What is the most common clinical manifestation of candidal vulvovaginitis?

The most common clinical manifestation of candidal vulvovaginitis is extreme vulvar irritation. This condition is characterized by inflammation and itching of the vulva and vagina, often described as intense and uncomfortable. The irritation can result from the overgrowth of Candida species, typically Candida albicans, which leads to a disruption of the normal vaginal flora.

Patients often report a burning sensation, particularly during urination or intercourse. The irritation is typically accompanied by other symptoms, such as thick, white vaginal discharge reminiscent of cottage cheese, but it is the itchiness and irritation that are most prominent and distressing for those affected.

Understanding the symptomatology of candidal infections is crucial for diagnosis and management. The other symptoms such as a firm, painless ulcer, tender lymphadenopathy, and purulent discharge might suggest different conditions altogether, such as sexually transmitted infections or inflammatory diseases, rather than a straightforward case of candidal vulvovaginitis.