Patient's question:
Detailed medical condition and consultation purpose: I have had vulvar itching for a long time. Although no yeast or trichomoniasis was found, I have been treated for yeast infection but it hasn't improved and the itching has worsened. Recently, I had a check-up and the test results showed positive for mycoplasma. What is going on? How should it be treated? First follow-up question: Doctor, can you elaborate on the treatment measures?Doctor's answer:
Hello, I don't know your specific symptoms, but the symptoms are generally external genital itching, abnormal secretion or an increase in white discharge that resembles cottage cheese. However, for treatment, it is recommended to first undergo a check-up. If it is confirmed to be candidiasis, medication such as nystatin tablets or miconazole suppositories should be used in the vagina before bedtime. If there is external genital itching, it may indicate the presence of vulvitis, and it is recommended to use solutions like sodium bicarbonate or Jie'eryin to clean the external genital area. After cleaning, topical medications such as Daktarin cream can be applied for treatment. Generally, a course of treatment lasts for 7 days, followed by a follow-up after 7 days. Additionally, it is important to undergo a third check-up for candidiasis 2 weeks after the symptoms disappear. Treatment can only be considered complete upon recovery. It is also important to disinfect your underwear, bath towels, etc., at high temperatures (boiling with water). Additionally, it is essential to avoid sexual activity during treatment to prevent cross-infection. It is also important to increase exercise, maintain adequate sleep and rest, and improve your overall health to prevent recurrence.