How should recurrent candidal vulvovaginitis be treated?

Patient's question:

3 years of previous treatment history and effectiveness: Recurrent, took many fluconazole. How is the best treatment?

Doctor's answer:

Treatment for fungal vaginitis is primarily based on local vaginal irrigation and medication, such as using baking soda solution or miconazole nitrate cream vaginal suppositories. At the same time, personal hygiene should be maintained, avoiding tub baths to reduce the risk of infection and re-infection. Patients should also avoid sexual intercourse, and both partners should be treated simultaneously. The daily treatment for vaginitis mainly focuses on symptomatic relief. Patients can take various oral medications, supplement with multiple vitamins, and pay attention to self-care, proper diet, and avoid cold foods, hoping that vaginitis patients can recover as soon as possible! Thank you!

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