Common causes of contact vulvovaginitis include douches, soaps, bubble baths, deodorants, perfumes, feminine hygiene products, topical antibiotics, and tight undergarments. Patients complain of perineal burning, itching, swelling, and often dysuria. The examination shows a red and swollen vulvovaginal area. In severe cases, vesicles and ulceration may be present. Vaginal pH changes may promote overgrowth of Candida, obscuring the primary problem.