Vulvovaginal candidiasis – what are the predisposing factors?

Vulvovaginal candidiasis – what are the predisposing factors?

Hey there! Ever wondered what vulvovaginal candidiasis is all about? Well, it’s basically an infection down there caused by yeasts called Candida. And guess what? It’s more common than you might think!

So, there are three types of this infection: vulvitis (affecting the outer lady bits), vaginitis (messing with the vagina), and vulvovaginitis (when it’s a combo of both). The main culprit among the Candida family is Candida albicans, but sometimes Candida glabrata and Candida tropicalis join the party, too. And guess what? Treatment varies depending on which one’s crashing the party.

Now, how does this pesky infection develop? These Candida yeasts are sneaky little things. They invade our tissues and start producing toxins, triggering an inflammatory reaction. It all starts with colonization of the skin and mucous membranes, and things can get worse when our body’s not feeling tip-top (think illness, stress, or popping pills).

There are two main types: acute and chronic. Acute usually comes from the Candida hanging out down there already, but chronic can be passed around like a hot potato during sexual contact.

So, what makes us more susceptible to this itchy situation? Well, anything that messes with our skin, like cuts, burns, or even tight synthetic undies, can pave the way for infection. Plus, if our immune system’s not up to snuff or we’re popping certain meds like corticosteroids or antibiotics, we’re more likely to get hit.

Hormonal changes can also play a role. Things like diabetes, pregnancy, or even just a poor diet can give Candida a cozy environment to thrive in. Oh, and let’s not forget about the asymptomatic carrier—your partner could unwittingly pass it on, too!

Now, what are the signs that you might have this not-so-fun infection? Well, you’ll probably notice some redness, itching, and funky discharge down there. The itching can range from a mild annoyance to full-on “can’t focus on anything else” levels. And it gets worse after a bath or when you’re all cozied up in bed. Ouch!

If it’s really bad, you might even feel a burning sensation when you pee. And some women report dryness during sex. The discharge is usually white and looks like cottage cheese—definitely not the kind of cheese you want down there!

But wait, there’s more! Sometimes this infection can be a bit sneaky and show up in different forms, like vaginosis (itching and discharge but no inflammation), papillary colpitis (with weird growths but no discharge), or deep vaginal mycosis (when it gets really deep).

So, what’s the treatment? Well, it’s all about medication. Doctors usually recommend no hanky-panky until you’re all cleared up, and using protection after that to avoid passing it back and forth.

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