Symptoms of candidal vulvovaginitis, how to treat

Patient's question:

Six months pregnant, with white discharge resembling curd, external itching. Even after using metronidazole wash daily, the itching persists. My husband says he's also uncomfortable. Is it contagious? What medication should I use to treat it? What medication should my husband use?

Doctor's answer:

This looks like a medical consultation. Here's the translation with the requested format:
Your symptoms of white, cottage cheese-like discharge with itching strongly suggest a high possibility of candidiasis (yeast infection). Therefore, metronidazole treatment would be ineffective, as it's generally used for trichomoniasis. Since your condition is fungal in nature, antifungal medications are the primary treatment. This includes using ketoconazole suppositories for vaginal insertion. Additionally, potassium permanganate solution should be used to douche the vagina. The male partner also needs treatment, similar to how one treats a "wild child" (referring to treating the partner to prevent reinfection). Maintain good hygiene for the external genital area during daily care.

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