Patient's question:
Female, I have been menopausal for the past two years, but recently I have been experiencing severe itching in the external genitalia and around the vaginal opening, and the odor of my discharge is also quite strong. Please ask: How should candidiasis vaginitis be treated effectively?Doctor's answer:
Candidal vulvovaginitis, also known as monilial vulvovaginitis, is primarily caused by the infection of Candida albicans, a blood-borne pathogen. It commonly occurs in women who have long-term use of hormones or antibiotics, as well as in diabetics and pregnant women. The main routes of infection are sexual intercourse, public baths, towels, and other items. The primary symptoms include cottage cheese-like vaginal discharge and external genital itching. It is recommended to use alkaline solutions such as 2-4% sodium bicarbonate or soapy water to wash the external genitalia and vagina, altering the vaginal pH to favor the growth of Candida. After washing, insert nystatin tablets or suppositories into the vagina. For persistent cases, oral itraconazole or clotrimazole can be taken to eliminate intestinal Candida, or topical miconazole can be applied externally.