Patient's question:
My wife has itchy external genitalia and always suffers from candidal vulvovaginitis. In this situation, can we have sexual intercourse? Also, under these circumstances, can she get pregnant? Will it be affected?Doctor's answer:
Hello: First and foremost, it is important to undergo active and thorough treatment. Before completing the treatment, it is best not to consider sexual activity or pregnancy. For candidal vulvovaginitis, it is essential to identify and eliminate the underlying causes that lead to recurrent vaginal yeast infections, while extending the treatment duration and employing multiple treatment methods simultaneously. Local treatment can involve using traditional Chinese herbal medicine for fumigation and sitz baths, followed by medication insertion into the vagina and topical application of antifungal ointment. Local treatment can be continued throughout the menstrual cycle, with medication cessation during menstruation and resuming treatment after the menstrual period ends. Oral itraconazole (200 mg per dose, once daily after meals) should be taken for three consecutive days. This treatment should be maintained for 1 to 2 months.