How can candidal vulvitis be treated more effectively?

Patient's question:

I want to buy and use Fuyanjie directly for washing, but I'm worried if this will treat it well and if it will spread inside the vagina. How should fungal vulvitis be treated?

Doctor's answer:

How to Treat Vulvovaginal Candidiasis at Home
Wash the external genitalia or soak in a 1:5000 potassium permanganate solution. Apply a 2% gentian violet solution locally. In recent years, nystatin has shown significant effectiveness.
Usage: Insert a 100,000 U vaginal suppository twice daily (morning and evening) for 5 days. Wash the external genitalia and apply nystatin ointment (10,000 U/g) 2–3 times per day.
After treatment, to promote vaginal epithelial regeneration, a very small dose of estrogen (e.g., diethylstilbestrol 0.25–0.5 mg/day for 3–5 days) may be used.
In addition to treating vulvovaginitis, patients are advised to pay attention to their diet and maintain a positive mood in daily life to enhance their overall health and slow down the recovery process.