What is vulvovaginitis caused by fungi?

Patient's question:

Vaginal itching, besides small red bumps. Examination and test results: Colposcopy revealed: Erythematous and congested external genitalia, a large amount of yellowish discharge in the vagina, smooth cervix. Ultrasound showed: Uterus in normal position with uniform muscle wall echoes, endometrium on the left side, double-layered thickness of 7mm with clear margins. A linear hypoechoic area measuring approximately 13x3mm was observed in the cervical canal, with good internal echo transmission. Both ovaries were of normal size. An irregular hypoechoic area of about 11x5mm was seen in the rectouterine pouch. MRI findings: Cervical canal effusion, parametrial effusion. Leukocyte count: 3+, RBC-, few squamous cells, yeast +, BV-, cleanliness 3. Previous treatment and effectiveness: Previously treated with BYK-50 microwave therapy, but it was not effective and expensive. Currently experiencing recurrence, also used Doufu Tai. What kind of assistance do you need: I don't want to use microwave therapy now.

Doctor's answer:

According to the situation you described, the candidal vulvovaginitis is caused by an infectious fungus, characterized by intense itching of the external genitalia, even purulent pain, vaginal burning pain, which is more pronounced during urination. It is also important to pay attention to personal hygiene, avoid using tub baths or soaking in baths, to reduce the risk of infection and transmission. The discharge is white, curd-like or creamy, and the vaginal walls are covered with white pseudomembranes. After wiping, the mucosa appears red. Treatment is based on local vaginal washing and medication, such as using baking soda solution or vaginal suppositories. At the same time, it is important to pay attention to personal hygiene, avoid using tub baths or soaking in baths, to reduce the risk of infection and transmission.

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