Patient's question:
[Condition Description: My wife has developed vaginal candidiasis. Can it be cured? The doctor advised her to rinse the vagina with povidone-iodine solution (once every night), apply miconazole cream into the vagina (one tube every night), and take fluconazole tablets orally at 150 mg per day. How effective is this treatment? Can it be cured? Thank you!Duration and Onset of Symptoms: 20 days]
Doctor's answer:
For simple vulvovaginal candidiasis, local medication is primarily used, and symptoms usually improve or disappear 2-3 days after treatment. Clotrimazole vaginal suppositories are used every other day for a total of two times.Regarding the treatment of complex vulvovaginal candidiasis, the selected medications are generally the same as those for simple vulvovaginal candidiasis. Regardless of whether local or systemic medication is used, the treatment duration should be appropriately extended.
The principle for treating vulvovaginal candidiasis during pregnancy is that the primary consideration during treatment is whether the medication is harmful to the fetus. Treatment is primarily local, with no systemic medication administered. It is limited to pregnant women with symptoms and signs.