How should a three-month recurring vaginitis be treated?

Patient's question:

I have had vaginitis that keeps recurring for three months, and it never seems to fully heal. Yesterday, I went for a check-up, and the doctor said I have a mixed infection—both candidal (yeast) vaginitis and bacterial vaginosis. How should I treat it? The doctor did not prescribe medication for bacterial vaginosis and only gave me miconazole nitrate and fluconazole capsules (oral medication), telling me to treat the candidal vaginitis first. Why hasn’t it fully healed after several months?

Doctor's answer:

Hello, candidiasis (yeast infection) itself is prone to recurrence, so it's important to actively treat the underlying cause. Medications like Diflucan can be used. The patient's bath towels, foot towels, and footpots should be used exclusively. Switch to showering instead of soaking in baths. The patient's clothing should be placed separately and disinfected. Avoid wearing leather pants, nylon pants, synthetic fabric underwear, and pantyhose. It's particularly important to note that yeast is highly resistant to sunlight and ultraviolet rays, so cotton underwear and other clothing should be boiled to thoroughly eliminate the yeast and prevent further transmission of candidiasis.

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