How is it better to treat recurrent vaginal candidiasis

Patient's question:

How to treat recurrent vaginal candidiasis, previous treatment history and effectiveness: It never got better

Doctor's answer:

Candidiasis (also known as vulvovaginal candidiasis) primarily presents with symptoms such as itching, burning pain, cottage cheese-like discharge, or creamy, curd-like vaginal discharge that increases significantly. It is recommended to use alkaline solutions, such as 2% to 4% sodium bicarbonate or soapy water, to wash the external genital area and vagina. This helps alter the vaginal pH to favor the growth of fungi. After washing, insert miconazole tablets or clotrimazole suppositories into the vagina, with a dosage of 100,000 to 200,000 units each time, once daily for a 14-day course. Additionally, applying 3% clotrimazole cream or triamcinolone acetonide econazole cream to the external genital area can enhance the effectiveness.