Table 4.

Learning points from our study.

Co-existing vulval pathologies including vulval eczema and vulvodynia were common among our RVVC patients Diagnosis of RVVC should be based on a combination of clinical and microbiological examination, including careful history taking around triggers and response to antifungal therapy Vulval skin care is the mainstay of RVVC prevention and management but there is poor awareness of its importance among healthcare professionals in primary and secondary care and a high proportion of women reported harmful hygiene practices prior to referral. We recommend a personalized approach to patient education and treatment, based on individual triggers and risk factors. Over half of patients in our study were treated with off-license therapies which they would not otherwise had access to in primary care The study provides evidence that by following BASHH guideline on appropriate skin care and antifungal suppression, women can achieve good control of their symptoms