Patient's question:
Detailed medical condition and consultation purpose: I went to the hospital for check-ups three times. The second time, they said it had turned into a common vaginal infection, but it came back after stopping the medication! This time, I followed the doctor's advice and treated it for a week, then stopped when my period came. Now, it occasionally itches severely, but sometimes it doesn't itch at all!Duration and persistence of the current illness: About 1 month.
Current general condition: Itching in the vaginal area.
Medical history:
Diagnosis and treatment history and effectiveness: Confirmed as candidal vulvovaginitis. Used Fushu wash, Fuyinjie, and Daktin vaginal suppositories.
Doctor's answer:
Hello, the reasons that can cause recurrent candidal vulvovaginitis can be summarized as follows:First, incomplete treatment due to non-compliance with medication after developing candidal vulvovaginitis is a major factor leading to recurrent episodes. After treatment, patients with candidal vulvovaginitis still need to undergo gynecological examinations and vaginal discharge tests at the hospital every time their menstrual cycle ends, for a total of three consecutive times. If signs of Candida infection are detected during this period, even once, it cannot be considered cured, but rather a recurrence or re-infection, requiring continued treatment.
Second, both partners do not receive simultaneous treatment: If a woman contracts candidal vulvovaginitis, the pathogen can be transmitted to her partner through sexual intercourse, making him a carrier. Approximately 10% of men may develop balanoposthitis. If only the woman is treated while the man is not, even if the woman is cured, she will be re-infected by her partner, leading to the repeated "transmission" of Candida between the couple and recurrent candidal vulvovaginitis in the woman.
Third, failure to properly change and disinfect underwear and towels during treatment can also contribute to re-infection with Candida.
Fourth, the human body itself can be a carrier of Candida. When Candida present in the intestines infects the vagina, it can cause candidal vulvovaginitis. For example, poor hygiene habits, such as wiping the external genitalia after defecation from the anus toward the urethra, may introduce intestinal Candida into the vagina, leading to repeated episodes of candidal vulvovaginitis. Therefore, when treating candidal vulvovaginitis, oral medication should be taken concurrently to eliminate intestinal Candida. Additionally, patients need to modify poor hygiene habits.
Fifth, frequent or prolonged use of