About one in 10 women are thought to suffer from recurrent vulvovaginal candidiasis Flare-ups seem to be more common in the premenstrual phase. recurrent vulvovaginal candidiasis – thrush is called ‘recurrent’ if the woman experiences at least four separate infections in one year.Treatment includes antifungal creams, capsules or pessaries Thrush isn’t considered to be a sexually transmitted disease, although it can be passed on during sex. Thrush is caused by an overgrowth of yeast, mainly Candida (a normal inhabitant of our bowel), which may occur after a course of antibiotics. thrush – symptoms include chronic itching, redness and vaginal discharge.Ulceration may be due to infections, non-sexually or sexually transmitted, and inflammation, which includes erosive lichen planus, dermatitis and other auto-immune conditions. ulceration of the vulva – some of the rare diseases that can lead to ulceration include erosive lichen planus, cicatricial pemphigoid and lichenoid vaginitis.This condition is also linked to an increased risk of vulvar cancer Lichen planus is usually treated with steroid creams. Other areas of the body may be affected by lichen planus, such as the hands, mouth and shins. lichen planus – symptoms include pain, bleeding, a burning sensation and painful sex.Lichen sclerosus is linked to an increased risk of vulvar cancer if not treated effectively Treatment includes topical steroid creams and regular medical monitoring. The cause is thought to be an autoimmune response of some kind, as the condition may be associated with autoimmune disorders such as Graves’ disease and vitiligo. Postmenopausal women are most susceptible. The vulvar skin becomes thin, wrinkled and can split or fissure. lichen sclerosus – symptoms include itching, tenderness and painful sex.Careful diagnosis is needed, as psoriasis is easily confused with dermatitis Treatment includes topical steroid creams alternated with tar preparations.
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