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Abstract
There is an increase in the frequency of vulvovaginal candidiasis at the time most women begin regular sexual activity.2 ,3 ,7 Individual episodes of vulvovaginal candidiasis do not appear to be related to lifetime numbers of sexual partners or the frequency of coitus but may be linked to orogenital sex.7 Diagnosis The diagnosis of vulvovaginal candidiasis is easily established by the finding of normal vaginal pH (4 to 4.5) and positive results on saline or 10 percent potassium hydroxide microscopy (Figure 1 ). Because of the poor sensitivity of these tests and the lack of specificity of clinical signs, vulvovaginal candidiasis is still possible despite negative microscopical results in patients with a compatible clinical presentation and normal pH, and a vaginal culture should be obtained.