Patient's question:
I went for a physical examination last month, and now the report has come out. The results show that I have candidiasis. However, I don't feel any symptoms myself. I want to know how this condition is formed? If I have this condition, how should it be treated?Doctor's answer:
Hello: Anyone infected with mold can develop this disease. 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 patients restless and unable to sleep or eat properly. 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 major symptom of this condition. The discharge is usually viscous and may be white or yellow, or sometimes thin. A typical symptom of candidal vulvovaginitis is a cottage cheese-like or creamy curd-like discharge. 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. When the membrane is removed, the exposed mucosa appears red, swollen, and eroded, or may 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 mold survival. Subsequently, nystatin can be used, such as in powder, tablet, suppository, or ointment form, inserted into the vagina or applied locally. The dosage is 100,000–200,000 units per application, once nightly, with 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 nystatin tablets can also be taken, with a dosage of 500,000–1,000,000 units, three times daily, for a 7–10-day course. Follow-up is necessary, and the condition can only be considered cured after three consecutive negative results.