How is candidal vulvovaginitis treated?

Patient's question:

Previously, the doctor diagnosed it as candidal vaginitis. Now, after a leukorrhea test, it was found to be Gram-positive coccobacilli and Gram-positive cocci. How is it transmitted? How is it treated for men and women? What precautions should be taken?

Doctor's answer:

Candidiasis vulvovaginitis is caused by a fungal infection. 80-90% of VVC is caused by Candida albicans, while a very small number of VVC cases can be caused by Candida glabrata, Candida parapsilosis, or Candida tropicalis. When glycogen levels in the vagina increase continuously and the pH decreases, Candida easily adapts and triggers inflammation, making it more common in pregnant women, diabetics, and those using estrogen. Long-term and excessive use of antibiotics suppresses the normal vaginal flora, leading to excessive growth of Candida. Long-term use of immunosuppressants or corticosteroids can also weaken the patient's immune function. These factors can all lead to recurrent vaginal infections and cause candidiasis vulvovaginitis.

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