Patient's question:
Friend recently found that the discharge is quite dirty and abundant, but there is no itching or pain. Examination revealed the illness, and they want to consult on how to treat candidal vulvovaginitis effectively.Doctor's answer:
Treatment may involve the use of miconazole or nystatin ointments or suppositories, applied externally to the vagina for 10–14 days. These suppositories, in addition to their antifungal properties, can effectively and thoroughly eliminate external genital irritation symptoms. For postmenopausal women, suppositories are more suitable due to their ease of insertion. Gentian violet, although effective, is inconvenient to use. A solution of sodium bicarbonate can be used to rinse the external genitalia and vagina for a week. It is important to educate patients on maintaining good personal hygiene habits, such as frequently cleaning the external genitalia and wiping from front to back after defecation to prevent infections originating from the rectum. In addition to medication, the patient's dietary condition and psychological state are also particularly important. The patient must maintain a light diet while consistently keeping a cheerful and optimistic mindset.