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Therapeutics in Dermatology
A reference textbook in dermatology

Recurrent vulvovaginitis

23 September 2013, by SPENATTO N.

Physiological leucorrhoea (in the same woman at each cycle) has similar characteristics. It is not considered to be pathological unless there is a change in colour, quantity, or odour. If there is, it shows vaginal inflammation (vaginitis), which can be accompanied by inflammation of the vulva (vulvovaginitis). The associated symptoms may include: pruritus or a burning sensation in the vulva, dyspareunia, or dysuria.

The main microorganisms that cause vaginitis are yeasts (principally Candida Albicans) in 20 to 25% of cases, bacteria, especially in bacterial vaginosis, (Gardnerella Vaginalis other bacteria, especially anaerobes) accounting for 40 to 45% of cases, and parasites (Trichomonas Vaginalis) in 15 to 20% of cases. Trichomoniasis is an STI (Sexually Transmitted Infection) and will not be discussed in the context of recurrent vulvovaginitis [1].

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