What should I do if I have a gynecological examination and it is found that I have candidal vaginitis?

Patient's question:

Going for a physical examination, what should I do if the gynecological examination shows candidal vulvovaginitis?

Doctor's answer:

Hello
Candidal vulvovaginitis is a vaginal infection caused by the fungus Candida albicans. It has a high incidence rate and is prone to recurrence, making it a common gynecological condition. Candida thrives in acidic environments and often colonizes the human vagina, mouth, and intestines, leading to mutual infection. The risk factors for candidal vulvovaginitis include:
1. Transmission through sexual intercourse.
2. Recent use of broad-spectrum antibiotics, leading to vaginal flora imbalance and favoring Candida growth.
3. Use of corticosteroids, immunosuppressants, or patients with autoimmune diseases are more susceptible to Candida infection.
4. During pregnancy, the presence of Candida carriers or infection rates in the vagina significantly increase.
5. Coexisting diabetes.
6. Oral contraceptive use.
7. Wearing tight nylon pants, etc.
The clinical manifestations of candidal vulvovaginitis primarily include vulvar itching and changes in the amount and characteristics of vaginal discharge. Diagnosis relies on medical history, physical examination, and laboratory tests, and should be differentiated from trichomoniasis, nonspecific vaginitis, and infections caused by Mycoplasma and Chlamydia.
Treatment commonly involves cleaning the vulva and vagina with solutions such as Jieshu Liquid and 2% sodium bicarbonate, followed by local application of antifungal medications like Daxin and Daking. In recent years, incomplete treatment or deep tissue infections in the vagina have led to recurrence. For recurrent vulvovaginitis, oral medications are highly effective for prevention. Common antifungal drugs include fluconazole and spiramycin, taken orally every 2–4 weeks for 3–6 months to fully control symptoms. Monthly premenstrual follow-ups are recommended, with three consecutive negative results indicating cure. During treatment, sexual intercourse should be avoided, and both partners should be treated simultaneously.
After contracting candidal vulvovaginitis, the patient becomes both a source of infection and a victim. Therefore, on one hand