Fungal infection of the vagina - Candidal vulvovaginitis

Very low urgency
Very common-

Candidal vulvovaginitis is an infection of the vulva and/or vagina by the fungus candida albicans.

It is a very common infection experienced by most women.

It is not considered as a sexually transmitted disease.

Factors which may trigger it: excessive hygiene, alterations in the body's defenses, taking antibiotics, hormonal changes, pregnancy, obesity and diabetes.

Typical symptoms include burning or itchiness in the genital region, abundant thick, whitish vaginal discharge. It can also cause urine symptoms such as frequency and cystitis.

The diagnosis is clinical, and can be confirmed with an examination of vaginal discharge.

The treatment is drug-based, with antifungal medication (creams, tablets), both for the affected person and her partner. Changes in hygiene and clothing are also required.

Bibliographic references
  1. Jack D Sobel. Candida vulvovaginitis. UpToDate. May 25, 2016.
  2. Workowski KA, Bolan GA, Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015; 64:1.
  3. Tibaldi C, Cappello N, Latino MA, et al. Vaginal and endocervical microorganisms in symptomatic and asymptomatic non-pregnant females: risk factors and rates of occurrence. Clin Microbiol Infect 2009; 15:670.
  4. Jeanne M. Marrazzo, King K. Holmes. Infecciones de transmisión sexual: resumen y estudio clínico. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 872:874
  5. Clara María Martín Díaz, María Luisa Cañete Palomo, Fernando Cuadra García- Tenorio. Infecciones Ginecológicas. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010.737:738
  6. E.J. Perea. Enfermedades de transmisión sexual. Farreras Rozman. Medicina Interna. Volumen 2. 12º edición.2503:2505.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Reddened vulva


    White vaginal discharge


    Female genital itching


    Burning in genital area


    Vaginal discharge

Symptoms to watch out for

Abdominal pain that increases rapidly
Fever (temperature higher than 100.4 ºF)
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).

Self-care

Wipe from the front to the back after defecating.
Preferably use cotton underwear.
Avoid wearing tight clothing and using perfumed or irritating soaps in the area.
Consult your general practitioner about topical or oral antifungal treatment.