Treatment of vulvovaginitis

Abstract

Vulvovaginitis is a commonly encountered problem in general practice. It usually presents with irritation and vaginal discharge. A thorough examination is essential in order not to miss the less common causes. Investigations may be needed to confirm the diagnosis. Candidiasis and bacterial vaginosis are the most common causes. Antifungals and antibiotics are therefore used in management. Not all causes are infective. Several skin disorders can affect the vulva. Ongoing or recurrent symptoms require careful evaluation and further investigation.