Patient's question:
Patient: Female, 40 years old, recently diagnosed with candidal vulvovaginitis during a check-up. How should candidal vulvovaginitis be treated?Doctor's answer:
It is best to use medication under the guidance of a clinical diagnosis doctor. It is recommended to use alkaline solutions such as sodium bicarbonate or soap water to clean the external genitalia and vagina, as this can alter the vaginal pH to favor the growth of yeast. After cleaning, insert Nystatin tablets or suppositories into the vagina, with a dosage of 100,000 to 200,000 units each time, once a night, for a course of 10 to 14 days. Apply Clotrimazole cream to the external genitalia afterward for better results. For stubborn cases, oral Ketoconazole or Clotrimazole can be taken to eliminate intestinal Candida, or Miconazole can be used externally. During treatment, sexual intercourse is prohibited, and new, clean, and sterilized underwear should be worn daily. A follow-up examination should be conducted after the menstrual period.