Patient's question:
Medical Description: Detailed medical condition and purpose of consultation: My wife has developed a fungal vaginal infection. Can it be cured? The doctor instructed her to use povidone-iodine solution for vaginal (once every night), clotrimazole cream to be injected into the vagina once every night, and fluconazole tablets to be taken orally at 150 mg daily. How effective are these medications? Can the infection be cured? Thank you!Duration of the current illness and persistence: 20 days
Doctor's answer:
For simple vulvovaginal candidiasis, local medication is primarily used, and symptoms usually improve or disappear 2-3 days after treatment. Clotrimazole vaginal suppositories are used every other day for a total of two times.Regarding the treatment of complex vulvovaginal candidiasis, the selected medications are generally the same as those for simple vulvovaginal candidiasis. Regardless of whether local or systemic medication is used, the treatment duration should be appropriately extended.
The principle for treating vulvovaginal candidiasis during pregnancy is that the primary consideration during treatment is whether the medication is harmful to the fetus. Treatment is primarily local, with no systemic medication administered. It is limited to pregnant women with symptoms and signs.