How to treat moldy vulvitis

Patient's question:

What are the symptoms of fungal vulvitis, and how should it be treated? I am not married and have not had sexual activity. Recently, my vulva has been itchy, and I don't know how to treat it. I couldn't follow up in time for another visit, partly because I am a bit shy, and partly because I am quite busy at work and don't have time for treatment. A week ago, I bought some ointment and applied it, which reduced the symptoms quite a bit. But today it seems to have flared up again. It's really tormenting me. My best friend told me that this might be fungal vulvitis. Is her deduction correct? What should I do? If anyone knows about this, please help me out. Thank you! I would like to ask, what are the symptoms of fungal vulvitis? How is fungal vulvitis treated?

Doctor's answer:

Through your description, the basic situation has been understood. Vulvovaginal candidiasis is a common inflammation in women, most of which is caused by Candida albicans. It primarily manifests as an abnormal increase in vaginal discharge, often appearing like cottage cheese. The patient experiences intense itching in the external genitalia, and sometimes a burning sensation may also occur. The general treatment methods for vulvovaginal candidiasis vary. A 5% sodium bicarbonate solution is typically used for rinsing, repeated for about ten minutes. Clotrimazole ointment is applied evenly to the external genitalia twice daily. If it is ineffective, it is best to consult a regular gynecological hospital for follow-up. In daily life, it is important to change underwear frequently and maintain dryness of the external genitalia to prevent dampness. Since you are married, it is recommended not to insert medication into the vagina on your own. Wishing you a speedy recovery.

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