Candida vulvovaginitis: 10-20% of healthy women and 30% of pregnant women have Candida parasiticus in their vagina, but it does not cause symptoms. Seventy percent of women have had Candida vaginitis. The incidence in non-pregnant women is 17,6%. Eighty-five to 90% of the Candida isolated from the vagina is Candida albicans, a conditionally pathogenic organism that causes vulvovaginal inflammation. In addition to local infection, often due to the use of broad-spectrum antibiotics, immunosuppressants or oral contraceptives, resulting in systemic or local immune deficiency, or due to the local temperature and humidity of the perineum, causing the onset of the disease, women with diabetes increases the chances of morbidity. Diagnostic points 1. Clinical manifestations are mainly vulvar and vaginal phlegm itching, burning pain and increased vaginal discharge. Cheese-like leucorrhea is often a typical sign. 2. Gynecological examination: localized vulvar congestion and swelling, white flaky film or curd-like material on the inner labia minora and vaginal lining surface. 3. Auxiliary examination: smear of vaginal secretion (10% KOH) to find Candida mycelia or buds, and culture of Candida. Treatment principles 1. Remove the cause and actively treat the original disease such as diabetes, stop using antibiotics, immunosuppressants or oral contraceptives in time; keep the perineal area clean and dry; sexual partners cooperate with the treatment. 2, local medication preferred miconazole nitrate cream every night before going to bed with an applicator to squeeze the cream (about 5g) into the deep vaginal area for 2 weeks; suppositories 1, the vaginal tract, once a night for 7 days; second choice of clotrimazole (3% cream, vaginal tablets 500mg/each, suppositories 150mg/each, 300mg/each), cream every night before going to bed with an applicator to squeeze the cream into the deep vaginal area; vaginal tablets 500mg/each, vaginal tablets 500mg/each, vaginal tablets 500mg/each. tablet 500mg/each, vaginal medication once for a course of treatment; suppository 1, once a night for 7-14 days; mycobacterium (suppository, vaginal effervescent tablets) 100,000 U each, vaginal medication, once a night for 7-14 days. 3, systemic treatment due to recurrent Candida vaginitis or can not be vaginally administered, can use systemic treatment drugs such as fluconazole, tonics; Itracon wow. Treatment of recurrent Candida vulvovaginitis: 1. Initial treatment such as choosing local treatment, extend the treatment time to 7 -14 days; oral medication first time fluconazole 150mg, tonics, with an additional dose at 72 hours. 2. Consolidation treatment: oral fluconazole, once a week for 6 months or topical vaginal clotrimazole 500mg, once a week for 6 months.