Patient's question:
I have had recurrent candidal vaginitis that just won't go away. No matter what I do, it keeps coming back. I've had it so many times already, and even tried suppositories, but they didn't help. There were times when it seemed like it was getting better, but then it would flare up again. I really don't know what to do anymore!Doctor's answer:
The treatment of recurrent candidal vulvovaginitis first requires eliminating the causes that lead to repeated vaginal candidiasis, while shortening the treatment duration and using multiple different treatment methods simultaneously. Local treatment can involve first using traditional Chinese herbal medicine for fumigation and sitz baths, followed by medication insertion into the vagina and topical application of antifungal ointment. Local treatment can be implemented throughout the menstrual cycle, with medication cessation during menstruation and focused treatment after menstruation ends. Oral itraconazole capsules, 200 mg each time, once daily after meals, for 3 consecutive days. Such treatment should be maintained for 1 to 2 months.