Patient's question:
Main symptoms: Itching in both the external and internal vulva, with white,-like discharge in the vagina.Onset time: About a week.
Laboratory test results: Candida vulvovaginitis.
The doctor prescribed oral medication and medication for insertion, but I forgot the last three characters of the oral medication name (it was something like "Tebutaline HCl"). The oral medication was too expensive. The doctor also prescribed a topical medication for washing.
I haven’t taken the medication prescribed by the doctor yet. Currently, I’m only using Jie Er Yin for washing, which has significantly improved the symptoms—less itching and no more white,-like discharge.
I’d like to ask what oral or insertion medication would be most effective for treating my condition. Thank you very much for your response.
Doctor's answer:
Hello, candidiasis is a common type of vaginitis, usually caused by Candida albicans. This fungus normally resides in the vagina. When the vaginal sugar level increases and the acidity strengthens, the fungus rapidly multiplies, causing inflammation. Long-term antibiotic use can also disrupt the mutual inhibitory relationship among vaginal microorganisms, leading to excessive fungal growth and infection.Treatment: Wash the external genitalia or soak in a 1:5000 potassium permanganate solution. Apply a 2% gentian violet solution locally. In recent years, nystatin has shown significant efficacy.
Usage: 100,000 U vaginal suppositories, once in the morning and once in the evening, inserted deep into the vagina for 5 days. After treatment, apply nystatin ointment externally to promote vaginal epithelial regeneration. A small amount of estrogen (diethylstilbestrol) may be used to enhance regeneration.
For recurrent cases, consider gastrointestinal colonization with the fungus. Nystatin may be taken concurrently. Currently, no resistant Candida albicans strains have been found to nystatin. Recurrence is often due to insufficient dosage, incomplete treatment, or non-compliance with abstinence during therapy, or untreated male partners.
Additionally, antifungal agents such as ketoconazole, griseofulvin, and miconazole have been effective. Both partners must be treated simultaneously. If the male has candidal balanitis, he may be prescribed a 3% sodium bicarbonate solution and a 3% miconazole ointment.3%，，，10。 If no external lesions are found, fluconazole 0.15 g may be taken as a single dose to eliminate latent fungal infections in the reproductive tract. This medication affects liver enzymes, so caution is advised for individuals with abnormal liver function.