Patient's question:
In mid-July, I went to the hospital for a thorough check-up and found out I had a positive result for candidal vaginitis. At that time, I had received a few days of intravenous drips, which had started to improve, but I only received them for four days and then stopped. During this period, it seems to have worsened again, especially at night when it itches very badly, and I always want to scratch it. Is my condition more severe now? I don't want my family to know, so I'm afraid to take medication. I was wondering if taking some Western medicine could help?Duration and frequency of the current outbreak: Itchy at irregular times, but it itches for a while at night.
Current condition: It's getting worse and worse, and the areas that used to be healed
Doctor's answer:
Hello: General candidal vulvovaginitis is primarily characterized by external itching and burning pain, with severe cases causing restlessness and extreme discomfort. It may also be accompanied by frequent urination, dysuria, and pain during intercourse. The most typical symptom is a thick, white or yellowish curd-like discharge. The external genitalia and vaginal mucosa are noticeably congested, with many white membranous substances adhering. In severe cases, there may also be damaged erosions and superficial ulcers on the mucosal surface. Treatment is not difficult but must be thorough to prevent recurrence. It is important to change underwear frequently, and underwear and towels should be boiled and exposed to sunlight. The three most critical points are:1. Adjust the vaginal pH to favor the growth of Candida by using a 2%–4% baking soda solution to rinse the external genitalia and vagina, with a 10-day course.
2. Antifungal agents, such as miconazole vaginal suppositories or nystatin vaginal suppositories, should be inserted into the vagina, with a dosage of 10–1