Patient's question:
I was diagnosed with candidal vulvovaginitis right before my first period after a miscarriage in March. However, after treating it for five months, it hasn’t healed. Moreover, it keeps recurring for two to three days before and after my period. It also causes ulcers similar to oral ulcers, which take about ten days to heal. It’s really frustrating.Test results and examinations: Many tests were conducted, including HIV, herpes zoster, and genital herpes, and none of them were positive.
History of treatment and effectiveness: I’ve been treated at several hospitals. The Sixth People’s Hospital prescribed miconazole nitrate suppositories and one oral antibiotic. The Provincial Sixth People’s Hospital of Tungde also gave me a few days of anti-inflammatory injections and a topical ulcer treatment called "Ulcer Powder." Additionally, I was given many anti-inflammatory drugs and suppositories. The Second Affiliated Hospital of Harbin Medical University also confirmed it was candidal vulvovaginitis and prescribed three boxes of clotrimazole. However, after applying the medication, it seemed to improve, but it returned again before my next period.
Doctor's answer:
According to the description, candidiasis vulvovaginitis (also known as candidal vulvovaginitis) mainly manifests with symptoms such as external genital itching, burning pain, curd-like discharge, or creamy white discharge that increases significantly and continuously. It is recommended to use alkaline solutions, such as 2% to 4% sodium bicarbonate or soapy water, to wash the external genitalia and vagina, altering the vaginal pH to favor the growth of fungi. After washing, insert miconazole tablets or clotrimazole suppositories into the vagina, with a dosage of 100,000 to 200,000 units each time, once daily, for a 14-day course. Additionally, applying 3% ketoconazole cream or triamcinolone acetonide and econazole cream to the external genitalia can enhance the effectiveness.