Genital candidiasis is a common disease of the male and female genitals. It is a genital disease caused by a fungal infection called Candida albicans. This disease spreads easily among women, causing symptoms such as increased leucorrhea and vaginal itching. Because this disease can be transmitted through sexual intercourse, the World Health Organization lists it as a sexually transmitted disease. Candida albicans is a kind of rot parasitic fungus that usually lives in the skin, mucous membranes, digestive tract and other organs of the human body. When the body's resistance is reduced, Candida albicans will multiply. When it reaches a certain amount, the human body will disease, so Candida albicans is an opportunistic pathogen. When the glycogen in women's vaginal epithelial cells increases and the acidity increases, Candida albicans will multiply and cause vaginitis. Therefore, this disease is common in pregnant women, patients with diabetes, and patients receiving estrogen therapy. In addition, the disease can be sexually transmitted because both couples often suffer from the disease at the same time. Of course, Candida albicans can also be transmitted through public baths, tubs, bath towels, swimsuits, clothes, medical equipment and dressings.

Clinical manifestations: Increased leucorrhea: The leucorrhea is white, yellowish or pus-like, with white curd-like or tofu-like residue, a slight odor, and blood streaks under the vaginal discharge. Symptoms of vulvar and vaginal irritation: Severe itching that affects sleep and work. Symptoms generally range from mild to intolerable. Patients often scratch unconsciously, resulting in swelling, flushing, and even redness, ulceration, and burning sensation in the vulva.

Routes of infection: The sources of this disease are divided into endogenous and exogenous infections.

Endogenous infection: Candida can also be present in normal humans but does not cause disease. When certain factors include a decrease in the body's immunity or a change in the local environment, the amount of glycogen in vaginal epithelial cells increases, accelerating the growth of Candida and causing disease.

Exogenous infection: mainly transmitted through sexual intercourse. Others include unclean hands, bath water, bathroom utensils, bedding, clothing, examination equipment, etc.

Laboratory examination: In addition to the typical symptoms and signs, laboratory examination is essential for the diagnosis of genital candidiasis albicans. Generally, direct microscopic examination of secretions can make a clear diagnosis. If conditions permit, culture of Candida albicans can also be done to make a more clear diagnosis. Take a little secretion and place it on a glass slide, add a drop of potassium hydroxide or isotonic sodium chloride solution, cover the slide, and place it under a microscope to see the spores and hyphae of Candida albicans.

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