Fungal and Protozoal Diseases of the Reproductive System

Candidiasis (yeast disease). Candidiasis is a fungal disease of the reproductive tract caused by the yeast Candida albicans. Infections usually accompany destruction of the local population of bacteria, often related to overuse of antibiotics. Cases of candidiasis are accompanied by lesions similar to those in thrush, as well as severe pruritis, and a yellowish, cheesy discharge. Diagnosis is performed by visual observation of the yeasts. Treatment with a number of antifungal drugs is recommended, including nystatin, clotrimazole, and miconazole.

Trichomoniasis. The only protozoal disease of the reproductive tract is trichomoniasis, due to the flagellate Trichomonas vaginalis. This organism grows along the mucosa of the reproductive tract, causing internal discomfort and a profuse, green‐yellow discharge with a foul odor. The organism is observed in urine and discharge specimens. Metronidazole is used for successful therapy.