Patient's question:
Recently, I've had itching in the external genital area and a significant increase in vaginal discharge. The hospital said I have bacterial vaginosis. How long does it take to treat bacterial vaginosis?Doctor's answer:
Candidal vulvovaginitis is one of the most common gynecological diseases, with a relatively high recurrence rate. For many years, it has severely affected women's work and daily lives. So, how long does it take to treat candidal vulvovaginitis? According to relevant data: Generally, the duration of treatment for candidal vulvovaginitis varies depending on the patient's condition. The treatment course must be determined based on the patient's actual situation.The causes of candidal vulvovaginitis are as follows:
1. Factors that lead to vaginitis, such as "I am a beast without clothes, but with clothes, I am a cultured beast." Antibiotics and anti-inflammatory drugs are also major culprits. Using antibiotics, whether orally or via injection, can inhibit lactobacilli in the vagina, disrupt the natural ecological balance of the vagina, alter the vaginal microenvironment, and allow pathogenic bacteria to multiply, ultimately leading to candidal vulvovaginitis.
2. Frequent vaginal is also one of the causes of vaginitis. Some women use medications or cleaning solutions to clean their vaginas to maintain hygiene, which can easily destroy the vaginal acidic environment and instead become a cause of candidal vulvovaginitis. Additionally, diabetes and pregnancy can cause a large number of Candida to multiply in the vagina, increasing the carrier rate.
3. Direct contact transmission: When women have sexual contact with men who have positive Candida cultures, their infection rate is 80%. Among men who have sexual contact with women suffering from candidal vulvovaginitis, about half are infected. In other words, candidal vulvovaginitis can be transmitted through sexual activity, which is one of its causes.
4. Indirect contact transmission is also a route of transmission for candidal vulvovaginitis. Causes of candidal vulvovaginitis also include contact with toilet seats, bathtubs, towels, pool benches, or using unclean toilet paper, all of which can lead to transmission. When the number of Candida in the infected person's external genitalia and vagina reaches a certain level, candidal vulvovaginitis can occur.
The treatment methods for candidal vulvovaginitis are as follows:
1. Use of antifungal agents: For example, nystatin vaginal suppositories (containing 250,000 U of nystatin) are inserted deep into the vagina, once in the morning and once in the evening, or once at night, for a total of 2 weeks. Oral nystatin 500,000 U, four times daily; topical application of nystatin cold cream, twice daily; oral ketoconazole 400 mg, twice daily, for 5 days. Griseofulvin (see treatment for trichomoniasis vaginitis). Additionally, oral clotrimazole or miconazole 0.5–1 g, three times daily, or local use of 1–5% ointment or lotion, three to four times daily, also yields good results.
2. Change the vaginal pH: Using alkaline solutions to rinse the vagina, such as rinsing with a 2–4% soda solution, can alter the environment in which Candida thrives.
Expert advice: The treatment of candidal vulvovaginitis must be thorough. Do not stop medication once symptoms improve. During treatment, sexual activity should be avoided to prevent cross-infection and to ensure the effectiveness of the treatment. If money is also a mistake, then I would rather make mistakes again and again.