Recurrent vulvovaginitis

Physiological leucorrhoea (in the same woman at each cycle) has similar characteristics. It is not considered to be pathological unless there is a change in colour, quantity, or odour. If there is, it shows vaginal inflammation (vaginitis), which can be accompanied by inflammation of the vulva (vulvovaginitis). The associated symptoms may include: pruritus or a burning sensation in the vulva, dyspareunia, or dysuria.

The main microorganisms that cause vaginitis are yeasts (principally Candida Albicans) in 20 to 25% of cases, bacteria, especially in bacterial vaginosis, (Gardnerella Vaginalis other bacteria, especially anaerobes) accounting for 40 to 45% of cases, and parasites (Trichomonas Vaginalis) in 15 to 20% of cases. Trichomoniasis is an STI (Sexually Transmitted Infection) and will not be discussed in the context of recurrent vulvovaginitis [1].