Patient's question:
Hello: I am a 39-week pregnant woman. At 35 weeks of pregnancy, I visited a doctor due to vulvar itching. At that time, a vaginal discharge test was performed, and the PCR test for chlamydia was negative, while the test for mycoplasma was positive. The tests for Candida and Trichomonas were negative. I was then treated with potassium permanganate to rinse the vulva and vagina, and roxithromycin was inserted into the vagina. After one week of follow-up, the mycoplasma test was still positive, but my symptoms had improved. Therefore, I stopped taking the medication. At 39 weeks and 2 days of pregnancy, I had another PCR test, and the mycoplasma test was still positive. The doctor recommended that I have a cesarean section. I personally do not want to have a cesarean section. At 39 weeks of pregnancy, I went to another hospital for a leukocyte component analysis of vaginal discharge, with the following results: (Cleanliness: IDoctor's answer:
Your condition is considered to be candidiasis of the vagina during pregnancy, within 12 weeks. You can use 2% - 3% baking soda solution and Jie'eryin to clean the external genitalia and vagina. At the same time, change underwear daily and wash and sterilize it together with towels and basins.After 12 weeks of pregnancy, after cleaning as described above, gently dry the external genitalia and place a nystatin suppository deep in the vagina, using it every night before bed. If there is vulvitis, you can apply Daktarin cream to the external genitalia.
Generally, a course of treatment lasts 10-14 days. After stopping the medication, a follow-up is recommended after 7 days. Once symptoms disappear, a third check for candidiasis is conducted 2 weeks later. Treatment can only be completed upon full recovery.
After 35 weeks of pregnancy, to avoid intrauterine infection, vaginal internal procedures should not be performed.