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We present a case series of 13 patients with this condition who were also using a levonorgestrel intrauterine system (<jats:styled-content style=\"fixed-case\">LNG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content>). All cases responded to ongoing oral fluconazole therapy while the <jats:styled-content style=\"fixed-case\">LNG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content> was <jats:italic>in situ<\/jats:italic>. The <jats:styled-content style=\"fixed-case\">LNG<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content> was removed in six patients and of these, two experienced clinical improvement with lower fluconazole dosage requirements and three experienced complete resolution of symptoms. One remains on fluconazole 100 mg daily.<\/jats:p>","DOI":"10.1111\/ajd.12559","type":"journal-article","created":{"date-parts":[[2016,12,13]],"date-time":"2016-12-13T08:32:45Z","timestamp":1481617965000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Chronic vulvovaginal candidiasis in patients using a levonorgestrel\u2010containing intrauterine device"],"prefix":"10.1111","volume":"59","author":[{"given":"Yvonne","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Dermatology Kolling Institute Northern Sydney Local Health District Sydney New South Wales Australia"},{"name":"Department of Dermatology Royal North Shore Hospital Sydney New South Wales Australia"},{"name":"Faculty of Medicine University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gayle","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Dermatology Kolling Institute Northern Sydney Local Health District Sydney New South Wales Australia"},{"name":"Department of Dermatology Royal North Shore Hospital Sydney New South Wales Australia"},{"name":"Faculty of Medicine University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0960.2011.00860.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12497"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000039"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12487"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60917-9"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/13693780902856626"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.01.007"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1988.tb06615.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2007.09.009"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/845352"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ353"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.08.007"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2014.900532"}],"container-title":["Australasian Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajd.12559","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajd.12559","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.12559","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T10:00:18Z","timestamp":1733738418000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajd.12559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,13]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1111\/ajd.12559"],"URL":"https:\/\/doi.org\/10.1111\/ajd.12559","archive":["Portico"],"relation":{},"ISSN":["0004-8380","1440-0960"],"issn-type":[{"type":"print","value":"0004-8380"},{"type":"electronic","value":"1440-0960"}],"subject":[],"published":{"date-parts":[[2016,12,13]]},"assertion":[{"value":"2016-07-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-08-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-12-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}