Patient's question:
Medical Description: Early pregnancy. Candidal vulvovaginitis. Vulvar itching.Past Treatment and Effect: Just had an examination. Given two vaginal soft capsules of miconazole nitrate. Haven't started using them yet.
Help Needed: Is it safe for pregnant women to use? What are the potential side effects?
Doctor's answer:
Medical Analysis: Hello, if you have a fungal vaginal infection, it is important to pay attention to hygiene and prevent infection. Pay attention to the hygiene and cleanliness of the external genitalia. Sexual intercourse is absolutely forbidden during menstruation. Underwear should be soft, cotton, with good ventilation and breathability. It should be changed and washed daily, and the external genitalia should be washed with warm water daily. The basin and towels used for washing the external genitalia should be disinfected with boiling water. The underwear that has been changed should be dried in the sun. During treatment, sexual intercourse should be avoided.Suggestions: It is best to use a 2% to 4% baking soda solution to rinse the vagina and wash the external genitalia 12 times a day. Clotrimazole tablets should be inserted into the vagina once at night, with 5 to 10 days constituting one course of treatment. Alternatively, you can use Clotrimazole cold cream, adding 500,000 units of Clotrimazole to 10 grams of cold cream, mixing well, and applying locally.
You can also use Daktarin suppositories, one suppository per night, with a 7-day course of treatment. If there is itching of the external genitalia, avoid washing with hot water to prevent skin and mucosal damage, which could lead to secondary infection. You can apply Pekangwang ointment. Change underwear frequently, avoid tight-fitting underwear, and maintain ventilation and dryness. Wash underwear, bath towels, and foot basins with boiling water.
If the condition recurs and does not improve with treatment, it is recommended to check for diabetes. The husband should also be examined and treated at the hospital.