Patient's question:
Medical history: Early pregnancy. Candidal vulvovaginitis. Pruritus of the external genitalia.Past treatment and effectiveness: Just had an examination. Prescribed two vaginal soft capsules of miconazole nitrate. Haven't started using them yet.
Help needed: Is it safe for pregnant women to use? Will there be any adverse effects?
Doctor's answer:
Medical Analysis: Hello, if you have a fungal vaginal infection, it's important to maintain good hygiene and prevent further infections. Pay attention to the cleanliness of the external genitalia. Sexual intercourse is absolutely forbidden during menstruation. Underwear should be soft, made of cotton, with good ventilation and breathability. It should be changed and washed daily, and the external genitalia should be cleaned with warm water every day. The basin and towels used for cleaning the external genitalia should be disinfected with boiling water. The underwear that has been changed should be dried in the sun. During treatment, sexual intercourse should be avoided.Suggestions: It is recommended to use a 2% to 4% baking soda solution to rinse the vagina and clean the external genitalia twice a day. Clotrimazole tablets should be inserted into the vagina once at night, with 5 to 10 days constituting one course of treatment. Alternatively, you can use clotrimazole cold cream, adding 500,000 units of clotrimazole to 10 grams of cold cream, mixing well, and applying locally.
You can also use Daktarin suppositories, one suppository per night, with a 7-day course of treatment. If there is itching in the external genitalia, avoid using hot water to wash, as this may cause skin and mucosal damage, leading to secondary infections. You can apply Pekangwang ointment. Change underwear frequently, avoid tight-fitting underwear, and maintain ventilation and dryness. Wash underwear, bath towels, and foot basins with boiling water.
If the condition recurs and does not improve with treatment, it is recommended to check for diabetes. Additionally, your partner should also be examined and treated at the hospital.