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 better?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 advisable 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 recurrence is usually due to incomplete treatment or reinfection with Candida from the sexual partner. There are many treatment methods for candidal vulvovaginitis, but the specific approach depends on the patient's symptoms.