Vulvovaginal Candidiasis—What We Do and Do Not Know
Authors: JACK D. SOBEL
Journal: Annals of Internal Medicine (1984)

Editorials1 September 1984Vulvovaginal Candidiasis—What We Do and Do Not KnowJACK D. SOBEL, M.D.JACK D. SOBEL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-101-3-390 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMost women who see a physician for gynecologic problems present with vaginal symptoms (1). Candidal vaginitis is the second commonest form of vaginal infection currently seen in the United States, occurring slightly less frequently than nonspecific vaginitis (1).Many women go through life without suffering any episodes of candidal vaginitis. Most, however, have infrequent isolated attacks and respond readily to various topical, intravaginal antifungal agents. A third subpopulation suffers repeated bouts of incapacitating vulvovaginal candidiasis, presenting with attacks almost every month or with chronic intractable symptoms. We do not know the exact size of this last group, but virtually every...References1. Nonreported sexually transmitted diseases. MMWR. 1979;28:61. Google Scholar2. FLEURY F. Adult vaginitis. Clin Obstet Gynecol. 1981;24:407-38. CrossrefMedlineGoogle Scholar3. MILESOLSENROGERS MLA. Recurrent vaginal candidiasis: importance of an intestinal reservoir. JAMA. 1977;238:1836-7. CrossrefMedlineGoogle Scholar4. VILUPILLAITHIN SR. Treatment of vulvovaginal yeast infection with nystatin. Practitioner. 1977;219:897-901. Google Scholar5. MILNEWARNOCK JD. Effect of simultaneous oral and vaginal treatment on the rate of cure and relapse in vaginal candidosis. Br J Vener Dis. 1979;55:362-5. MedlineGoogle Scholar6. JONESJONES HG. Novak's Textbook of Gynecology. 10th ed. Baltimore: Williams & Wilkins; 1981:266-9. Google Scholar7. 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