What types of alkaline solutions are used for candidal vulvovaginitis?

Patient's question:

Itch 2004 test, careful examination results: candidal vulvovaginitis. Previous treatment history and effectiveness: not good. What kind of help is desired: doctor's guidance on medication.

Doctor's answer:

The characteristics of candidal vulvovaginitis are recurrent episodes, particularly more pronounced before and after menstruation. To treat recurrent candidal vulvovaginitis, the first step is to eliminate the underlying causes that lead to repeated vaginal candidal infections. Additionally, the treatment duration should be extended, and multiple different treatment methods should be used simultaneously. Local treatment can involve first using traditional Chinese herbal medicine for fumigation and sitz baths, followed by applying medication vaginally, such as miconazole nitrate or clotrimazole vaginal tablets, and externally applying clotrimazole cream. Local treatment can be performed throughout the entire menstrual cycle, with medication stopped during menstruation. After menstruation ends, treatment should be focused and dedicated. By facing it with a positive mindset, patients can enhance their confidence in combating vaginitis and believe that recovery is certain.

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