Candida vaginitis

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Related to Candida vulvovaginitis: Yeast infection


1. inflammation of any sheathlike structure.
2. inflammation of the vagina; called also colpitis.

Etiology. Inflammation of the vaginal mucosa is invariably related to a disturbance in normal vaginal physiology. A healthy vagina depends on (1) normal estrogen secretion to maintain a thick squamous epithelium containing glycogen and (2) chemical reactions beginning with the glycogen thus available. The glycogen stimulates the growth of lactobacilli, which are beneficial normal vaginal flora that metabolize glycogen to form lactic acid. The lactic acid maintains vaginal acidity at a pH of 4.0 to 4.5.

Tampons, condoms, neglected diaphragms, and irritating douches or deodorant sprays can upset the vagina's environmental balance and produce abnormal vaginal discharge. Hyperglycemia and antibiotics can also disturb this balance. However, infectious agents are the most common cause of vaginitis; these include Trichomonas and Candida. (See also bacterial vaginosis.) Characteristics of these types of vaginitis and medical treatment and nursing intervention are summarized in the accompanying table.
Patient Education. Patients with infectious vaginitis need to know the purpose and importance of diagnostic testing and examination to verify a diagnosis, the specific type of infection or infections thus identified, and changes that may need to be made in their sexual activity to avoid reinfection. Sexual intercourse is avoided while active symptoms are present. Concurrent treatment of the partner is often necessary to avoid cyclic reinfection of one another. Condoms are encouraged because they can provide both the man and woman with some protection against sexually transmitted diseases.

In regard to prescribed treatment, the patient should be instructed to take all of the medication exactly as prescribed; a follow-up examination and testing may be necessary. If the woman has a cervical Pap smear done while she has vaginitis, there may be an abnormal test result.
adhesive vaginitis atrophic vaginitis with ulceration and exfoliation of the mucosa result in adhesions of the membranes; opposite surfaces may adhere to each other, causing obliteration of the vaginal canal. Called also senile vaginitis.
atrophic vaginitis vaginitis occurring in postmenopausal women, associated with estrogen deficiency. The two most common types are senile vulvovaginitis and adhesive vaginitis.
Candida vaginitis (candidal vaginitis) vulvovaginal candidiasis.
desquamative inflammatory vaginitis a form resembling atrophic vaginitis but affecting women with normal estrogen levels.
emphysematous vaginitis inflammation of the vagina and adjacent cervix, characterized by numerous asymptomatic, gas-filled cystlike lesions.
senile vaginitis adhesive vaginitis.

Candida vaginitis, Candida vulvovaginitis

References in periodicals archive ?
Multiple logistic regression was performed to evaluate the association of kilocalories and neutral detergent fiber with a history of Candida vulvovaginitis in the past 5 years, controlling for potential confounders (including carbohydrates, age, body mass index, smoking status, use of oral contraceptives for more than 6 months, age at first intercourse, and number of lifetime sex partners).
The association between each of the other nutrients and a history of Candida vulvovaginitis was evaluated by logistic regression while controlling for kilocalories to assess potential confounding.
The results presented here suggest that an increased caloric intake highly correlated with carbohydrate intake is associated with the history of Candida vulvovaginitis.
In previous studies of Candida vulvovaginitis and oral candidiasis, a, statistically significant association was observed between iron and zinc deficiencies and Candida.
Because diagnosis of Candida vulvovaginitis is not always clinically evident and, unless verified by culture, may be erroneous, these recollections may be inaccurate.