Can pregnancy be continued with candidal vulvovaginitis?

Patient's question:

I didn't know in the early stages of pregnancy. I was diagnosed with candidal vaginitis. I went to the hospital on the first of this month and have been taking medication for the past twelve days. This morning, the pregnancy test showed two lines. I don't know if it's accurate, but can I carry this pregnancy with candidal vaginitis?

Doctor's answer:

A pregnant woman with candidal vulvovaginitis, in very rare cases, the Candida in her vagina can descend through the cervix, pierce the fetal membrane, and infect the fetus, leading to preterm labor. With proper treatment, it can be avoided. Additionally, when the fetus is delivered through the mother's vagina during labor, it may also be infected with Candida, often resulting in oral candidiasis, such as thrush, which is caused by oral Candida infection. Some infants may also develop Candida dermatitis around the anus. Cesarean delivery only reduces the risk of infection but does not guarantee complete prevention. Therefore, to prevent transmission to the fetus, it is important to control inflammation before pregnancy. If a pregnant woman develops candidal vulvovaginitis, she should actively seek treatment, preferably with local medication, but must strictly follow the doctor's instructions.

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