Patient's question:
I got married last year, and recently I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I'm also extremely sensitive to cold and coldness. Could you please tell me if there's anything to be aware of with a consistently diagnosed degree 3 candidal vulvitis from leukorrhea tests? What medication would be recommended?Doctor's answer:
Candidal vulvovaginitis is a common type of vaginitis, often caused by Candida albicans. The main symptoms are external genital itching or burning pain. During the acute phase, there is an increase in vaginal discharge, which appears as creamy clumps or cottage cheese-like in texture. Pay attention to maintaining external genital hygiene to prevent cross-infection. Proper use of antibiotics and hormones is recommended.Treatment:
1. Use an alkaline solution to wipe the external genitalia and vagina, altering the vaginal pH to favor Candida growth. After wiping, insert nystatin tablets or suppositories into the vagina once daily. A course of treatment typically lasts 10–14 days. During treatment, avoid masturbation and wear freshly washed, clean, and sterilized underwear daily. A follow-up examination is recommended after the menstrual period.