Patient's question:
During use, it excretes a dry, crumbly substance like construction waste, sticking to the outer vulva. Later, there was also some inside the vagina, very dry. I want to ask if this is a normal condition?Doctor's answer:
Candidal vulvovaginitis, it is recommended to use a 2%-4% sodium bicarbonate solution for irrigation once or twice daily. Miconazole suppositories, one suppository per night, placed intravaginally. Alternate use for 7 to 10 days, or clotrimazole suppositories, one suppository per night, alternate use for 7 days, or nystatin suppositories, one suppository per night, alternate use for 10 to 14 days. Additionally, oral itraconazole 200ml once daily can be alternated for three to five days. Fluconazole 150ml and ketoconazole 200ml, one to two times daily, alternate use for five days. Patients face the harm of vulvovaginitis, we should promptly implement symptomatic treatment principles and avoid delaying medical consultation. If vulvovaginitis does not improve with treatment, it is necessary to promptly reassess and adjust the treatment plan.