Patient's question:
How is the treatment for candidal vaginitis best?I will briefly describe my treatment this year as follows:
January 4, BV + candidiasis + Daktarin 400mg × 3 (one box) + baking soda wash
January 18, BV++ candidiasis — Same as above
March 8, BV + candidiasis — Daktarin one box, followed by Mepron one box (10 tablets)
April 12, BV— candidiasis — Daktarin 3 tablets (one box)
Doctor's answer:
Hello, inflammation may not be closely related to hemorrhoids. Candidal vulvovaginitis is a vaginal infection caused by the fungus Candida albicans. It has a high incidence rate and is prone to recurrence, making it a common gynecological condition. Fungi thrive in acidic environments. They commonly colonize the human vagina, mouth, and intestines, leading to mutual infection. The risk factors for candidal vulvovaginitis include:1. Transmission through sexual intercourse.
2. Recent use of broad-spectrum antibiotics, leading to vaginal flora imbalance and favoring fungal growth.
3. Use of corticosteroids, immunosuppressants, or patients with autoimmune diseases are more susceptible to fungal infections.
4. During pregnancy, the vaginal carriage rate and infection rate of fungi significantly increase.
5. Concurrent diabetes.
6. Oral contraceptive use.
7. Wearing tight nylon pants, etc.
The clinical manifestations of candidal vulvovaginitis primarily include vulvar itching and changes in the quantity and characteristics of vaginal discharge. Diagnosis relies on medical history, physical examination, and laboratory tests, and should be differentiated from trichomoniasis, nonspecific vaginitis, and infections with Mycoplasma and Chlamydia.
Treatment commonly involves using Jieshu liquid, cleaning the vulva and vagina with 2% sodium bicarbonate solution, and applying local antifungal medications such as Daxin and Daking. In recent years, incomplete treatment or deep vaginal tissue infection has led to recurrence. For recurrent vulvovaginitis, oral medications are effective for prevention. Common antifungal drugs include fluconazole and spiramycin, taken orally every 2–4 weeks for 3–6 months, which can completely control symptoms. Monthly premenstrual follow-ups are recommended, and three consecutive negative results indicate cure. During treatment, sexual intercourse should be avoided, and both partners should be treated simultaneously.