Patient's question:
Morning, after getting up and using the toilet for the first time (small hands), I always feel my lower abdomen is particularly full and accompanied by pain. After relieving myself, the symptoms disappear after about a minute. It's strange what the problem could be—is it because of holding my urine at night? First follow-up question: female. Second follow-up question: I'm 26 years old, and this condition has been going on for several years. My menstrual cycle is normal, but at the very end of my period, it's often watery and lasts for two or three days. I had a gynecological examination, which revealed mild cervical erosion and candidiasis. Third follow-up question: Could there be other possibilities, such as endometrial adhesions?Doctor's answer:
Hello, it is recommended not to take medication casually in your case. Use an alkaline solution, such as 2~4% sodium bicarbonate or soap water, to rinse the external genitalia and vagina, altering the vaginal pH to make it unfavorable for mold growth. After rinsing, insert Nystatin tablets or suppositories into the vagina, with a dosage of 100,000~200,000 units each time, once a night, for a course of 10~14 days. Additionally, apply 3% miconazole cream to the external genitalia for better results. For stubborn cases, oral fluconazole can be taken at a dose of 150 mg once a day for three consecutive days. During treatment, sexual intercourse should be avoided, and underwear should be changed, washed, and boiled daily. After one course of treatment, if the mold test results are negative, follow-up mold tests should be negative after each menstrual cycle. Continuous consolidation treatment for three courses is required to be considered cured.