Patient's question:
Female, 23 years old, I have vaginitis, itchy severely down there, especially itchy in the morning every day. I have already gone to the hospital and been prescribed oral medication. At first it was effective, but then it started itching again. What medication should be used for fungal vaginitis?Doctor's answer:
As you mentioned, if the condition is diagnosed as candidal vulvovaginitis (medically known as vulvovaginal candidiasis), it is recommended to use alkaline solutions such as 2% to 4% sodium bicarbonate or soapy water to rinse the external genitalia and vagina. After rinsing, insert nystatin tablets into the vagina, and apply ointment to the external genitalia for treatment. If the patient is unmarried, both partners should be treated together. During treatment, sexual activity is strictly prohibited, and fresh, clean, and sterilized underwear should be changed daily. A follow-up examination should be conducted after the menstrual period. Only when three consecutive gynecological examinations and microscopic examinations of vaginal secretions show no abnormalities can the patient be considered fully recovered.