Update on recurrent vulvovaginal candidiasis
Abstract
Key Content Recurrent vulvovaginal candidiasis (RVVC) affects millions of women worldwide. Defined as four or more episodes per year of vulvovaginal candidiasis (VVC), it is a cause of significant morbidity, affecting quality of life, relationships and ability to work. RVVC is uncommon in prepubertal girls and the incidence markedly declines following menopause. Some gynaecologists and trainees have unmet training needs in the optimal assessment and management of RVVC. A multifaceted approach is often required, including vulval skin care, avoidance of triggers and induction and suppression regimes with antifungal drugs. This review combines the current literature on VVC, incorporating data on novel therapies with established standard management protocols. Learning objectives To be able to assess risk factors and correctly diagnose VVC. To know the current management strategies for RVVC and the efficacy of novel therapies. To be aware of the common differentials of bacterial vaginosis and trichomonas vaginalis and their recommended management.
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Gynecologists and trainees may also have unmet training needs in the optimal assessment and management of RVVC.
“Gynecologists and trainees may also have unmet training needs in the optimal assessment and management of RVVC (Borland et al., 2021).”
From Management of recurrent vulvovaginal candidosis: Narrative review of the literature and European expert panel opinion (2022) · cites this paper as Borland et al., 2021
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- Authors
- Borland, A., Ovens, K., Offiah, I., Dua, A., & Freeman, R.
- Affiliations
- University Hospitals Plymouth NHS Trust (GB)
- Corresponding author
- Borland, Amy
- Ovens, Katie
- Offiah, Ifeoma
- Dua, Anupreet
- Freeman, Robert
- Venue
- The Obstetrician & Gynaecologist
- Publisher
- Wiley
- Published
- 2021-09-23
- Volume
- 23
- Issue
- 4
- Pages
- 295-300
- ISSN
- 1467-2561 (ISSN-L)
- 1744-4667
- OpenAlex
- W3197792919
- Cited by
- 5
- References
- 28
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 1 · 2022: 1
- FWCI
- 0.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Obstetrician & Gynaecologist (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- recurrent vulvovaginal candidiasis, vaginal candidiasis, antifungal therapy, induction therapy, maintenance therapy, risk factors, precipitating factors, bacterial vaginosis, Trichomonas vaginalis, differential diagnosis, menopause, quality of life
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