Patient's question:
I am 22 years old, female. After my first sexual experience last December, I started feeling itchy down there. I went to People's Hospital for a check-up, and they diagnosed me with candidiasis (yeast infection). After using vaginal medication for two days and feeling better, I carelessly stopped taking it. But a few days later, it came back. Later, I went to a Reproductive Health Service Center, thinking it would be better there. After a blood test, she said it was non-gonococcal urethritis. I had a week of saline irrigation and also had a microwave treatment. It didn't improve. In April 2005, I went to the Municipal Traditional Chinese Medicine Hospital for a check-up, and they found it was candidiasis again. After using vaginal medication for a week, it still didn't get better. Then I went to a newly opened hospital, and she said...Doctor's answer:
Hello:To treat recurrent candidal vulvovaginitis, it is first necessary to eliminate the causes that lead to repeated vaginal candidal infections, while extending the treatment period and using multiple treatment methods simultaneously. Local treatment can involve first using traditional Chinese herbal medicine for fumigation and sitz baths, followed by medication insertion into the vagina and topical application of antifungal ointment. Local treatment can be performed throughout the menstrual cycle, with medication discontinued during menstruation and treatment resumed after menstruation ends. Oral itraconazole, 200 mg per dose, once daily after meals, for 3 consecutive days. This treatment should be maintained for 1 to 2 months.
Mild cervical erosion can be temporarily left untreated.