B37.3
Candidiasis of vulva and vagina
Clinical Classification Guidelines
Inclusion Terms
- Candidal vulvovaginitis
- Monilial vulvovaginitis
- Vaginal thrush
Medical Intelligence & Overview
Candidiasis of the vulva and vagina, also known as vaginal thrush or monilial vulvovaginitis, is a common yeast infection caused by the fungus Candida, predominantly Candida albicans. It affects many women at some point in their lives and can cause discomfort and irritation. This condition occurs when the natural balance of microorganisms in the vaginal area is disrupted, leading to overgrowth of Candida. Recognizing the symptoms and understanding the causes can help in managing and seeking appropriate treatment for this condition.
Causes & Symptoms
Clinical Causes: Use of antibiotics that disrupt normal vaginal flora Hormonal changes during pregnancy or via hormone therapy Diabetes, especially if blood sugar levels are poorly controlled A weakened immune system from conditions like HIV/AIDS or immunosuppressive medications High-stress levels and fatigue impairing immune response Tight or non-breathable clothing creating a warm, moist environment Douching and use of scented feminine products that irritate the vaginal area
Key Symptoms: Itching and irritation in the vulvar area A thick, white vaginal discharge resembling cottage cheese Redness and swelling of the vulva and vaginal tissues Burning sensation during urination or sexual intercourse Discomfort or soreness around the genital area Occasional soreness or pain during sex
Diagnostic & Treatment
Diagnosis Path: Healthcare professionals typically diagnose candidiasis through a combination of medical history and physical examination. They may collect a sample of vaginal discharge for microscopic analysis or culture to identify Candida. In some cases, additional tests might be performed to rule out other infections or underlying conditions causing similar symptoms.
Treatment Protocols: Antifungal medications, available in topical forms like creams, ointments, or suppositories Oral antifungal drugs for more severe or recurrent infections Maintaining good genital hygiene and wearing breathable, cotton underwear Avoiding irritants such as scented soaps, douches, or feminine sprays Managing underlying conditions such as diabetes effectively Limiting use of antibiotics unless prescribed and necessary
Clinical Advice & FAQs
Billing Guidance
Is B37.3 a billable ICD-10 code?
Yes, B37.3 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report B37.3?
Clinical documentation must specify the nature of Candidiasis of vulva and vagina and any associated comorbidities for accurate reporting.
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