Patient's question:
At 16 weeks of pregnancy, I had a thorough check-up and was diagnosed with candidal vulvovaginitis. The doctor prescribed Nifurterol and Nystatin vaginal ointment, one tube daily, for 6 days. After taking the medication, I felt better. Now I'm 18 weeks and 5 days pregnant, and I feel like the inflammation has flared up again. Can I focus on using the medication? Besides the fact that this ointment is a bit expensive, can I switch to Nifurterol and Nystatin vaginal soft capsules instead? Are the efficacy of these soft capsules the same as the ointment?Doctor's answer:
Candidal vulvovaginitis is caused by an increase in vaginal acidity, leading to the excessive proliferation of fungi. During pregnancy, vaginal medication should be avoided, and treatment should be administered after childbirth to prevent interference with fetal development. Vaginal medication can stimulate vaginal bleeding, potentially causing miscarriage. Vulvovaginitis is a serious condition, and patients are advised to seek timely medical treatment. Additionally, proper self-care and dietary management should be emphasized to avoid worsening the condition.