We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
Published online by Cambridge University Press: 10 August 2023
In chronic vulvitis, chronic thrush represents the minority (about 20%) of all cases. Many patients tell us that their doctor prescribed anti-fungal medication without either examining them or taking a vaginal swab.
Multiple courses of anti-fungals should not be given without confirmation of candidiasis on vaginal culture. Particularly for patients with chronic vulvovaginal candidiasis, the length of time that the patient needs to be withdrawn from such agents before vaginal culture is positive again can be many weeks. We therefore strongly recommend that patients always have a vaginal swab before any treatment is commenced.
The complication is that in many cases of genuine candidiasis, swabs are negative, mostly due to anti-fungal use. In this scenario, history taking is key.
To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.
