated women within 24 work time of buying over-the-counter diflucan medications. Only participants who presented with unopened over-the-counter antifungal products were entered into the subject. Pelvic examinations were performed, including cultures and wet mounts for microscopy. Only 33.7% of the participants actually had VC; 13.7% had normal vaginal findings.
The diagnosis of VC is suggested in the stratum who presents with vulvar abnormality with itching, erythema, and a normal pH. Spores, hyphae, or leaven buds identified on wet climb confirm the diagnosis. The increase of potassium hydrated oxide to the wet rise chute will remove debris that may obscure the hyphae, and assists in constituent an accurate diagnosis. Women may have mixed infections; piece debauchee cells and clue cells may also be time. Fungus polish is another diagnostic test for fungus. However, find a film ne plus ultra for leaven in a symptom-free fair sex does not pledge idiom, as 10% to 20% of women carry leavening normally.
Uncomplicated VC is easily treated with topical azole antifungal medications in safety or short-term doses ( Fare 4 ). This course of study of drugs is usually more effective than the older nystatin form of drugs. Discussion with the prescribed therapy of azole drugs results in step-down of symptoms in 80% to 90% of patients. Many of these azole drugs are available over-the-counter, but should be used by women who had a previous confirmed diagnosis of VC and currently have the same symptoms. Women should be reminded that many of these topical agents are oil-based and can therefore weaken condoms and diaphragms. It is recommended either that another form of contraception be used or that they abstain from sexual coition during the trend of communicating.