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Fungal vulvovaginitis
1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030.
Current Opinion in Obstetrics & Gynecology
|December 1, 1991
Summary
Fungal vulvovaginitis, a common lower genital tract condition, is increasingly treatable due to advances in understanding its pathophysiology. New clinical data offer guidance on optimal treatment durations for newer antifungal medications, aiding in managing persistent cases.
Area of Science:
- Mycology
- Gynecology
- Infectious Diseases
Background:
- Fungal vulvovaginitis is a highly prevalent lower genital tract infection.
- Recurrent or persistent cases present significant clinical challenges.
- Understanding pathophysiology is key to improved therapeutic strategies.
Purpose of the Study:
- To review recent advances in treating fungal vulvovaginitis.
- To summarize new clinical data on antifungal treatment durations.
- To provide insights into managing difficult-to-treat cases.
Main Methods:
- Literature review of recent studies on fungal vulvovaginitis.
- Analysis of clinical data regarding antifungal agent efficacy and duration.
- Synthesis of current knowledge on pathophysiology and treatment.
Main Results:
- Advances in understanding pathophysiology have enhanced treatment options.
- Newer antifungal agents show promise for managing recurrent/persistent infections.
- Clinical data are emerging on optimal treatment durations for these agents.
Conclusions:
- Improved understanding of fungal vulvovaginitis pathophysiology aids treatment.
- Optimal duration of newer antifungal agents is becoming clearer.
- Effective management of recurrent and persistent fungal vulvovaginitis is advancing.
Keywords:
Acquired Immunodeficiency SyndromeAntibiotics--side effectsBacterial And Fungal DiseasesBarrier Methods--side effectsBiologyCandidiasisContraceptionContraceptive Methods--side effectsDiabetes Mellitus--side effectsDiseasesDrugsFamily PlanningHiv InfectionsImmunityImmunological EffectsInfectionsLiterature ReviewOral Contraceptives--side effectsPhysiologyPregnancyReproductionRisk FactorsSigns And SymptomsTreatmentVaginal AbnormalitiesVaginal Barrier Methods--side effectsVaginal Sponge--side effectsVaginitis--etiologyViral Diseases