Patient's question:
Hello Doctor: Before each menstrual period, I feel a bit itchy in my vagina, and my leukorrhea becomes very yellow. This has been going on for over a year. The symptoms disappear after the period ends, and my husband has no symptoms.History of treatment and effectiveness: After the period ended for three days, I saw a doctor for a thorough examination, and everything was fine. The doctor said it was due to individual differences in vaginal immunity.
What kind of help I need: I want to understand what medicine can treat this, and do I need to see a doctor?
Doctor's answer:
You can use baking soda water to clean the external genital area, use nystatin vaginal suppositories for treatment, and take oral itraconazole and ketoconazole. During treatment, sexual intercourse is prohibited, and underwear should be changed daily, washed, and boiled to sterilize. After one course of treatment, a fungal examination should be negative. Subsequently, fungal re-examination should be negative after each menstrual cycle. Continuous and stable treatment for three courses is considered cured. It is best for the male partner to be treated simultaneously. Shoes and socks should be washed separately from underwear. Otherwise, the condition is likely to recur. The reasons for recurrence are usually incomplete treatment and reinfection from the sexual partner.