Recurrent Candida Vaginitis
• Four or more symptomatic episodes/year
• Vaginal culture useful to confirm diagnosis and
identify unusual species
• Initial regimen of 7-14 days topical therapy or
fluconazole 150 mg (repeat 72 hr)
• Maintenance regimens- clotrimazole,
ketoconazole, fluconazole, itraconazole
• Non-albicans VVC- longer duration of therapy
with non-azole regimen