Patient's question:
At first, I experienced itching in the external genital area and foul-smelling vaginal discharge. After treatment, within less than half a month, the symptoms of candidal vaginitis have reappeared again. Test results: No previous treatment history and effectiveness: More than a year ago, I had an infection of candidal vaginitis. In the past two years, I have had excessive vaginal discharge with a slightly yellowish color. What kind of help I need: How to use medication and precautions.Doctor's answer:
Candidiasis (also known as vulvovaginal candidiasis) primarily presents with symptoms such as external genital itching, burning pain, cottage cheese-like discharge, or creamy, clumpy white discharge that increases significantly and persistently. It is recommended to use alkaline solutions, such as 2% to 4% sodium bicarbonate or soapy water, to clean the external genital area and vagina to alter the vaginal pH, making it more favorable for fungal growth. After cleaning, insert miconazole tablets or clotrimazole suppositories into the vagina, with a dosage of 100,000 to 200,000 units per 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.