Patient's question:
Medical history: My girlfriend got vaginitis and has been treated for a long time, spending a lot of money, but it hasn't improved yet. It keeps recurring. How can we make it better?Before I had sex with my girlfriend, she already had vaginitis (back then it was still CN). Because there was a protective membrane, it wasn't serious, but medication couldn't be used. So, she could only take medication and get injections. After a few days, it went away, but later it recurred and didn't go away. After I had sex with her, the symptoms became severe. At first, it was pelvic inflammatory disease, and it was caused by mycoplasma infection. Later
Doctor's answer:
Hello: If diagnosed with candidal vulvovaginitis, a 2%--4% soda solution can be used for daily rinsing of the external genitalia and vagina or for sitz baths. A 10-day course is recommended to alter the pH and create conditions unfavorable for the survival of Candida. Then, Nystatin should be used, such as powder, tablets, suppositories, or ointments, inserted into the vagina or applied locally. The dosage is 10--20 million units per time, once nightly, with a 10--14-day course. The external genitalia can be treated with 3% miconazole ointment for better results. Since this condition is stubborn and prone to recurrence, local treatment is generally preferred. Alternatively, Nystatin tablets can be taken orally at a dose of 50--100 million units, three times daily, with a 7--10-day course. Follow-up is necessary, and the condition is considered cured only after three consecutive negative results.