Patient's question:
Completed the first course of treatment, but soon after, the illness recurred. I underwent another three months of treatment. Recently, I noticed something grainy on my cervix, which wasn't there before. Is it from the medication? Does long-term use of the same drug lead to resistance? Should I switch to a different medication? What medication is effective?Doctor's answer:
Candidiasis is a common and frequently occurring disease in women, and it is easily transmitted and recurrent. The pathogen is the normal commensal yeast in the vagina, Candida. Under normal circumstances, it coexists with the human body without causing illness. The triggers for the onset include oral broad-spectrum antibiotics, pregnancy, diabetes, high-dose estrogen therapy, immunosuppression, tight synthetic underwear, obesity, etc. The symptoms include vulvar itching, urinary pain, and dyspareunia, along with curd-like or white, thick, creamy vaginal discharge. Removing the triggers and undergoing standardized antifungal treatment can lead to a cure.