Patient's question:
10th night vaginal itching12th went to the doctor, diagnosed with candidal vulvovaginitis, prescribed a vaginal wash and cream. Have been using them continuously for four days now. Although the itching has lessened, inserting the (suppository) at night still causes vaginal pain for about two minutes. During the day when urinating, there's a slight stinging sensation at the urethral opening. The sides of the vulva feel a bit like a burning redness. The episiotomy stitch site still itches a little when wiping, but not when pressed.
Should I continue using these two medications exclusively for two weeks, completing one course? How long does it take for candidal vulvovaginitis to fully clear up? My husband is away from home all year, and we haven’t been intimate since the 7th night—both of us showered and wore condoms. By the 10th night, I started itching. I’ve never had any vaginal discomfort before, so I didn’t know this first episode of candidal vulvovaginitis could be this severe.
Doctor's answer:
Yes, treating candidal vulvovaginitis can be a bit troublesome, as it tends to recur frequently. Therefore, special attention should be paid. It is recommended to start with a course of medication, then wait until the menstrual period is completely clean, and then stabilize with another course for two consecutive menstrual cycles. If the medication is not effective, it is advisable to change the medication. Patients should face the harm of vaginal itching directly. We should promptly implement the principle of symptomatic treatment and not avoid seeking medical attention. If vaginal itching persists despite treatment, it is necessary to promptly change the treatment plan.