How is candidal vulvovaginitis best treated?

Patient's question:

How to treat candidal vulvovaginitis during pregnancy
Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness.

Doctor's answer:

A pregnant woman with candidal vulvovaginitis may rarely have Candida in the vagina descend through the cervix, pierce the fetal membrane, and infect the fetus, leading to premature birth. Additionally, when the fetus is delivered through the mother's vagina during labor, it may also be infected with Candida, often resulting in oral candidiasis, such as thrush, which is caused by oral Candida infection. Some infants may also develop Candida dermatitis around the anus. Cesarean delivery only reduces the risk of infection but does not guarantee complete prevention. Therefore, to prevent infection of the fetus, it is important to control inflammation before pregnancy. If a pregnant woman develops candidal vulvovaginitis, she should seek active treatment, preferably with local medication, but must strictly follow the doctor's advice. In addition to standard treatment for candidal vulvovaginitis, patients also need to pay attention to care aspects, such as maintaining a light diet and engaging in regular outdoor activities.

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