Patient's question:
Detailed medical condition and consultation purpose: Chronic candidiasis of the vagina, I just want to know how to be cured! It's really painful!The onset and duration of this illness: Late October to early November, it occurred twice! Each time lasted about 5 days.
Current general condition: It usually occurs once or twice a month!
Medical history: No other medical history! This condition has persisted for nearly two years!
Previous diagnoses, treatments, and outcomes: I visited the hospital, and the doctor only told me to continue medication! Take some antifungal drugs! But after a few days of symptom relief, it still flares up the next month.
Doctor's answer:
Hello:To treat recurring candidal vulvovaginitis, the first step is to eliminate the underlying causes that lead to repeated vaginal yeast infections. Treatment should also be prolonged, and multiple methods should be used simultaneously. Local treatment can involve first using traditional Chinese herbal medicine for sitz baths, followed by medication insertion into the vagina and topical application of antifungal cream. Local treatment can be performed throughout the menstrual cycle, with medication discontinued during menstruation and continuing after the menstrual period ends. Oral Sporanox (itraconazole) should be taken at 200 mg once daily after meals for three consecutive days. This treatment should be maintained for 1 to 2 months.
After developing candidal vulvovaginitis, the patient is both a source of infection and a victim. Therefore, the patient must actively seek treatment while also preventing transmission to others.
(1) Candidal vulvovaginitis is a common and frequent condition among women. Patients should not feel any psychological burden and should avoid self-medication. Instead, they should take medication under the guidance of a doctor, undergo regular follow-ups, complete the full course of treatment, and aim for a cure. It is crucial not to give up halfway.
(2) Identify the underlying causes to reduce the likelihood of recurrence or reinfection. Use antibiotics reasonably.
(3) Maintain cleanliness and dryness of the external genitalia, and avoid scratching as much as possible. When washing daily, use lukewarm water rather than hot water to prevent damaging the skin of the external genitalia. Change underwear daily, and wash personal underwear separately. Boiling is an effective method for disinfecting towels, underwear, and containers. Avoid wearing synthetic underwear. Wash hands before and after defecation.
(4) Avoid sexual activity during the illness, especially during acute phases. If sexual intercourse occurs, use condoms to prevent transmission to others. Both partners should be treated simultaneously.