Patient's question:
Doctor, hello: I would like to consult you. My leukorrhea has always been abnormal. After getting a fungal infection, I have been using clotrimazole, which has shown some improvement, but the condition frequently recurs. Each time, the medication helps, but it returns after a period. Now, after sexual activity, my leukorrhea still has a fishy odor after one or two days. I want to ask if my condition has transformed into another disease, or is the odor caused by residual sperm?Please help me understand. Thank you very much!!
Doctor's answer:
Hello, to treat recurrent candidal vaginitis, it is first necessary to eliminate the causes that lead to repeated vaginal candidal infections, while extending the treatment period and using multiple treatment methods simultaneously. Local treatment can involve using traditional Chinese herbal medicine for fumigation and sitz baths first, followed by medication insertion into the vagina and topical application of antifungal ointment. Local treatment can be performed throughout the menstrual cycle, with medication cessation during menstruation and resuming treatment after menstruation ends. Oral itraconazole, 200 mg per dose, once daily after meals, for 3 consecutive days. Such treatment should be maintained for 1 to 2 months.