Patient's question:
Pregnant for 7 months, now found to have vaginitis, what should I do?Doctor's answer:
Hello, miconazole vaginal effervescent tablets can be used externally during the second and third trimesters of pregnancy. Miconazole vaginal effervescent tablets, a commonly used nystatin preparation, are a local vaginal external medication. After insertion into the vagina, it only exerts a bactericidal effect locally within the vagina, unlike oral medications that need to be metabolized by the liver to enter the systemic circulation. Therefore, it will not affect the fetus through systemic absorption. On the other hand, the most sensitive period for the fetus to teratogens is the first three months of pregnancy. During the second and third trimesters, when fungal vaginal infections are most likely to occur, the organs of the fetus have already completed their differentiation and development. At this stage, there is no teratogenic effect from medication. Therefore, women in the second and third trimesters of pregnancy can completely avoid concerns about their baby's health by choosing recognized safe medications such as miconazole vaginal effervescent tablets and undergoing regular treatment under the guidance of a doctor or according to the drug instructions.