Patient's question:
Detailed medical condition and consultation purpose: Chronic candidiasis of the vagina, I just want to know how to be cured! It's really painful!Date and duration of onset: Late October to early November, had two episodes! Each lasted about 5 days
Current general condition: Generally have one to two episodes per month
Medical history: No other medical history! This condition has persisted for almost two years!
Previous diagnoses, treatments, and outcomes: Went to the hospital, and the doctor only told me to continue medication and take some antifungal drugs! But after a few days of symptom relief, the condition would flare up again the next month
Doctor's answer:
Hello:To treat recurrent candidal vulvovaginitis, the first step is to eliminate the underlying causes that lead to repeated fungal infections in the vagina. At the same time, the treatment period should be extended, and multiple treatment methods should be used in combination. 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 creams. Local treatment can be performed throughout the menstrual cycle, with medication discontinued during menstruation and treatment resumed after the menstrual period ends. Oral itraconazole (200 mg per dose, once daily after meals) should be taken for three consecutive days. This treatment should be maintained for 1–2 months.
After developing candidal vulvovaginitis, the patient is both a source of infection and a victim. Therefore, on one hand, the patient must actively seek treatment, and on the other hand, prevent the spread of the infection to others.
(1) Candidal vulvovaginitis is a common and frequently occurring condition in 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 not to give up halfway.
(2) Identify the underlying causes to reduce the possibility 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 intercourse occurs, use condoms to prevent transmission to others. Both partners should be treated simultaneously.