Patient's question:
The discharge is like cottage cheese. I have used miconazole cream, but it reappears after 15 days. I want to consult on how to treat due to endocrine disorder.Doctor's answer:
The typical symptom of candidal vaginitis is a cheese-like discharge. It is usually caused by Candida albicans. It is recommended to rinse the external genitalia and vagina with sodium bicarbonate, then insert nystatin suppositories into the vagina, and apply miconazole cream to the external genitalia. Underwear should be sterilized at high temperatures. After one course of treatment, a fungal test should show negative results. Subsequently, fungal tests should also be negative after each menstrual cycle. Continuous and stable treatment for three courses is considered cured. During treatment, sexual intercourse should be avoided, and it is best for the male partner to undergo treatment simultaneously, as otherwise, the condition is prone to recurrence.In addition to immediate treatment, the patient's dietary habits and psychological state are also crucial during gynecological treatment. It is essential to prevent excessive stress and anxiety to avoid unnecessary interference with the complete recovery from the condition.