Can nystatin treat candidal vaginitis?

Patient's question:

Can doctors use nystatin to treat vaginal candidiasis by applying it to the vagina? Does it have side effects? Thank you. First question supplement: I mean nystatin tablets

Doctor's answer:

Your symptoms are likely due to a fungal infection. Candidal vulvovaginitis is caused by an infection with one type of fungus called Candida, which is quite different from trichomoniasis. Candida thrives particularly well in acidic environments and is generally spread through contact.
Symptoms: The most common symptoms include excessive vaginal discharge, burning and itching of the external genitalia and vagina. It may also affect the urethra, leading to symptoms such as frequent urination, urinary urgency, and dysuria.
Treatment: Use an alkaline solution, such as sodium bicarbonate or soapy water, to rinse the external genitalia and vagina to alter the vaginal pH, making it less conducive to fungal growth. After rinsing, insert antifungal tablets or suppositories into the vagina. Additionally, applying clotrimazole cream to the external genitalia can enhance the effectiveness of the treatment.

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