Patient's question:
Medical Description: I got sick half a month ago. My vagina suddenly became very dirty. My underwear is like a tofu residue. It can be rinsed out like cheese. Many previous treatment history and effects: Used compound sea buckthorn seed oil suppository. The effect is not obvious. What kind of help do you want: Hope the doctor can give you a treatment drug.Doctor's answer:
Candidal vulvovaginitis is a type of vaginitis caused by a fungal infection. Symptoms include intense itching of the external genitalia, even ulceration and pain, vaginal burning pain, which is more pronounced during urination. It is important to maintain good personal hygiene, avoid using tub baths to reduce transmission and reinfection. The discharge is white, like cottage cheese or curd, and the vaginal walls are covered with white pseudomembranes. Reddening of the mucosa is visible after wiping.Recommendations:
- Wash the external genitalia with baking soda solution.
- Use nystatin vaginal suppositories for treatment.
- Take oral itraconazole and ketoconazole.
- Avoid sexual activity during treatment.
- Change and wash underwear daily, then boil them for disinfection.
After one course of treatment, a fungal test should be negative. Subsequent fungal tests should also be negative after each menstrual cycle. Continuous consolidation treatment for three more courses is required to consider the condition cured. It is best for the male partner to undergo treatment as well, taking nystatin tablets for one week.
Wash shoes and socks separately from underwear. Otherwise, recurrence is likely. The main reasons for recurrence are incomplete treatment and reinfection by the sexual partner.