How is the treatment for fungal vaginitis better?

Patient's question:

The white discharge has a strong odor, and sometimes the vagina itches. It's said to be a fungal vaginal infection. This condition has been going on for a long time. I've tried many medications, but they only work while I'm using them. As soon as I stop, it returns to its original state. I want to know what's going on?

Doctor's answer:

Alright, candidiasis of the vagina can cause vaginal itching and a curd-like discharge. Candida can survive in the mouth, intestines, and vagina, and when the vaginal environment is suitable, it can lead to vaginal candidiasis. If you have diabetes or use antibiotics for a long time, it can lead to recurrent vaginal candidiasis. If you have diabetes, actively control it, and if you use antibiotics long-term, stop taking them. Recurrent vaginal candidiasis can be treated with oral medication, such as Nystatin tablets. Do not wash underwear together with socks.
You currently have small bumps on your labia, which are a sign of labial inflammation. Wash your labia with warm water daily, wear cotton underwear, change it every day, and avoid moisture and irritation.

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