Is vaginal medication effective for candidiasis?

Patient's question:

I have been looking into some materials on this topic, but, my vagina is painless and itch-free, only with a foul-smelling discharge. This odor appears after my menstrual period. I don't know why there is blood, sometimes in the form of blood clots. Is antifungal medication effective for vaginal yeast infection?

Doctor's answer:

Hello, to treat recurrent candidal vaginitis, it is first necessary to eliminate the causes that lead to repeated vaginal candidal infections, while shortening the treatment duration and using multiple different treatment methods simultaneously. Local treatment can involve first using traditional Chinese herbal medicine for fumigation and sitz baths, followed by medication insertion into the vagina and topical application of antifungal ointment. Local treatment can be implemented throughout the menstrual cycle, with medication cessation during menstruation and resuming treatment after menstruation. Oral itraconazole, 200 mg per dose, once daily after meals, for 3 consecutive days. This treatment should be continued for 1 to 2 months. During the treatment period, sexual activity should be strictly prohibited.

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