Patient's question:
The patient is 26 years old. Three months ago, they had appendicitis and received intravenous fluids for fifteen days at the hospital. Later, they felt itchy inside the vagina and went to the hospital for a thorough examination. At that time, the culture for Candida was negative, but the doctor said the symptoms were typical of cheesy discharge and prescribed Baofukang suppositories, Nystatin, and Fuyanlin capsules. After using them externally for a week, the pain disappeared. The next month, during their menstrual period, they continued to use the medication diligently. However, within a few days, the vaginal opening began to burn and hurt, especially during urination. They used Nizoricone suppositories, Polidocanol suppositories, and Baofukang suppositories, but the condition did not improve. The vagina still burns and aches, occasionally itchy, causing great suffering. It has been three months so far. They want to ask what they should do.Doctor's answer:
Hello; I suggest you do a re-examination to confirm your specific condition, as it may be related to your fungal infection. Candidal vulvovaginitis is a vaginal infection caused by the fungus Candida albicans. It has a high incidence rate, is prone to recurrence, and is a common gynecological disease. Fungi dislike growing in acidic environments. They often transmit between the vagina, mouth, and intestines of humans. Commonly used antifungal medications include fluconazole and itraconazole capsules, taken orally every 2-4 weeks for a total of 3-6 months. Symptoms can be completely controlled, and monthly premenstrual re-examinations are recommended. Three consecutive months of negative results indicate recovery. During treatment, sexual intercourse is strictly prohibited, and both partners should be treated together.