Article Text

Download PDFPDF

Vulvovaginal candida in a young sexually active population: prevalence and association with oro-genital sex and frequent pain at intercourse
  1. E Rylander1,
  2. A-L Berglund2,
  3. C Krassny1,
  4. B Petrini3
  1. 1Division of Obstetrics and Gynaecology, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden
  2. 2Division of Health and Caring Sciences, Karlstad University, Karlstad, Sweden
  3. 3Department of Clinical Microbiology, Karolinska Institutet, Karolinska Hospital, Stockholm, Sweden
  1. Correspondence to:
 Eva Rylander
 Division of Obstetrics and Gynaecology, Karolinska Institutet Danderyd Hospital, SE-182 88 Stockholm, Sweden; eva.rylanderkids.ki.se

Abstract

Objective: To study the prevalence of vulvovaginal candida among sexually active adolescents. To determine past and present symptoms, including pain at intercourse and potential behavioural risk factors associated with vulvovaginal candidiasis.

Methods: At an adolescent centre, 219 sexually active women who underwent genital examination, also completed a questionnaire on a history of genital symptoms and infections, sexual and hygiene habits, and the use of contraceptives. Symptoms and clinical signs were registered. Vaginal samples were analysed for candida species and urine for Chlamydia trachomatis.

Results: Candida culture was positive in 42% of the women and only 15% were asymptomatic. A history of recurrent candidiasis was given by 22%. Frequent pain at intercourse was reported by 24% and frequent oro-genital sex by 42% of the women. Frequent pain at intercourse was significantly associated with both the growth of candida and a history of recurrent candidiasis. Oro-genital sex was an independent risk factor for the growth of candida.

Conclusion: In sexually active adolescents, who underwent genital examination, candida cultures were positive in 42%. The habit of frequent oro-genital sex was associated with the growth of candida. Pain at intercourse was associated with the growth of candida and recurrent candidiasis.

  • candida prevalence
  • vulvar pain
  • oro-genital sex
View Full Text

Statistics from Altmetric.com

Footnotes

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.