Patient's question:
I don't usually have any problems, but every time I have sex with my boyfriend, I feel uncomfortable in my private area. Not only is the color of my discharge abnormal, but the odor is also very unpleasant. This issue has been troubling me for a long time. Please ask: How can I treat candidal vulvitis effectively?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 required for relief. It is best for the male partner to also 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. Patients should face gynecological and obstetric risks actively and should not avoid seeking medical attention. If gynecological and obstetric conditions do not improve with treatment, a new treatment plan should be adopted promptly.