Does the medication for vaginal candidiasis affect the fetus?

Patient's question:

Hello doctor, I would like to consult you. Does the medication for vaginal candidiasis during the early stages of pregnancy affect the fetus? Currently, I am pregnant and it has been about two and a half months. However, the detailed examination at the hospital revealed that I have vaginal candidiasis. Now, I don't know what to do. Please give me some advice.

Doctor's answer:

I'm glad to help you with your questions. In the early stages of pregnancy, especially the first three months, it is a crucial period for fetal growth and development, but also a high-risk period for fetal malformations. Therefore, it is essential to be cautious when deciding to use medication. If you experience recurrent candidal vulvovaginitis, you can first consider using a 5% sodium bicarbonate solution to clean the perineum. If the symptoms improve significantly, treatment may not be necessary for the time being. Just pay attention to maintaining good personal hygiene. If the symptoms are more severe, you can opt for intravaginal treatment with nitrofurantoin suppositories. In addition to immediate treatment, it is important to follow the advice of a healthcare professional.

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