Patient's question:
Hello Doctor!I went to the hospital in September because of vaginal itching. At that time, no abnormal discharge was found, and tests for yeast and trichomonas were negative. The discharge cleanliness was rated 3, while mycoplasma and chlamydia tests were also negative. However, the doctor diagnosed me with severe candidal vaginitis. At night, when I rinse my vagina, there is a large amount of white, cheesy discharge. Since then, I have been treated under the doctor's guidance—taking fluconazole 150mg orally once a week, using Daktar, Kangfutie, Mikodin, and Jie'eryin externally, and paying attention to hygiene. I wash my underwear with boiling water every day. But now, after three and a half months of treatment, the condition recurs as soon as I stop taking medication.
Doctor's answer:
??????Hello! Based on your situation, one of the triggers for candidal vulvovaginitis is the long-term use of antibiotics (especially cephalosporins), which leads to vaginal dysbiosis and gives Candida a dominant advantage, causing candidal vulvovaginitis. You have used a lot of cephalosporins, so it is likely due to medication.It is recommended to stop the medication you are taking and apply Daktarin suppositories vaginally (it is best to undergo povidone-iodine diluted solution irrigation at the hospital before applying the medication for 3 days for better results). After your period ends, use Aprofill suppositories for 5 days. At home, do not rinse the vagina or take a bath; maintain cleanliness of the external genitalia. It is best to avoid sexual activity for 2 months to restore the vaginal internal environment and microbial balance.