Patient's question:
These days, while washing my underwear, I always find a lot of cheesy-looking discharge on them, and it smells very bad. I also feel like my private area is always damp and a bit itchy, and my lower abdomen feels uncomfortable. Please ask:Doctor's answer:
Candidal vulvovaginitis can be treated by rinsing the external genitalia with baking soda solution, using nystatin vaginal suppositories, and taking oral itraconazole and ketoconazole. During treatment, sexual intercourse should be avoided, and underwear should be changed daily, washed, and boiled to sterilize. After one course of treatment, a fungal test should be negative. Subsequent tests should also be negative after each menstrual cycle. Continuous and stable treatment for three courses is considered cured. It is best for the male partner to be treated concurrently, taking nystatin tablets for one week. Shoes and socks should be washed separately from underwear. Otherwise, the condition is likely to recur. The reasons for recurrence are usually incomplete treatment and reinfection from the sexual partner. Additionally, during gynecological treatment, besides immediate treatment, the patient's dietary condition and psychological state are also particularly important.