Patient's question:
Medical Description: Four days after the menstrual period, I went to the hospital for a check-up and found one plus sign for mold.History of Treatment and Effect: I used Miconazole. After applying the medication at night, in the morning, the medicine came out in waves with water, accompanied by mild burning sensation.
Help Needed: I want to ask if this is normal. I have been using the medication for 7 days and feel uncomfortable, but when I went to the hospital, there were no signs of redness, swelling, or allergic reactions. However, after using it, I still feel uncomfortable?
Doctor's answer:
Medical Analysis: Hello, you have a fungal vaginal infection known as candidiasis, which is caused by a fungus called Candida. Common symptoms include increased vaginal discharge, a bad odor, and a cottage cheese-like appearance.Recommendations:
1. Antifungal medication is generally the best treatment for candidiasis. Your current medication is appropriate—Mikonorm is a vaginal suppository containing nystatin. This medication may cause slight irritation to the vaginal mucosa, and mild burning is a normal side effect. There is no need to worry. It is recommended to complete the full course of treatment. If you experience significant discomfort, you can switch to other antifungal medications, such as Daktarin suppositories or Clotrimazole suppositories, which can be inserted into the vagina. Treatment is typically started three days after the end of your menstrual period and continued for one day.
2. Avoid sexual intercourse during treatment. If your partner is also infected, both of you should be examined and treated simultaneously to prevent cross-infection and recurrence.
3. After recovery, disinfect or discard old underwear and bath towels. Sunlight exposure is an effective way to disinfect them. In the summer, it is recommended to wear breathable 100% cotton underwear and maintain cleanliness and dryness in the vaginal area. When doing laundry, avoid washing underwear with socks together, as from socks can transfer to underwear during washing, leading to reinfection.