Patient's question:
I have candidiasis vulvovaginitis. Can I get pregnant? Or must I be treated first before getting pregnant? I have been treated for it before, but it seems to have recurred now. Is it because my husband didn't get treated as well?First follow-up question: Thank you for your answer! But regarding "Is it because my husband didn't get treated as well?"—it seems that part wasn't addressed yet! Please clarify, thank you!
I have another question: If my husband needs to be tested for infection, what tests should be done? If he tests positive, will it affect pregnancy?
Doctor's answer:
Candidal vulvovaginitis can be treated by rinsing the external genitalia with baking soda solution, using nystatin vaginal suppositories, and taking oral itraconazole and ketoconazole. After one course of treatment, a fungal test should show negative results. Subsequent follow-up tests should also be negative after each menstrual cycle. Continuous consolidation treatment for three more courses is required to consider the condition cured. During treatment, sexual intercourse should be avoided, and underwear should be changed, washed daily, and boiled for disinfection. It is also recommended that the male partner be treated concurrently, with oral nystatin tablets for one week. Shoes and socks should be washed separately from underwear. Otherwise, recurrence is likely. The reasons for recurrence are generally incomplete treatment and reinfection from the sexual partner.