Patient's question:
Detailed medical condition and consultation purpose: Two weeks ago, I got checked and was diagnosed with candidiasis (yeast infection). The doctor prescribed medication for a week, including a wash, an insert, and clotrimazole cream. After a week of treatment, I felt itchy again. I went back for a follow-up. The doctor asked when my period would start. I said it would be another ten days. The doctor then said, "You don't need to take medication now. Continue washing, inserting, and using the cream after your period." For these ten days, I just apply the cream if itchy. If not, I don't use any medication. However, yesterday my period started, and I started itching again down there, along with a foul odor. There are also many grain-like spots on top. I don't know if these spots are caused by the yeast infection. During my periodDoctor's answer:
Vaginal candidiasis is recommended to first use an alkaline solution such as 2-4% sodium bicarbonate or soapy water to rinse the external genitalia and vagina, altering the vaginal pH. Then, insert nystatin vaginal suppositories deep into the vagina, twice a day or once at night. If it is a recurrence, it may be caused by a carrier in the digestive tract. In this case, you can add oral nystatin 500,000 U, four times a day, and apply a 2% gentian violet solution locally.For dietary advice, it is best to avoid foods high in sugar and spicy, irritating foods. You can consume more yogurt. Personal hygiene should be maintained, with frequent changes of underwear and avoiding pantyhose. Used underwear, basins, towels, etc., should be boiled and dried in the sun. During treatment, sexual activity should be avoided, and the male partner is also advised to apply medication locally.