Chronic vulvovaginal candidiasis.

Abstract
Vulvovaginal symptoms are common, and they represent one of the most frequent reasons for visits to physicians by women in all age groups. Vulvovaginitis is rarely life-threatening, and it is therefore vastly understudied and poorly understood. However, it is associated with substantial, albeit poorly quantified, cumulative morbidity. It causes genital discomfort, loss of productivity, reduced sexual pleasure, and psychological distress and necessitates medical expenditures.Noninfectious vulvovaginitis is caused by a wide variety of inflammatory, hypersensitivity, and collagen vascular conditions.1 The most common cause of infectious vulvovaginitis is candidiasis, which accounts for 40 to 50 percent of all cases. Vulvovaginitis primarily . . .

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