How should candidal vulvovaginitis be treated effectively?

Patient's question:

In recent days, the external genital area has been particularly itchy, and there is also a significant amount of discharge. Now, every time I urinate, it causes pain. I don't know what might be causing this, and I'm now looking to ask here how to treat candidal vulvovaginitis effectively.

Doctor's answer:

Common types of vaginitis include bacterial vaginosis, trichomoniasis, candidiasis, and atrophic vaginitis.
1. Bacterial Vaginosis: Greyish-white vaginal discharge with a fishy odor, accompanied by vaginal burning and itching.
2. Trichomoniasis: Symptoms include increased vaginal discharge, which may be thin, serous, greyish-yellow, or yellowish-green, sometimes mixed with blood. It may also cause dysuria, urinary urgency, or even hematuria.
3. Candidiasis: Typical vaginal discharge appears creamy or cottage cheese-like, with severe edema of the vaginal and vaginal vestibular mucosa, covered by white creamy films arranged in spots or patches, easily detachable. Below the films, there may be an eroded, erythematous base, forming ulcers or leaving behind bruises. In severe cases, the labia minora may become swollen and.

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