Problematic vaginitis due to Candida presents both a diagnostic and th
erapeutic challenge. An essential first step is confirmation of clinic
al diagnosis and avoidance of empiricism. Once correctly diagnosed, mo
st episodes of vaginitis due to Candida are uncomplicated, responding
to all forms of antifungal therapy Unfortunately, increased numbers of
complicated cases now occur requiring additional microbiological stud
y and longer duration therapy with selected antifungal agents.