Patient's question:
Medical history: Early pregnancy. Candidal vulvovaginitis. Pruritus of the external genitalia.Previous treatment and effectiveness: Just had an examination. Given two vaginal soft capsules of miconazole nitrate. Haven't started using them yet.
Help needed: Is it safe for pregnant women to use? Will there be any adverse effects?
Doctor's answer:
Analysis of the Condition: Hello, if you have candidal vaginitis, pay attention to hygiene and prevent infection. Pay attention to the hygiene and cleanliness of the external genitalia. During menstruation, sexual intercourse is absolutely prohibited. Underwear should be soft, cotton, with good ventilation and breathability. It should be changed and washed daily, and the external genitalia should be washed with warm water daily. The basin and towels used for washing the external genitalia should be disinfected with boiling water. The underwear that has been changed should be dried in the sun. During treatment, sexual intercourse should be avoided.Suggestions: It is best to use a 2% to 4% baking soda solution to rinse the vagina and wash the external genitalia 1 to 2 times daily. Nystatin tablets should be inserted into the vagina once at night, with 5 to 10 days constituting one course of treatment. Alternatively, you can use nystatin cold cream, adding 500,000 units of nystatin to 10 grams of cold cream, mixing well, and applying locally. You can also use Daktarin suppositories, inserting one suppository into the vagina every night, with 7 days constituting one course of treatment.
When the external genitalia itch, avoid washing with hot water to prevent skin and mucosal damage, which could lead to secondary infection. You can apply Pekangwang ointment. Change underwear frequently, avoid tight-fitting underwear, and maintain ventilation and dryness. Wash underwear, bath towels, and foot basins with boiling water. If the condition recurs and does not improve with treatment, check for diabetes. The husband should also be examined and treated at the hospital.