Infections in the vulva and vagina are not uncommon. Although most infections are not life threatening, they cause great discomfort and suffering in the affected woman. The symptoms associated with vulvovaginal infection are primarily that of discharge, discomfort, soreness and itching. However, the association between the presence of vulvovaginal infection and symptoms are not clear-cut and straightforward. In this context, it is important to understand the precise state of infection from mere colonization by Candida. Accurate diagnosis is critical to successful treatment.The most common reasons for vulvovaginitis are• Bacterial Vaginosis (22% -50% of cases)• Trichomoniasis (from 4% -35% of cases)• Undiagnosed presence of vaginitis is reported in 72% of cases 1 . However in pregnancy, Candidiasis is the commonest cause of vulvovaginal inflammation and infection. In vulvovaginal inflammatory conditions, infections mentioned above are the commonest. But vulvar skin diseases ranging from atrophic inflammation related to estrogen deprivation, specific and non-specific skin
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