Patient's question:
It has flared up again.Doctor's answer:
Disease Analysis: Hello, candidal vulvovaginitis is a common type of vaginitis, primarily caused by Candida albicans. This fungus normally resides in the vagina. When the vaginal sugar content increases and the acidity strengthens, the bacteria rapidly multiply, causing inflammation. Long-term use of antibiotics can also alter the mutual inhibitory relationship between microorganisms in the vagina, leading to the overgrowth of this fungus and subsequent infection.Guidance: Treatment: Wash the external genitalia or soak in a 1:5000 potassium permanganate solution. Apply a 2% gentian violet solution locally. In recent years, nystatin has shown significant efficacy.
Usage: Insert 100,000 U nystatin vaginal suppositories twice daily (morning and evening) for 5 days. After treatment, apply nystatin ointment externally to promote vaginal epithelial regeneration. A small amount of estrogen (diethylstilbestrol) may be used for this purpose. For recurrent cases, consider gastrointestinal colonization with the fungus and add oral nystatin concurrently.