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    To ensure the effectiveness of vaccination against hepatitis A and B (Twinrix), three (3) doses are required :

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    What are the causes of vaginal infections and vaginitis?

    The following are the most common causes of vaginitis:

    • Fungal or yeast infections (candida albicans vaginitis);
    • Bacterial vaginosis (caused by the bacteria Gardnerella vaginalis);
    • Trichomonal vaginitis (this vaginal infection may be transmitted by sexual contact);
    • Allergic or contact (chemical) dermatitis.

    Vulvovaginal candidiasis (VVC), sometimes referred to as candidal vaginitis, monilial infection, or vaginal yeast infection, is a common cause of vaginal irritation.

    VVC is caused by an overabundance or overgrowth of yeast cells (primarily Candida albicans) that normally colonize in the vagina. Several factors are associated with increased rates of VVC in women, including pregnancy, uncontrolled diabetes mellitus, and the use of oral contraceptives or antibiotics.

    Other factors that may increase the incidence of VVC include the use of douches, perfumed feminine hygiene sprays, topical antimicrobial agents, and tight, poorly ventilated clothing and underwear. (See the environmental checklist).

    There is no direct evidence that VVC is transmitted by sexual intercourse