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This Concept Map, created with IHMC CmapTools, has information related to: 119_Vulvovaginal candidiasis, Allergy to latex, spermicides, feminine hygiene products, soaps ruled out? Yes Thick, curd-like, white discharge?, Counsel patient selected treatment opinion, including product-specific information Symptoms resolved after 1 week of treatment?, Obtain medical/medication history esp. antibiotic use Exclusions for self treatment?, Normal vaginal pH? Yes Intense vulvar itching or irritation?, Women with vaginitis symptoms Obtain medical/medication history esp. antibiotic use, VVC likely Assess pt preference: (1) treatment approach (azole antifungal or CAM) (2) dosage form& duration (3) previous experience with VVC treatments, Intense vulvar itching or irritation? Yes Allergy to latex, spermicides, feminine hygiene products, soaps ruled out?, Dysuria? No BV likely, Exclusions for self treatment? Yes Referral, Significant vulvar itching or irritation? Yes Encourage use of topical antifungal cream or sodium bicarbonate sitz bath, Malodor? No Dysuria?, Thick, curd-like, white discharge? Yes VVC likely, Symptoms resolved after 1 week of treatment? No Referral, Assess pt preference: (1) treatment approach (azole antifungal or CAM) (2) dosage form& duration (3) previous experience with VVC treatments Significant vulvar itching or irritation?, Normal vaginal pH? No pHɰ.5 increases likelihood of trichomoniasis or BV, Vulvovaginal erythema and edema? Yes Normal vaginal pH?, Trichomoniasis or BV likely Fishy odor immediately after sexual intercourse strongly indicates BV, Exclusions for self treatment? No Malodor?, Encourage use of topical antifungal cream or sodium bicarbonate sitz bath Counsel patient selected treatment opinion, including product-specific information, Thick, curd-like, white discharge? No Yellow discharge indicated trichomoniasis or BV