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