Recurrence is frequent. Acidifying lactate vaginal gels may reduce recurrence. The majority of fungal vaginitis is caused by Candida albicans. Risk factors are diabetes, obesity, immunocompromise, antibiotics, and oral contraceptives. Most common cause of leukorrhea in pregnancy.
Major symptoms are perivaginal itching or burning depending on species.
Discharge is thick and adherent to vaginal walls. Recurrence may be decreased by ingestion of 8 oz yogurt daily. Only topical azole therapies should be used for the treatment of pregnant women. The most effective treatments that have been studied for pregnant women are clotrimazole, miconazole, butoconazole, and terconazole. Many experts recommend 7 days of therapy during pregnancy.