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WASHINGTON -- Recurrent vulvovaginal candidiasis often isn't.
Recurrent bacterial vaginosis, genital herpes, and contact dermatitis are among the many entities that tend to be misdiagnosed as candida infections in women with recurrent vulvovaginal itching, burning, and soreness, Dr. Jack D. Sobel said at an ob.gyn. update on sexually transmitted diseases sponsored by OB.GYN. NEWS and Boston University.
"You need to inspect the vulva before you insert the speculum," advised Dr. Sobel, professor and chief of infectious diseases at Wayne State University, Detroit.
Genital herpes, for example, presents commonly with a fissure--not a blister or ulcer, as is often assumed. Without careful vulvar examination, the fissure is easily missed. In the meantime, the patient's accompanying erythema and edema are mistaken for a recurrent yeast infection. She gets a prescription for fluconazole, and the symptoms subside in 45 days--which just happens to be the normal time for resolution of herpes lesions.
Another common scenario is when a woman's frequent vulvar irritation or itch turns out to be caused by her use of ...
Source: HighBeam Research, Look for causes other than Candida to explain recurrent vulvovaginal...