How should candidal vulvitis be treated?

Patient's question:

Candida vulvovaginitis, previous week's onset and treatment history and effectiveness: After a thorough examination, the doctor gave me an intravenous drip and lent me medication. Desired assistance: The doctor said oral medication was unnecessary, so I had to rely on topical treatment, but when the doctor applied the medication, I felt it was painful. Now, I don't know if I should continue the treatment...

Doctor's answer:

Candidiasis (also known as vulvovaginal candidiasis) primarily presents with symptoms such as external itching, burning pain, a curd-like discharge, or creamy, clumpy white discharge that significantly increases in amount. It is recommended to use alkaline solutions, such as 2% to 4% sodium bicarbonate or soapy water, to wash the external genitalia and vagina, altering the vaginal pH to favor the growth of fungi. After washing, insert Nystatin tablets or Daktarin suppositories into the vagina, with a dosage of 100,000 to 200,000 units each time, once daily, for a 14-day course. Applying topical medication to the external genitalia after treatment can yield better results.

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