Which method is better for treating candidal vaginitis?

Patient's question:

Symptom Description: Candida vaginitis, white discharge like curd and lumps, frequently recurring.
History of Treatment and Effect: Tried many methods, but it always recurs!
What kind of help is desired: Want to be cured completely and prevent recurrence!

Doctor's answer:

Use alkaline solutions 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 daily, for a course of 10–14 days. Apply 3% miconazole cream to the external genitalia afterward for better results. For stubborn cases, oral ketoconazole or clotrimazole can be taken to eliminate intestinal candidiasis, or miconazole can be used topically. During treatment, sexual intercourse should be avoided, and underwear should be changed, washed, and boiled daily. After completing one course of treatment, a negative mold test result is required. Subsequent follow-up tests for mold should also be negative after each menstrual cycle. Continuous consolidation treatment for three additional courses is necessary to confirm cure. It is recommended that the male partner also undergo treatment. Shoes and socks should be washed separately from underwear. Condoms are advisable during sexual intercourse.

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