
03/09/2025
Recurrent vulvova**nal candidiasis (RVVC) is a debilitating condition that affects a significant percentage of reproductive-aged women, negatively impacting quality of life.
Recent global analyses estimate that 138 million women are affected each year.
📌 What is RVVC?
RVVC is defined as four or more symptomatic episodes within 12 months.
Common symptoms include:
🔴White, cottage cheese–like va**nal discharge
🔴Intense itching (pruritus), often worse before menstruation
🔴Redness, burning, and swelling
🔴Vaginal inflammation and tenderness
🔴Pain during or after in*******se (dyspareunia)
🔴Cyclical flares, often premenstrually
Because these symptoms overlap with other conditions such as bacterial vaginosis (BV), aerobic vaginitis, or genitourinary syndrome of menopause (GSM), accurate diagnosis and microbiome assessment are essential.
🦠 Why Does RVVC Happen?
RVVC is now considered a public health concern due to:
🔴Virulence characteristics of Candida albicans
🔴Its ability to form biofilms (protective communities of microbes)
🔴Coexistence of different organisms within these biofilms, which makes infections harder to treat
🔴Rising antifungal resistance, especially to azoles, creating the need for new therapeutic approaches
🌿 A Holistic Perspective
As a holistic genitourinary practitioner, we view Candida albicans not only as an opportunistic fungus but also as a marker of deeper imbalance in immune, mucosal, or metabolic function. While often a harmless commensal organism in the gut and va**na, shifts in host immunity, hormones, or microbial diversity can transform Candida into a driver of chronic symptoms.
**nahealth