What should I do about candidiasis vaginitis?

Patient's question:

I am a gynecological nurse. A friend of mine has been suffering from chronic candidal vulvovaginitis that hasn't been cured. She found me and the main symptoms are external genital itching, dryness, and frequent urination. A month ago, the doctor prescribed her SB for irrigation, Fuyan Xiao capsules for oral use, metronidazole capsules (due to allergic reactions), and sea buckthorn seed oil suppositories. The results were not very good. I would like to suggest switching her oral Fuyan Xiao capsules to something else, discontinuing the metronidazole, and keeping the rest the same. Is that okay?

Doctor's answer:

Oral itraconazole or intravenous fluconazole, etc., plus topical medication such as miconazole nitrate suppositories, can be used for treatment. It is important to pay attention to hygiene and change underwear frequently. Underwear and towels should be boiled and sterilized after use. Eat more foods rich in vitamins, such as fresh vegetables and fruits.
Candidal vulvovaginitis is a condition that is not easily relieved. Patients should maintain a positive mindset and face it with optimism. Only in this way can they boost their confidence in combating candidal vulvovaginitis and believe that recovery is definitely achievable.

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