How to treat candidal vulvovaginitis

Patient's question:

Friend recently found that the discharge is quite dirty and quite abundant, but there is no itching or pain. Examination revealed that they have the disease. They want to consult on how to treat candidal vulvovaginitis.

Doctor's answer:

The treatment for candidal vulvovaginitis includes:
1. Using 2% to 4% baking soda solution to rinse the vagina once or twice daily, with a 2-week course. After rinsing, dry the external genitalia and keep them dry to inhibit the growth of Candida.
2. After rinsing, insert nystatin tablets deep into the vagina once nightly, with 50,000 to 100,000 units per dose, for a 7- to 10-day course. Alternatively, you may also apply miconazole cream to the external genitalia.
3. Oral medication: Since fungal infections can be transmitted between partners through sexual activity, oral medication can be used to treat both individuals. Oral medication can also inhibit intestinal Candida. Fluconazole oral: 150 mg once daily.

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