Patient's question:
Treatment for candidiasis (yeast infection) can be done using Snake Oil Cream, which costs around 20 yuan and can effectively cure the condition. This medication is produced by a manufacturer in Guangdong. You can buy two boxes, with each box priced at 10 yuan. It takes about a week for the treatment to take effect, and continuing to use it for two or three more days will ensure a complete cure.Doctor's answer:
Hello: It can be tried!1) General treatment: Actively treat other diseases that can cause candidal vulvovaginitis and eliminate predisposing factors. Keep the external genitalia clean and dry, and avoid scratching. Abstain from sexual intercourse during treatment. Avoid spicy and irritating foods.
(2) Changing the vaginal pH: The optimal pH for Candida growth is 5.5. Therefore, using alkaline solutions to rinse the external genitalia and vagina can alter the vaginal pH, inhibiting the growth and reproduction of Candida. A 2%–4% baking soda solution can be used to rinse the vagina once or twice daily, with 2 weeks constituting one course. After rinsing, dry the external genitalia to maintain dryness and inhibit the growth of Candida.
(3) Vaginal medication: Using imidazole ointments for vaginal medication is highly effective for candidal vulvovaginitis. Clotrimazole suppositories: 1 suppository nightly, inserted into the vagina after rinsing, with 10–14 days constituting one course. Alternatively, Daktarin suppositories: 1 suppository nightly, inserted into the vagina after rinsing, with 7 days constituting one course.
(4) Topical ointments: Applying clotrimazole ointment or Daktarin ointment externally can treat vulvitis caused by Candida infection and alleviate itching and pain in the external genitalia. Apply externally several times daily for 2 weeks. Eucerin ointment, which contains econazole as the active ingredient and a small amount of topical steroid, has a good anti-itch effect and is particularly suitable for those with Candida vulvovaginitis and severe itching and pain in the external genitalia. Apply externally twice daily.
(5) Oral medication: Since Candida infection can be transmitted between partners through sexual contact, oral medication can be used to treat both partners. Oral medication can also inhibit intestinal Candida. Fluconazole oral: 150 mg once daily. Alternatively, Sporanox oral: For primary Candida vulvovaginitis, take 200 mg once daily after breakfast and dinner for 1 day. For recurrent candidal vulvovaginitis, increase the dose to 200 mg once daily for 3 days, or 100 mg twice daily for 3 days. All medications should be taken after meals.
(6) Herbal treatment: Boiling herbs with (clear heat and resolve toxicity) and (kill parasites and relieve itching) properties, then using the decoction to rinse the external genitalia, can alleviate symptoms and inhibit or eliminate Candida. Due to the significant reduction in itching, burning, and pain after rinsing, this method is more suitable for women with acute candidal vulvovaginitis, reducing their suffering. Additionally, herbs can be made into powders or suppositories for vaginal medication.
Prescription ①:
- 30g of bai xian pi (white peony root bark)
- 30g of huang bo (coptis rhizome)
- 30g of ku shen (smartweed)
- 30g of she chong zi (bugleweed)
- 3g of bing pian (mastic)
Wrap the herbs in white cloth, decoct to obtain 2000 ml of liquid, and use it to steam the external genitalia while hot. After the liquid cools slightly, sit in the bath for 20 minutes, once or twice daily. Before steaming, remove the herb packet and let it dry for reuse. One course consists of 7 days. After bathing, insert 1 clotrimazole or Daktarin suppository into the vagina and apply the ointment to the external genitalia.
Prescription ② (from Selected Practical Dermatological and Venereal Recipes):
- 12g of ding xiang (clove)
- 30g of xiao xiang (patchouli)
- 15g of huang lian (coptis root)
- 30g of da huang (rhubarb)
- 20g of long dan cao (gentiana root)
- 15g of ku fa (tartar)
- 15g of bo he (mint)
- 1g of bing pian (mastic)
This prescription clears heat, dries dampness, kills parasites, and relieves itching, with strong inhibitory effects on Candida albicans and other superficial skin fungi, as well as Neisseria gonorrhoeae. Usage: decoct 1 dose daily, rinse and soak the external genitalia 1–2 times daily for 30 minutes each time. It can also be made into an external rinse solution and ointment for external use. Married women can rinse the vagina once daily with the liquid. One course consists of 12 days.
Prescription ③ (from Latest Therapies for Sexually Transmitted Diseases):
- 30g of ku shen (smartweed)
- 30g of she chong zi (bugleweed)
- 20g of long dan cao (gentiana root)
- 15g of sheng bai bu (root of verbenaceae)
- 15g of tu jin pi (root bark of turmeric)
- 15g of huang bo (coptis rhizome)
- 15g of di fu zi (goat weed)
Add 2000–3000 ml of water, decoct for 30–40 minutes, strain, and use for steaming or bathing. Do once daily for 20–30 minutes each time.
Prescription ④ (from Selected Practical Dermatological and Venereal Recipes):
- 30g of ku shen (smartweed)
- 30g of she chong zi (bugleweed)
- 30g of huang lian (coptis root)
- 30g of huang bo (coptis rhizome)
- 10g of chuan jiao (sichuan pepper)
- 10g of ku fa (tartar)
- 3g of bing pian (mastic)
Grind into a fine powder and sterilize. Rinse the external genitalia and vagina with 3% soda water, then apply an appropriate amount of the powder to the vagina and external genitalia once or twice daily. One course consists of 5 applications.
After treatment with the above methods, clinical symptoms will improve rapidly. However, this does not guarantee that candidal vulvovaginitis has been cured. Patients should complete the full course of treatment and then return to the hospital for symptom review, gynecological examination, and vaginal secretion testing. If all results are normal, it indicates recent cure. Monthly postmenstrual follow-up examinations should be conducted for 3 months. If all tests remain negative, the condition is considered fully cured.