Patient's question:
Detailed medical condition and consultation purpose: Doctor, hello: I have a fungal vaginal infection that always recurs. It comes back after just a few days, and while some medications provided temporary relief, the symptoms return after stopping them for a few days. I'm very frustrated.1. Is there any method the doctor can use to cure it?
2. Does the condition cause lower back and back pain during an outbreak?
3. I don’t want to use antibiotics anymore, as they harm the kidneys and can lead to resistance. Are there any Chinese herbal remedies that can be used long-term?
4. I’ve just used a few boxes of Kangfu Special (Kangfu Special suppositories), but they haven’t been effective. It’s time for my period.
Doctor's answer:
Hello: To treat recurrent candidal vulvovaginitis, it is first necessary to eliminate the causes that lead to repeated vaginal candidal infections, while extending the treatment period and using multiple treatment methods simultaneously. Local treatment can involve first using traditional Chinese herbal medicine for fumigation and sitz baths, followed by medication insertion into the vagina and topical application of antifungal ointment. Local treatment can be performed throughout the menstrual cycle, with medication cessation during menstruation and resuming after the menstrual period ends. Oral itraconazole, 200 mg per dose, once daily after meals, for three consecutive days. This treatment should be maintained for 1 to 2 months.After developing candidal vulvovaginitis, the patient is both a source of infection and a victim. Therefore, the patient must actively seek treatment while also preventing the spread of the infection to others.
(1) Candidal vulvovaginitis is a common and frequently occurring disease among women. Patients should not feel any psychological burden and should not self-medicate. Instead, they should use medication under the guidance of a doctor, undergo regular follow-ups, complete the full course of treatment, and aim for a cure. It is crucial to avoid giving up halfway.
(2) Identify the underlying causes to reduce the likelihood of recurrence or reinfection. Use antibiotics reasonably.
(3) Maintain cleanliness and dryness of the external genitalia, and avoid scratching them as much as possible. When washing daily, use lukewarm water rather than hot water to prevent damaging the skin of the external genitalia. Change underwear daily, and wash personal underwear separately. Boiling is an effective method for disinfecting towels, underwear, and containers. Avoid wearing synthetic underwear. Wash hands before and after defecation.
(4) Avoid sexual activity during the illness, especially during the acute phase. If sexual relations occur, use condoms to prevent transmission to others. Both partners should undergo treatment simultaneously.