What should I do about candidal vulvovaginitis during menstruation?

Patient's question:

Doctor, my wife was diagnosed with candidal vulvovaginitis last week. Through treatment, there has been some improvement, but she started her period today. She doesn't know if it will cause any problems and is a bit worried. Also, how should she continue taking medication and using soda water to clean the vulva during her period? Thank you, Doctor, for helping us solve our worries. Thank you.

Doctor's answer:

Hello: During the menstrual period, suppositories and vaginal douching should not be used. It is recommended to wait until the menstruation has ended before starting treatment. Common medications for candidal vaginitis include nystatin suppositories, one suppository per night (10,000 units), inserted deep into the vagina, with a 10-day course of treatment. Additionally, you can take nystatin tablets orally for one week. After completing the course of treatment, it is necessary to return to the hospital for a follow-up examination. The choice of treatment requires careful adherence to medication. While maintaining external genital hygiene, your partner should clean the penis before sexual activity. Treatment for candidal vaginitis can be approached with either purely Western medicine or a combination of traditional Chinese and Western medicine.

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