How to deal with refractory fungal vaginitis?

Patient's question:

The vagina has been constantly itchy and unbearable lately, and some creamy white liquid is leaking from inside. It smells like a fishy odor, and during severe cases, blood clots may also be discharged. Experts say it's intractable candidiasis of the vagina. Doctor, how should I treat it?

Doctor's answer:

The typical features of candidal vulvovaginitis are the recurrence of a noticeable vaginal odor and itching, along with the reappearance of cottage cheese-like discharge. If you have already undergone a thorough examination of your vaginal discharge at the hospital and have been diagnosed with candidal vulvovaginitis, it is generally treatable with antifungal medications. Common examples include miconazole vaginal capsules) or nystatin, which are highly effective. Candidal vulvovaginitis can be quite persistent, requiring patience in medication. Vaginitis poses significant harm to patients, so it is important to seek medical attention promptly upon noticing symptoms. Additionally, dietary issues should be given close attention.

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