Patient's question:
There are many small papules on the labia minora, which are very itchy. The culture test was negative, but the vaginal discharge test revealed Candida. After a course of treatment, the medication was stopped for four days, and the symptoms returned. Then, a follow-up test was conducted, and the result showed yeast. Oral medication and miconazole nitrate suppositories were prescribed. However, when using the miconazole nitrate suppositories, the medication flowed out of the vagina, and when it the small papules on the labia minora, it became extremely itchy. After washing with baking soda, the itching subsided. I don't know why this happened. Besides, I would like to ask how the small papules can heal and disappear on their own?Doctor's answer:
Hello, it is recommended that you follow the doctor's advice and actively seek treatment. If the Candida test is negative, then the small bumps in the vagina are related to pseudopapillomatosis, and there is no need for treatment. Your external itching is related to a Candida infection. It is recommended to actively treat this condition. For vaginal candidiasis, common treatments include clotrimazole, miconazole, econazole, fluconazole, and ketoconazole, using suppositories, tablets, and creams, inserted into the vagina before bedtime for 7–10 days. It has a good effect. For athlete's foot, it is recommended to use miconazole nitrate suppositories for application. It is advised to strictly prohibit sexual activity during treatment, pay attention to hygiene of the external genitalia outside of menstruation, pay attention to diet, eat less spicy and greasy food, drink more water, and eat more fruits and vegetables.