Can vaginal medication be used for candidiasis?

Patient's question:

Is vaginal medication effective for candidiasis? We are not very clear about this, so we would like to consult you. What should be done in general for this condition? Additionally, if one knows they have this disease, what should they do? Are there any methods available?

Doctor's answer:

I'm happy to help you clarify your questions. For candidal vulvovaginitis, the first-line treatment is vaginal medication. This includes using nystatin vaginal suppositories or tinidazole vaginal effervescent tablets. The duration of vaginal medication treatment should be 7 to 14 days, approximately two weeks. Concurrently, oral fluconazole capsules (150 mg taken as a single dose) should be administered. Use an alkaline solution to wipe the vagina or external genitalia, or take a sit bath. During treatment, sexual activity should be avoided. It is best for both partners to be treated to face the harm of vulvovaginitis together.

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