How is candidal vulvovaginitis best treated?

Patient's question:

Vaginal itching, bad odor, and excessive white discharge. The hospital examination confirmed this condition. How is it best to treat candidal vaginitis?

Doctor's answer:

Your condition is considered to be related to candidiasis. Candidiasis can be treated with baking soda for external vaginal cleaning, nystatin vaginal suppositories, and 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 best for the male partner to be treated concurrently as well, with oral nystatin tablets for one week. Shoes and socks should be washed separately from underwear.

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