Patient's question:
Hello doctor, today I went to the hospital for a check-up, and the doctor said I have candidiasis and mild cervical erosion. They also asked me to do a biopsy, but I didn't think much of it. Just to feel at ease, I went ahead with it, and it was quite expensive. Is it really necessary?During medication, should I avoid sleeping in the same bed? The doctor said candidiasis requires both partners to be treated. What department should a man go to for a check-up? If we are cured after follow-up, how can the two of us better prevent recurrence in the future? The doctor said underwear should be boiled and exposed to sunlight, but my house faces north, so I can't expose them to the sun. I will boil my underwear.
Doctor's answer:
Hello: It is extremely necessary for the hospital to examine you!! You must first trust your doctor! 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 disease. Yeast thrives in acidic environments. It commonly colonizes 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 yeast growth.
3. Use of corticosteroids, immunosuppressants, or patients with autoimmune diseases are prone to concurrent yeast infections.
4. During pregnancy, the vaginal carriage rate and infection rate of yeast significantly increase.
5. Coexisting diabetes.
6. Oral contraceptive use.
7. Wearing tight nylon pants, etc.
The clinical manifestations of candidal vulvovaginitis are primarily external genital itching and changes in the amount 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 caused by Mycoplasma and Chlamydia.
Treatment commonly uses Jieshu liquid, 2% sodium bicarbonate to clean the external genitalia and vagina, and local application of 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 medication is highly effective for prevention. Common antifungal drugs include fluconazole and Sporanox, taken orally every 2–4 weeks for 3–6 months to fully control symptoms. Monthly premenstrual follow-ups are recommended, and three consecutive negative results indicate cure. During treatment, sexual intercourse is prohibited, and both partners should be treated simultaneously.