Patient's question:
I have a lot of leukorrhea and had a previous case of candidal vaginitis. I experience pain during sexual intercourse. There is still a small amount of bleeding 7 days after my period ends. On December 1, I developed frequent urination, abdominal discomfort, and pain. During this time, I only took Sanjin tablets. On December 10, I went to the hospital for a urinalysis, which showed RBC 15-20, WBC 6-8, and epithelial cells 20-30. The doctor said I had vaginitis, but it was only visible through the speculum. The rest indicated a urinary tract infection. I was given ciprofloxacin and tinidazole for 5 days, and the symptoms disappeared.After stopping the medication, my period came, so I didn’t go for a follow-up check-up. On December 25, I went to the hospital for another urinalysis, which showed RBC 6-8 and WBC 4-5.
Doctor's answer:
Hello: You have both vaginitis and urinary tract infection, so it is important to actively treat them. The key is that vaginitis is quite stubborn and prone to recurrence. Here are some things to pay attention to:1. Pay attention to disinfection and keep the external genital area clean and dry.
2. Wear loose and breathable underwear to avoid irritating the skin of the external genital area and worsening symptoms. Change underwear frequently, and boil underwear, basins, towels, etc. for disinfection to prevent re-infection.
3. Adhering to standardized medication is the key to treating this condition. During treatment, both married couples should take medication simultaneously, and use condoms during sexual activity to prevent cross-infection.
4. Choose bedtime for medication to facilitate full decomposition and absorption of the drug.
5. Since candidal vaginitis often recurs after menstruation, even if the treatment and examination results are negative, it is still necessary to re-examine after menstruation. Three consecutive negative results are required to consider it cured.
If diagnosed with candidal vaginitis, a 2%–4% soda solution can be used daily to rinse the external genital area and vagina or for sitz baths. A 10-day course is recommended to alter the pH and create conditions unfavorable for the survival of the fungus. Then, Nystatin can be used, such as powder, tablets, suppositories, or ointment, inserted into the vagina or applied locally. The dosage is 10–20 million units per time, once a night, for a 10–14-day course. The external genital area can also be treated with 3% miconazole ointment for better results.
Since this condition is stubborn and prone to recurrence, local treatment is generally preferred. Alternatively, Nystatin tablets can be taken orally, with a dosage of 5–10 million units three times a day, for a 7–10-day course. After treatment, re-examination is necessary, and three consecutive negative results are required to consider it cured.