How to deal with recurrent candidal vulvovaginitis?

Patient's question:

Fungal vaginitis often recurs, how can it be cured

Doctor's answer:

Treatment for candidal vulvovaginitis can be achieved through either pure Western medicine or a combination of Chinese and Western medicine.
(1) General treatment: Actively treat other diseases that can cause candidal vulvovaginitis and eliminate predisposing factors. Maintain external genital hygiene and dryness, and avoid scratching. Abstain from sexual activity during treatment. Avoid spicy and irritating foods.
(2) Adjusting vaginal pH: The optimal pH for Candida growth is 5.5. Therefore, using alkaline solutions to rinse the external genitalia and vagina can alter the vaginal pH, inhibiting the growth and reproduction of Candida. A 2%–4% baking soda solution can be used to rinse the vagina once or twice daily, with 2 weeks constituting one course. After rinsing, dry the external genitalia to maintain dryness and inhibit Candida growth.
(3) Vaginal medication: Using imidazole suppositories for vaginal medication is highly effective for candidal vulvovaginitis. Clotrimazole suppositories, one per night, are inserted into the vagina after rinsing, with 10–14 days constituting one course.

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