Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and cold drafts. If I have candidiasis vaginitis, what should I use?Doctor's answer:
Candidal vulvovaginitis: First, use an alkaline solution such as 2-4% sodium bicarbonate or soapy water to clean the external genitalia and vagina, altering the vaginal pH to favor the growth of Candida. After cleaning, insert Nystatin tablets or suppositories into the vagina, with a dose of 100,000-200,000 units each time, once nightly, for a course of 10-14 days. Additionally, apply 3% miconazole cream to the external genitalia for better results. For persistent cases, oral itraconazole or fluconazole can be taken to eliminate intestinal Candida, or topical miconazole can be used. During treatment, sexual intercourse should be avoided, and underwear should be changed daily, washed, and boiled to sterilize. After one course of treatment, a careful fungal test should show negativity. Subsequent tests should also be negative after each menstrual cycle. Continuous and stable treatment for three courses is required to achieve relief.