Patient's question:
I don't know what's going on. I haven't had sex with my husband recently, and I usually clean my private area and underwear. But suddenly, I started experiencing itching in my private area, and my discharge is yellow and excessive. Please ask: What are the conventional treatments for candidal vulvitis?Doctor's answer:
Severe and persistent vulvar itching should first be considered as a fungal infection. It can be confirmed through direct microscopic examination and culture of local secretions. Under the microscope, the hyphae branching and spores of fungi are easily visible. Candida albicans is oval-shaped, Gram-negative, but the staining is often uneven, measuring approximately 3–5 μm (several times larger than Staphylococcus), and it commonly produces long buds that do not fall off (spores), resembling hyphae but actually being pseudohyphae (pseudomycelia). The clinical symptoms of fungal vulvitis include itching, burning sensation, and dysuria (second-order neuron urethritis), with many women reporting pain during intercourse.