1 , Candida infection is the most common symptom is vaginal discharge , itching and burning of the vulva and vagina , external dysuria , genital map -like erythema ( fungal or vulvovaginal candidiasis ) .
2 , a typical curd-like vaginal discharge or tablets massive, highly vaginal mucous membrane irritation, visible white thrush plaques attached , easy to peel , under which the base was damaged mucosal erosion , or the formation of shallow ulcers, severe cases can be left behind petechiae . But not all have the above vaginal typical features , from water samples until the curd -like vaginal discharge may occur, if entirely clear brew some thin serous exudate , which often contain white flakes .
3 , fungal vaginitis itching during pregnancy is particularly serious , even restless , abnormal pain , may also have frequent urination, painful urination , and sexual pain and other symptoms. In addition , there are about 10 percent of women and 30% of pregnant women, although it is mold carriers, the lack of any clinical manifestations.
Diagnostic criteria :
According to the typical clinical presentation and visual inspection of vaginal discharge , diagnosis of fungal vaginitis , usually no difficulty . But for atypical cases , in order to confirm the diagnosis , where the suspected person with mold , or learn more about treatment, vaginal secretions must be checked . Vaginal secretions can be directly set to take on the slide, plus a small drop of an isotonic sodium chloride solution or 10 % to 20 % potassium hydroxide solution , add coverslip , slightly heating microscope , red, white blood cells and epithelial cells immediately dissolved , and namely in the form of fibers or fungal mycelium (mycelia) line -like display , and a micro- shoots or molecular spores (conidia) attached . However, the reliability of this method is low ( 60% ) . If vaginal smears taken by Gram stain , microscopic groups can be found in Gram-positive stain oval spores or mycelium can be seen with the budding fake cell connected in a chain or branched , easily recognizable , reliability can be increased to 80% . The most reliable method is to be fungal culture . In addition , we have to pay attention to the relevant incentives , if any, history of hormone or large doses of broad-spectrum antibiotics, steroids, and diabetics need to do urine and blood glucose screening.