Patient's question:
All symptoms: Mild itching in the external genitalia, discharge is light yellow, yogurt-like with a slight curd-like substance.Onset time and cause: One week ago.
Treatment history: No treatment. Initially, the discharge was normal, but the external genitalia became itchy. Now, the itching has improved slightly, but the discharge has become abnormal.
History of ectopic pregnancy treatment: Started treatment on May 9th. On June 23rd, an ultrasound showed a small cyst on the left abdomen that had not yet absorbed. The doctor said it would gradually resolve.
Menstruation occurred on June 19th and July 26th. During menstruation, there was vaginal itching.
Help needed: What is the nature of this condition? Can I have sex with a condom?
Doctor's answer:
Analysis of the condition: Based on your description, there is a possibility of candidal vulvovaginitis.Advice and recommendations: It is recommended to visit a hospital for a gynecological examination and a test of vaginal discharge to identify the cause and provide symptomatic treatment.
Treatment for candidal vulvovaginitis:
1. Local medication: Nystatin suppositories, used for 10-14 days.
2. Oral medication: Itraconazole, used for 3-5 days.
3. Sexual partners should also be treated.
Precautions:
1. During sexual activity, it is essential to clean the external genitalia.
2. Bathe frequently and change underwear and pants often.
3. Take medication as prescribed, regularly test vaginal discharge to monitor treatment effectiveness.
4. Abstain from sexual activity during treatment to avoid affecting the outcome or causing cross-infection. Avoid scratching or other strong stimuli when itching to prevent skin damage.