Patient's question:
How is Candida Vulvovaginitis formed??Doctor's answer:
Hello: It is a yeast infection, and the most common symptoms of candidal vaginitis are external genital itching and a significant increase in vaginal discharge. The itching symptoms of the patient may vary in intensity and frequency. The itching caused by candidal vaginitis is generally more pronounced than that caused by trichomoniasis. Severe itching can make the patient restless and unable to sleep or eat properly. The patient may also experience a burning sensation in the vagina, which is particularly noticeable during urination. In more severe cases, symptoms such as frequent urination, painful urination, and pain during intercourse may also occur. An increased amount of vaginal discharge is another main symptom of this condition. The discharge is usually viscous and may be white or yellow, or sometimes thin. The typical discharge of candidal vaginitis is curd-like or creamy in consistency. During a gynecological examination, depending on the severity of the condition, the labia minora and vaginal mucosa may show varying degrees of congestion, with swelling of the labia minora. The vagina may contain a large amount of viscous discharge, or the vaginal mucosa may be covered with a white membrane. If the membrane is removed, the exposed mucosa may appear red, swollen, eroded, or have superficial ulcers.If diagnosed with candidal vaginitis, a 2%–4% soda solution can be used to rinse the external genitalia and vagina daily or for sitz baths, with a 10-day course to alter the pH and create conditions unfavorable for yeast survival. Then, an antifungal medication such as nystatin powder, tablets, suppositories, or cream can be inserted into the vagina or applied locally, with a dosage of 100,000–200,000 units per application, once daily, for a 10–14-day course. A 3% miconazole cream can also be applied to the external genitalia for better results. Since this condition is stubborn and prone to recurrence, local treatment is generally preferred. Alternatively, oral nystatin tablets (500,000–1,000,000 units) can be taken three times daily for a 7–10-day course, followed by a follow-up examination. The condition is considered cured only if three consecutive tests are negative.