Fungal vaginitis

The main cause of female vaginitis is some common inflammation caused by Candida. Under such conditions, it mainly exists in the skin, mucous membranes and vagina of healthy people. Under certain conditions, Candida can invade human tissues and cause inflammation. Then it is mainly the female reproductive tract infection that often invades the vagina and causes some planned inflammation of the skin and mucous membranes. Vaginitis in daily life is mainly some Candida diseases.

It is mainly caused by candidal vaginitis and fungal vaginitis. It is a general term for fungal vaginitis. In daily life, it mainly causes some external itching and some white tofu-like leucorrhea.

80-90% of VVC is caused by Candida albicans, and a small number of VVC can be caused by Candida glabrata, Candida parapsilosis or Candida tropicalis. Candida albicans are oval, single-walled cells distributed in groups, with blastospores and pseudohyphae formed by cell germination and elongation. Candida is not heat-resistant and will die if heated to 60℃ for one hour, but it is highly resistant to dryness, sunlight, ultraviolet rays and chemical agents. About 10% of non-pregnant women and 30% of pregnant women have vaginal Candida parasites without symptoms. When the glycogen in the vagina increases and the pH value decreases, Candida albicans can easily multiply and cause inflammation, so it is more common in pregnant women, diabetic patients and those who use estrogen; after large-scale long-term use of antibiotics, the normal flora in the vagina is suppressed and Candida albicans overgrows; long-term use of immunosuppressants or glucocorticoids can reduce the patient's immune function. These factors can promote vaginal infection and lead to VVC.

Disease Diagnosis: Typical VVC is not difficult to diagnose, but it is easy to be confused with other vulvar lesions, so pathogen examination is required for diagnosis. The diagnosis can be made by directly doing a vaginal smear test.

a. Use the 10% KOH hanging drop method to find spores and pseudohyphae under a microscope, and the positive rate can reach 60%.

b. Using Gram staining, the positive rate can reach 80%.

c. The culture method has a higher positive rate and can determine sensitive antifungal drugs, but it takes some time to confirm the diagnosis. It can be used for refractory VVC or recurrent VVC.

d. For stubborn cases, we should actively investigate the history of estrogen or antibiotic use and check blood sugar to exclude diabetes.

The above are the common symptoms of candidal vaginitis. Its pathological cause in life is mainly caused by Candida albicans, so the diagnosis of the disease is also very critical. You can use some local medications and stop using antibiotics, as well as actively treat other types of gynecological diseases caused by other diseases.