Genital candidiasis

Vulvovaginal candidiasis (vaginal thrush) remains an extremely common clinical problem, with both over- and under-diagnosis and unreliable self-diagnosis. Little progress has been made in providing diagnostic tests, and consequently inappropriate antifungal therapy is common. New genetic susceptibility mechanisms are emerging. No new antifungal drug regimens have recently appeared; accordingly, therapeutic recommendations are unchanged. Antifungal drug resistance fortunately remains rare.