What medication is used for recurrent candidal vulvovaginitis?

Patient's question:

Detailed medical condition and consultation purpose: I have had candidal vulvovaginitis for more than half a year. The medication has been repeatedly ineffective. This time, I used Daktarin suppositories for three courses, and I feel much better. My vagina has also become more moisturized. Should I continue using the medication, or should I wait for my period to consolidate the treatment? My period might not come for a week or so.

Doctor's answer:

1 Local medication should be used to treat candidal vaginitis, such as miconazole nitrate suppositories or nystatin suppositories. For severe infections, oral or intravenous antifungal drugs may be considered.
2 This condition should be treated according to a prescribed course, typically lasting 7-10 days. After completing the course, a follow-up vaginal discharge test should be conducted after the next menstrual period. If Candida is still present, a second course of treatment should be administered. This process should be repeated as needed. Generally, 3 courses of treatment can achieve a cure.
3 It is recommended that both partners be treated simultaneously. Sexual activity should be avoided during treatment, and proper hygiene of the genital area should be maintained. Underwear should be changed frequently.

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