How to deal with fungal itching of the external genitalia

Patient's question:

Detailed medical condition and consultation purpose: My external genital itching has been checked at the hospital for an endocrine examination (using my vaginal discharge for testing). The conclusion was just two words, "fungal." Following the doctor's instructions, I took medication orally and applied topical treatments, but the condition has not improved. Is my illness untreatable?

Doctor's answer:

Hello: Since the vagina of mature women is connected to the outside world, there are many pathogens, including Candida, in the vagina, maintaining a balanced state. When the body's resistance decreases or antibiotics are overused, fungi begin to multiply uncontrollably. Its spread and recurrence are indeed closely related to sexual activity, so in a broad sense, it is also considered one of the sexually transmitted diseases. However, since Candida exists on the oral cavity, intestinal tract, and vaginal mucosa, the Candida in these three parts can mutually infect each other. Therefore, indirect contact is also a transmission route for Candida vulvovaginitis.
Due to the moist environment of the female vagina being more suitable for the growth and reproduction of bacteria, while the male reproductive organ is relatively dry, it is difficult to detect Candida in this environment. However, if one party has an acute Candida infection, it is very easy to cross-infect each other through sexual activity.
Active symptomatic treatment can lead to a cure. Based on your condition, you can use Nystatin for treatment.

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