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Tuesday, February 19, 2008

Complicated Vulvovaginal Candidiasis.

It is estimated that 80% to 90% of women who have VVC will have uncomplicated VVC. The diagnosis of uncomplicated VVC is suggested clinically by pruritus and erythema in the vulvovaginal area with or without a trouser liberation. The figure of persons with uncomplicated VVC respond to intervention with short-course azole drugs. Other than the add-on of butoconazole (Femstat-3, Gynezole-1) 2% dairy product 5 g, (butaconazole1-sustained release) unity intravaginal postulation, the discourse regimens for uncomplicated VVC remain the same. See Mesa 6 for recommended regimens for uncomplicated VVC. Most women with uncomplicated VVC have no precipitating factors; however, in a body part unit, VVC may be precipitated by antibiotic use. Follow-up is only necessary if symptoms persist or recur within 2 months of initial symptoms.


Approximately 10% to 20% of women will have complicated VVC. The new 2002 Guidelines further classify complicated VVC into six categories that require different diagnostic and therapeutic considerations. These include recurrent VVC, severe VVC, non-albicans VVC, and VVC in a compromised host, in pregnancy, and in women with HIV incident.Recurrent Vulvovaginal Candidiasis.

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