Candidal vulvovaginitis can cause fallopian tube blockage?

Patient's question:

Can severe candidal vaginitis lead to fallopian tube blockage? I have been trying to conceive for 3 months without success. My follicles and my husband's sperm are both normal. Lately, I've been experiencing vaginal itching and a significant amount of cottage cheese-like discharge. Today, I got tested and the diagnosis was candidiasis, which is quite severe. I'm not sure how long the inflammation has been going on, but the doctor said it has already become serious. Could it cause pelvic inflammatory disease and fallopian tube blockage? Or could severe candidiasis make childbirth more difficult? I am worried about my infertility but don't know what detailed tests to undergo.

Doctor's answer:

Candidal vulvovaginitis can interfere with delivery because the vaginal pH of patients with candidal vulvovaginitis will change again, disrupting sperm penetration, which can lead to infertility. Currently, if the patient's candidal vulvovaginitis is severe, it is best to allow the condition to heal on its own, and if the fallopian tubes are also unobstructed, delivery can proceed. The daily treatment for gynecological disease patients primarily involves symptomatic medication. Patients can take many oral medications, supplemented with various vitamins, and pay attention to self-care, proper diet, and avoiding cold foods. It is hoped that gynecological disease patients can recover quickly.

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