Patient's question:
Medical Description: What medication is used to treat candidal vaginitis, and how many courses of treatment are needed?History of Treatment and Effect: Used some cleaning medications, but only on the first day.
Desired Help: How many courses of medication are needed for this inflammation? Does my husband also need to be treated simultaneously, even though he currently has no symptoms?
Doctor's answer:
Disease Analysis: A 2% or 4% sodium bicarbonate (baking soda) solution can be used to rinse the external genitalia and vagina once daily, with 10 treatments constituting one course of therapy. The purpose is to create an alkaline environment that is unfavorable for the survival of Candida. After rinsing, 100,000 to 200,000 units of nystatin (in powder, suppository, or ointment form) can be inserted into the vagina once nightly, with 10 to 14 days constituting one course of therapy. Additionally, applying 3% miconazole ointment to the external genitalia once daily is also very effective.Advice: If the partner also has symptoms, they should be treated concurrently. It is important to change underwear frequently. Used underwear, basins, and towels should be boiled for 30 minutes or soaked in saturated saltwater for 14 hours to ensure disinfection, as Candida has poor resistance to heat and can be killed within 1 hour when heated to 60°C.