Patient's question:
Last June, there was some cottage cheese-like discharge, and sometimes a slight dragging pain at the vaginal opening. But as a girl, she didn't pay attention, thinking she would never get a gynecological disease. Later, the discharge became slightly yellow every day but wasn't excessive, and there was no pain at the vaginal opening. In October last year, after eating a frozen loquat, she experienced a dragging pain in her lower abdomen again while taking a nap—it was something she had never felt before, like something falling inside. After the initial pain, it spread to her vagina and rectum, and she lay in bed, still in pain. Then, there was a fullness in her mons pubis. The next day, the pain in her lower abdomen eased but was replaced by a slight fullness and pain. She noticed some abnormality in her urination—feeling the need to urinate but finding nothing in the toilet. She thought it would pass in a few days. Later, she still experienced occasional sharp pains in her lower abdomen and some fullness in her mons pubis. Due to the high cost of medical treatment in the U.S., she...Doctor's answer:
It may be a case of mold infection, such as candidiasis, which generally has a good therapeutic effect but is prone to recurrence. Therefore, it is important to actively and thoroughly eliminate the triggers, with local treatment as the foundation. Local medications can include vaginal suppositories such as nystatin, clotrimazole, terconazole, and ketoconazole. Place one suppository in the vagina every night for a course of 7 to 10 days, avoiding the menstrual period.Meanwhile, oral fluconazole can be taken to treat pelvic inflammatory disease, which has a significant impact on patients. Once symptoms are noticed, it is essential to seek medical attention promptly and pay close attention to self-care. Eating more fruits and vegetables while avoiding irritating foods is recommended. We hope that patients with pelvic inflammatory disease can receive professional treatment.