Can candidal bacterial vaginosis recur?

Patient's question:

On August 3rd, the first thorough examination began, with a total of four thorough examinations. The leukorrhea was like cottage cheese, and there was itching in the genital area. Previous treatment history and effectiveness:
First examination: mold hyphae + pus cells+++ hydrogen peroxide + leukocyte esterase + medication: Nifuratel + miconazole (6 tablets).
Second examination: pus cells + leukocytes++ hydrogen peroxide + still using Nifuratel.
Third examination: pus cells + hydrogen peroxide + leukocyte esterase + switched to medication: Metronidazole + furanone pessary.
Fourth examination: mold hyphae + mold spores + pus cells + leukocytes + prescribed Clotrimazole vaginal tablets (2 tablets, one every four days).
What kind of help is needed:
I haven’t been prescribed any douching medication yet. Do I need to douche? After finishing these 2 tablets, there will still be a period of menstruation. What else do I need to stabilize during that time? Is Nifuratel more stabilizing or Clotrimazole?

Doctor's answer:

According to the situation you described, this should be a case of candidiasis. Candida naturally resides in the human vagina, and it may proliferate excessively only when your immunity is weakened, leading to symptoms. When your immunity is compromised, the breakdown of glycogen in your vagina increases, resulting in more acid production. The vaginal pH value drops, failing to maintain the range of 3 to 4, and the self-cleaning function of the vagina is reduced. As a result, the proliferation of Candida continues, which can cause discomfort again.
It is recommended that you take medication under the guidance of a doctor. It's not necessary to worry about not cleaning it.

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