Patient's question:
Detailed medical history and consultation purpose: Two years ago, I had two medical abortions in succession, and the second one was not completely effective. Later, I underwent a D&C procedure. It has been more than a year since then! I don’t know if this is what caused cervical erosion and vaginitis??????? If so, will it affect my current pregnancy? Because I really want to have a child now!!! I urgently await your reply ~~~Thank youAdditionally, I have been undergoing intermittent treatment, but there has been no significant improvement. Currently, I have excessive leukorrhea, with no other discomfort~~~ What should I do? Can I get pregnant? If I do, will it have any fundamental impact on the child?
Doctor's answer:
Hello: You may have candidal vulvovaginitis, which is very stubborn and has a high recurrence rate. It is best to wait until the treatment is completely cured before considering pregnancy. The most common symptom of candidal vulvovaginitis is external genital itching, with a significant increase in vaginal discharge. The itching symptoms of patients can vary in intensity, occurring intermittently. The itching caused by candidal vulvovaginitis is generally more pronounced than that caused by trichomoniasis. Severe itching can make it difficult for patients to sit or lie down, and they may have difficulty sleeping and eating. Patients may also experience a burning sensation in the vagina, which is particularly noticeable during urination. In more severe cases, symptoms such as frequent urination, dysuria, 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 can be white or yellow, or sometimes thin. Typical candidal vulvovaginitis discharge is curd-like or cottage cheese-like, or appears as creamy clumps. During gynecological examinations, 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 discharge membrane is removed, the exposed mucosa may appear red, swollen, eroded, or have superficial ulcers.If diagnosed with candidal vulvovaginitis, 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 the survival of the fungus. Then, an antifungal agent such as powder, tablets, suppositories, or ointment can be inserted into the vagina or applied locally, with a dosage of 100,000–200,000 units per time, once daily, for a 10–14-day course. The external genitalia can also be treated with 3% miconazole ointment for better results. Due to the stubborn nature of this condition and its tendency to recur, local treatment is generally preferred. Oral antifungal tablets, such as 500,000–1,000,000 units, can also be taken three times daily for 7