Patient's question:
Patient Gender: I am a 23-year-old woman, currently in Beijing. I have been married for less than a year, but my marital history has been four years. Two years ago, I had a problem with vaginal itching, and when I went to see a doctor, it was said to be a common inflammation. I never took it seriously at the time. This year, I feel very uncomfortable, sometimes experiencing lower abdominal pain similar to menstrual pain. My discharge is yellow, sometimes like scrambled tofu, and sometimes my hair feels itchy with a strong odor. I suspect I have cervical erosion, but I don't know which hospital to go to for treatment. Could you please recommend a good hospital? Thank you!First Follow-up Question: Thank you~
Doctor's answer:
It may be candidiasis of the vagina. The treatment is to eliminate the causative factors and select local or systemic antifungal drugs based on the patient's condition. (1) Eliminate the causative factors. If the patient has diabetes, active treatment should be provided, and broad-spectrum antibiotics, estrogens, and corticosteroid hormones should be stopped promptly. Change underwear frequently, and boil the used underwear, basins, and towels. (2) Local medication. The following drugs can be placed in the vagina: Miconazole suppositories, one suppository (200MG) per night, for 7 days; or one suppository (400MG) per night, for 3 days. Clotrimazole suppositories, one suppository (150MG) per night, inserted deep into the vagina, for 7 days; or one suppository (150MG) in the morning and evening, for 3 days; or one suppository (500MG) as a single dose. Nystatin suppositories, one suppository (100,000U) per night, for 10-14 days. (3) Systemic medication. For patients who cannot tolerate local medication, unmarried women, and those unwilling to use local medication, oral drugs can be selected. Common drugs: Fluconazole 150MG, taken as a single dose; or Itraconazole 200MG per day, once daily, for 3-5 days; or a one-day regimen, taking 400MG per day, divided into two doses.